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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,. Fort Pierce FL 34982 Phone: (772) 462-1553 Fax,: (772) 462-1578 Commercial Residential I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I 4 . . . . . . . . . . . 10 M r N 10 0 9, Address: T4-4f RY L rl egal Desc'ption C, Log, Property TaX ID 01 1(a Lot No. Site Plan Name: Block No. Project Name: Setbacks Front . B a c k: — Right Side: Left Side: A VXT NW0:FW'0. eEi 1, Wxigit iffil M CL i + Lo Lam° t t R Ic I 'Total Sq. Ft of Constructiow, Cost of Construction: $ 4 a Address: 'A C Lt ip,)Cv ( 1,,) R94 City, I State: Zip Code: Phone No. E - M ail Sc, Ft. of First Floor: Ut'llities:LIeever Septic eight, - Fill In fee 31mple Title Holder on next page ( if different from the Owner listed above) C ompanyLe2L.A�, S' j L a AC V c,4e, LL � er It a Address,532. W-) 0 1 City: ec,)(4L) ci-el ...state: �, L- *W FaX 1Code: 3 qq�,6 -77Q q 3q - I I 1-p _ IV, -- Phone No. -7 1 45W E-Mail: r V.1-c-ce, a cona___ State or County License: CAC (OC4,.5 If value of constructions $2.500 or more, a RECORDED Notice of Commencement is required. . . . . . . . . . . . .a m " =-r. v: .,n.,_ .. t,:: ry .,z, u. m.. -.xw.: . , .ra k :.. - Am MINT, ESI - G , NER/tNGINNEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address.: ,Address: City: state. city. ity State: 40 zip: Phone, Zip** Phone. FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: ,,.Not Applicable P4ame:Name. a Mdress, Address: ..... ....... City city: Zip: Phone-, zip: Phone.,, OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St, LUcle Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure 1: 1 it such Which is J con with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit structure. 'lease consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency reviemi� room additions, accessory structures., swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWN . YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING' TWICE FOR IMPROYEMENTS TO YOUR PROPERTYa A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON —THE JOB SIITE BEFORE THE FIRST INSPECTIONS IF W IINTP�D TO OBTAIN FINANCINGO CONSUL WITH q LEN ER OR AN ATTORNEY BEFORE RECORDING YOJJR _NOTICE OF COMMENCEMENTS" nature of 0 nerd' Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA for+ ),uc,. C*.q, COUNTY I - ��� I COUNTY OF- b64 The forgolinginstrument was acknowledged before me The forgoing instrument waq acknowledged before me this d6y of JVO'V4,1--te712C�r 26& by this day of 20Lby , ii :U ��ar�,a �► r, ate' � � 0,V W A"Fmr� Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known /& -OR Produced Identification Type of Identification Type of Identification I)rodu,ced—. Produced. . /A now" Im (sign Notary Public State of Florida Jennifer I Aguiar 0 m m, I C.Q.......-sim-GG 33,,71Sea Expires 0512912023 REVIEWS FRONT ZONING COUNTER I REVIEW IRATE RECEIVED 11" "DIMPLETED I ev.;z//n,9 Id9b. AOL AR1. A& AOL AL. -AIL AIL Notary Public State of Florida Jennifer I Agular C NRAY Com 1516'an r-&Q-3M71 (Seal) Expires 05/29/2023 A 01NA, A A 04 A 04 04 A 01� I I W, �qw MW 1W 1W SUF)ERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW AHRI Certified Reference Number: 201498260 Date: 11-22-2019 Model Status : Production Stopped Old AHRI Reference Number: 10206644 AHRI Type: RCU-A-CB Series: GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package): GSX1 60241 F* Indoor Unit Model Number (Evaporator and/or Air Handier): ASPT33C14A* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, 1L, iA, lN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS) MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Rl, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. The manufacturer of this GOODMAN product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda I and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 23600 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced." Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accoMDanied bv WAS indicate an involuntary re -rate. The newis shown alca2, Dublished ratinq jjh,the .previous (i.e. WAS) ratina. :71 DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assurnes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridlrectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be re -produced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridF11".. click on "Vayffy Ca.Ttificata" fink we make life beLLer' and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. @)2019Air-Conditioning, Heating, and Refrigeration Institute [CERTIFICATE NO.: 132189159483847464 Michelle FrankHn, CFA-- SaMtLude CmuirntyPropc-rtry Appra'�soar--Afl r�ghts reserved. Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: EE=-& Ronald G Rhoads JR) Rebecca J Rhoads 8447 E Lincoln RD Cedar, MI 49621 Legal Description INDIAN PINES VILLAGE- BLDG D UNIT 2 AND P RO-RATA SHARE IN COMMON ELEMENT S (OR 3 8 Current Values Just /1\4 arket Value: $68N0 Assessed Value: $58,806 Exemptions: $0 Taxable Value: $5806 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sale of a property will prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office 0 Download TRIM for this parcel: Download PDF 12 6010 INDRIO RD 2 13 13 - 5 0 1 -0 0 2 6 -0 0 0 -0 4760 13/13N 0400 Saint Lucie County Total Areas Finished/Under Air (SF): 19078 Gross Sketched Area (SF): 1,222 Land Size (acres): 0.02 Land Size (SF): 1,000 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.