HomeMy WebLinkAboutCHANGE OUT FORM - FERGUSONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: to tzo 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Total Sq. Ft of Construction: Sq. Pt. of First Nbpr:
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Cost of Construction.- flAtles
Sept'l Building Height,
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Phone No, <K C-41
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Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
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kiN E RJE N G IN EE R
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MORTGAGE COMPANY.
Not Applicable
Name:
Name:
Address:
Address:
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State:
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ZIP9 P h o n e:
FEE SIMPLE TITLE HOLDER:
Not Applicable
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—Nont AppHMabie
Name:
Name:
Address:
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. Lucie County makes no representation that is granting a hermit 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 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 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 I E JOB SITE BEFORE THE FIRST INSPECTIONa IF YAW —INTO D TO OBTAIN FINANCINGt CONSULT
WITH jS�R ENDER OR AN AJ(TORNEY BEFORE RECORDING YOtfR NOTICE OF COMMENCEMENT."
Signature of OWner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA o
COUNTY OF
The forgoing instrument was acknowledged before me
this day of Q-1.'ry ► 20?0 by
Name of person making statement.
Personally Known - X I OR Produced Identification
Type of Identification
Produced
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(Signs
Notary Public State of FlorWa
Jennifer I Agular
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Expires 06/29/2023
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REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2.7111V
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF dv
The forgoing instrument was acknowledged before me
this .0 day of Ur* 20, : by
Name of person making statement.
"I Personally Known /14 — OR Produced Identification
Type of Identification
Produced
Notary Public State of lion
ennifer I Agular
C in Nth (Seal)
GG 32- 71
Expires 06/2912023
SUPERVISOR I PLANS I VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
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AHRI Certified Reference Number: 201290221 Date: 01-10-2020 Model Status : Active
Old AHRI Reference Number: 7942888
AHRI Type: RCU41-CB
Outdoor Unit Brand Name: RUUD
Outdoor Unit Model Number (Condenser or Single Package): RA1642AJl
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, IN, KS, KY, LA, MA, MD, ME, Ml, MN, MO, MS)
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Ill, SC, SD, TN, TX, UT, VA, VT, VVA, WV, WI, VVY, 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 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.
Ratings that areaccoTPPXMWM�.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and snakes no representations, warranties or guarantees as to, and assumes no responsibflflty for,
the product(s) listed on this Certificate. AHRI expressly diWairns all liability for dannages of any kind arising out of the use or performance of the product(s), or the
unauthorized alteration of data listed on this Certificate. Cevtifled ratings are valid only for models and configurations listed in the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHMI, 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 reproduced; 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: r-6--rtific:Rtc- cyan �e verified at cUck on "Vorify Covtlflcaw Pink
0 - we make life betterT
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 bottorn. right.
@202OAir-CondKilon�ng,, Heating, and Refrigeration Institute CERTIFICATE NO.: 132:231615427335583
Michelle Franklin, CFASaintLuc�e County Property Appraoser--Afl roghts reserved.
Pro pe, LrT,,y7 He rM'dfirlc av-doWl
Site Address:
Parcel ID:
Account #:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Ann Ferguson
4.21 S Naranja AVE
Port Saint Lucie, FL 34983
dal
Description
RIVER PARK -UNIT 4 BLS. 35 LOT 17 (MAP 3 4/2 8N) (OR 7 5 8 -5 7 5,
576, 577, 578)
Current Values
Just/1\4 arket Value:
$176,000
Assessed Value:
$82,408
Exemptions:
$75,500
Taxable Value:
$6,908
.... . .... .... ... . . ..... ..... ..... ......
7 -7-11
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
421 S NARANJAA_\E
3419-530-0114-000-5
42514
34/28N
0100
RS-4 Count
Saint Lucie County
fflin VIA M-S --,
Finished/ Urider Air (SF):
1,876
Gross Sketched Area (SF):
3,100
Land Size (acres):
0.32
Land Size (SF):
1400
All information is believed to be correct at this time, but is subi ect to change and is provided without any warranty.
(0 Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.