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HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date,: Perrnbit- Nurnber, 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 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line i'd " "', N"I Address. �'L:)i5 L� &oxlck-"r V (Legal Description: Un'i4- -Ps 1 K (o C�. ir)8 M Property Tax ID #: 2 0 0 —'(D (L-X D Lot No, Site Plan Name: Bbck No. Project Name.. 01 Setbacks Front Back., Right Side-, Left Side'� Additional work to be e -ormed uhd e-r this pe­r—mif — check a I app yd: 4�N HVAC Gas Tank Gas Piping Shutters Win do-viis- /Coors UElectric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction.- $ Sc. Ft. of First Floor; Utilities: Sewer Septic Hei ght: ight: C" Q� Name U�S cLt� Add ress: city: 1'cl State. Zip Code: 3 q 01 "1 4& Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Ownar listed abova) 1 0 1 Company: erv,,,�cg, LL e- S_LL Address: 2- Q Of ckn fi L City: - (Loe-4 bi C L-e, If State. Z41P Code: Fax:"7*? 3q -,q 3q _3S I I Q Phone No. %-71 -'*06W -Mail: 1409 feel"�C, IE State or County License: C4C I If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIG NER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not ApplicaNe Name: Name: Address: Address: City: stanter, 0 City zip: Phone Zip: Phone. FEE SIMPLE TITLE HOLDER: Not Apphicable BONDING COMPANY: Not Applicable Name: Name* Address: Address: cityo. City: Zip: Phone: Zip#- P h 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. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please 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 ail 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 review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON..THE JOB SITE BEFORE THE FIRST INSPECTION" IF WV INTE-ND TO OBTAIN FINANCING, CONSULT WITH Y,016R' LEiiDER OR AN ATTORNEY BEFORE RECORDING YOtfR NOTICE OF COMMENCEMENT." Signature of OWner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me �' `'' �C y " lU 20 0 by this day of a) a� z Name of person making statement. Personally Known X -_ OR Produced Identification Type of Identification Produced (Signa.'. b .40 Notary Public State of Florida Commi I 4P^ Jennifer I Aguiar JSea MY Q;Mmissie .. 87 Expites 06/29/2023 A& AL A&. A61 Aft REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED ev. 2/1/1!1 STATE OF FLORIDA COUNTY OF 4"� The forgoing instrument was acknowledged before me this day of 20a) by f CQV Name of person making statement. Personally Known /Y*",4Rr_ OR Produced t"dentification Type of Identification Produced # a Notary Public State of Florida ennifer I Aguiar I 1111N (Seal) 4 W., r __ 71 is EXOMS 05/29/2023 SUPERVISOR I PLANS I VEGETATION SEATURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW AHRI Certified Reference Number: 201290221 Date: 01-08-2020 Model Status: Active Old AHRI Reference Number: 7942888 AHRI Type: RCU-A-CB Outdoor Unit Brand Name: RUUD Outdoor Unit Model Number (Condenser or Single Package): RAI 642AJ I Indoor Unit Model Number (Evaporator and/or Air Handier): RHIT4821STAN Region All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, iA, lN, KS, KY, LA, MA, MD, ME, Ml, MN, MO, MS, MT, NC) ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Ri, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note Central air cononers 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) f] which they meet the regional efficiency requirement. The manufacturer of this RUUD 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 1 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 : 41500 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. Raafiaaa2p.1 are accom anied b WAS indicate an involun e. The dew _pqbjished rating is shown-pigng Xith the D -revious (i.e. WAS) rating. Z­ DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, �Alfarranties or guarantees as to, and assumes 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 TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for lndividual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; diss eminated; 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 1NSTqT!UTE The information for the model cited on this certificate can be verified at cBr* on ,,J,1-wd,,Ty ink f Nve maize h c e e bettor: and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certrificate No., which is listed at bottom right. ______13_22_2'_9_894_1 0'-81624-86-- @2020Air-Conditioning, Heating, and Refrigeration Institute i CERTIFICATE NO.: Micho-He FrankHn, CFA--Sahii-Luc�e County FroperiiyAppra�scsr--AH r�lghts reserved. Property Mentification Site Address: Parcel ID: Account #: M ap ID: Use Type: Zoning: City/County: fflym, Wn 5 " E.M., James M Gates Rachel M Gates 5515 Buchanan DR Fort Pierce, FL 34982 Legal Description INDIAN RIVER ESTATES -UNIT I - BLIP 6 LOT S 1.8 AND 19 (MAP 34/1 IN) (OR 3757-1670) Current Values • Past to -,,,,es aire Efno� P, pTojecOon of future taxes. • The sale of n property will prompt the removal of all ememptions,aosessment caps, and special classification s. Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 12 5515 BUCHANAN DR 3402-602-0210-000-6 36570 34/1 IN 0100 RS-3 - Coin Saint Lucie County Total Areas Finished/Under Air (SIF): 35398 Gross Sketched Area (SF): 4,968 Land Size (acres): 0.91 Land Size (SF): 39,600 All information is believed to be correct at this time, but is subject to change and is provided withoLft any warranty. (0 Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.