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Home My WebLink AboutCHANGE OUT FORM - ARCENTALESALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0 Date. Permit Number, Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue., Fort Pierce FL 34982 - Phone: Commerc*al Residential (772), 4621553 Fax: (772) - 4621578 1 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line O,N 'E`L0 _ E`M N T C,,o cvk Address3 qq y, -, b Legal Descriptlor�p Property TTax ID #: :21-1 to 0 Is C11 0"I -J. Lo' Nno� Site Plan Name: B14ock No,, Project Name; ,, Setbacks Front B a c k,,,, R i g h t S i 6,an Left ISflde, .--�-.�_,__m.��-->.�,av-. wtlk A, TP, -,1W1 INA Ift L) n -c, I c- kLo t ct d_ m s, 9q Additional-Wo-r Ao le ertormed and Cr _thl �is�p 6 _rm1 t — c h e-C k zil I ly. app V a InvllVAC Gas Tank 1JGas Pip"g Shutters in if Roof pitch Electric Plumbing L �ISPNinklers Generator "Roof Total Sq. Ft of Construction.- S Ft. of First Floor: Cost of Construction.- $ Utilities: Sewer Septic Building Height-, E 4 Address: Citys Stateo. Zip Code: Fax: Phone No.— .,`a U�� 1 "I E-Mail: Fill in fee simple Title Holder on next page i if different from the Owner listed above) JA 0 FN CL Name,, k n4 cr C o m p an y: Ac, sery i. c LL C - Address: 5 Qom) no.,reo-n+1* te,L, # 111 City: State.. Zip Code: 3_ � Fax.7'?Q __q 3q_ 1.1 Phone No. ..12z V11 -11115W E-Mal 1: 4q-E4 0kXSCCVJCC,, & COL,12_ State or County License: C4C 1 % 1. 1 (6 0113 If value of construction is $2500 or more,, a RECORDED Notice of Commencement is required, JOB DESIGNER ENGINEER. Not Applicable MORTGAGE COMPANY: Noct Appk&e Name: Name. Address" Address: _. City` . zip: Phone City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Not Applicabie BONDING COMPANY: ,—.-Not Applicabie 4 Name., Name: Address: Address: City: City: zip: Phone,., — Zip: Phone: OWNER/ CONTRACTORAFFIDVIT-0 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 Assoclat ion 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 IMPROYEMENTS TO YOUR PROPERTYs A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED 0 E JOB SITE BEFORE THE FIRST INSPECTIONa IF 0" INTE]�D TO OBTAIN FINANCING, CONSULT N � ft T% C WITH %?R LE 11 N, --� R OR AN ATTORNEY BEFORE RECORDING YOJR NOTICE OF COMMENCEMENT." Signature of Otvner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder STATE OF FLORIDA COUNTYOF t o c 4, J_UC-, The forgoing instrument was acknowledged before me this 15 day cif 3Q_0UCtL—q202,0by STATE OF FLORIDA r) COUNTY OF The forgoing instrument was acknowledged before me this day of 20Z0 by 3_3 i n Ckv Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced Aft.0L."L A&L AOL (Signa (717 .40 Notary Public State of Florida 49 :1� Jennifer I Aquiar C o m m Iiii (0• eon WA91" ii, .G 33,1174-Sea of Expires 05/2912023 REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED ev. 27,1119 Personally Known OR Produced Identification Type of Identification Produced ,.,,er., wrns a '� a AN Notary Public State of Florida Jennifer I Aquiar *N . &# 1%0k'ft%&W W2100 OQ:2:10 71 (Seal) B-71 Expires 05/2912023 SUPERVISOR I PLANS I VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW AHRI Certified Reference Number: 201667396 Date: 01-15-2020 Model Status: Active Old AHRI Reference Number: 8331277 AHRI Type: HRCU-A-CS Series: GSZ16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Modell Number (Condenser or Single Package) : GSZ1 60301 B* indoor Unit Model Number (Evaporator and/or Air Handier): AS PT 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 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 : 280800 SEER, 16.00 EER (A2) - Single or High Stage (95F): 13.00 Heating Capacity (H12) - Single or High Stage (47F): 29400 HSPF (Region IV): 9.50 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 prod uced."P rod uction 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 accomi)anied by WAS indicate an involuntaU re -rate. The new ublished r tin is shown alon with the i)revious i.e. WAS) ratina. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assurnes no respensUflty 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 ratfts are valid only for models and configurations listed in th�e directory at �.,v%Prkvv.m 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 reproduced; copied; disseminated; entered into a computer database, or other lise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONMG, HEA11NG, CERTIFICATE VERIFICATION REFRIGERATION INSUTUTE The information for the model cKed on UM!g caMficate can be verified at click on 'Verify Cortmootell Hink we m;nike life bc-ttc-Om and enter the AHRI Certified Reference Number and the date on which the certificate was issue-, which is listed above, and the Certificate No., which is Listed at bottom right. @2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132235881358753468 Michelle Franklin, CFA -- Saint Lucie County Property Appra'mer --AH rko-,ihts reserved. Property Identification Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning. City/County: Ownership Fausto Arcentales M aric ela Arc ent ale s 658 Senegal Ct Fort Pierce, FL 34982 Legal Description PALM GROVE S/D BLS. C LOT 19 (0.11 AC) (OR 2 812 -13 4 1) Current V--Mr Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Down load PDF 0 658 SENEGAL CT 3410-503-0087-000-5 133206 34/1 OA 0100 Planned Un Saint Lucie County T , 0"-) T a � A [ r 0,,-) a � r) Finished/Under Air (SF): 1,450 Gross Sketched Area (SF): 2,290 Land Size (acres): 0.11 Land Size (SF): 4,791.6 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. C Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.