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HomeMy WebLinkAboutBuiliding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 ISO Phone: (772) 462-1553 Fax {77 } 462-1578 Commercial Resident'alW. �`� I PERMIT APPLICATION FOR: To Select from drop box, click arrow at the end of line I W., Address: 12a��6 k aw 0., �,k r oL c. IL Legal Description: _ fob � .��Xic LO -r e� '50 SS DD 5 ­ 00 Do 0 — Y Property Tax ,W- I D #��Z-6'9 — --- _­11-1-1 L of N 6n, Site Plan Name: Project Name- - "i 010 1 S Setbacks Front - Back: Right Side-, Left Side: N _T L (:)o IF Total Sq. Ft of Construction: L Cost of Construction 0 $ om � I o c k N c,,�. Sc,. Ft. of First Floor: Utilities: Sewer Septic 8w,111ding Height-, Dame I") � 1 1_3 )\� i c4qo I _'S Address 0 f)X_( city State: y: `L)o Zip Code: 7Y31 Fax: P h o n e N o. T E-Mail: Fill in fee simple Title Holder on next page if different from the Owner listed above) � vw� Company: ell Address: C i t Y: &r.4 - u C. , Le, —State* Zip Code: Fax 77Q --q 3q -3'5 11 Phone No. V7 1 E-Mail-, i(4 okx:x os � I �,Lm.�_cvjc-_-e currl' State or Count License '11 3 If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. ----------- 0 IF ;�CORI N,LIEN-LN AW _ablT__T DESIGNER/ENGWEER. Not Adopfluc-e Name: Address: Citv: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Z*1p, Phone: BONDING COMPANY: Not Applicable Name: Address, City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as'Mdlcated. 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 sermit holder to build the subject structure which is in conflict with any, applicable Home Owners Association rules, bylaws or an 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. Lucile County Amendments. The following building permit appiications 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 PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND _I� POSTED%0 E JOB SITE BEFORE THE FIRST INSPECTION. IF 0"FINTE D TO OBTAIN FINANCING; CONSULT WITH ?R ALE%N,, R OR AN ATTORNEY BEFORE RECORDING YO.VR NOTICE OF COMMENCEMENT," Signature of Otvner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA -) COUNTY OF 0 c, V" e_ The for_Roing instrument was acknowledged before me this 6y of 20� by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced Cigna OW N Notary Public State of Florida IP Jennifer I Aguiar Commi I "G 339871Sea Ex Tres 06/2912023 REVIEWS I FRONT I ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Signature of Contractor/License Holder STATE OF FLORIDA C, COUNTY OF The forgoing instrument was acknowledged before me this day of Halr2l`-k 20c�0 by 031 Name of person making statement. Personally Known OR Produced �dentdlilicaltion Type of Identification Produced L,� IMML.Milqtli 11111111111f g1l TIMM I"Florida a J Notary Public State of Florida nnifer I Aguier :71 ro_*& QQ!, 7F1 (Seal) Expires 05/29/2023 SUPERVISOR I PLANS I VEGETATION SEATURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW t AHRI Certified Reference Number: 201299487 Date : 03-09-2020 Model Status: Active Old AHRI Reference Number: 7984223 AHRI Type: RCU-A-CB Series: GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package): GSX1 60601 F* Indoor Unit Model Number (Evaporator and/or Air Handier): ASPT61D14A* Region All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, L, lA, lN, KS, KY, LA, MA, MD, ME, W, MN, MO, mS, MT, NC, KID, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. 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'Ehe rating of this system combination. Rated as follows in accordance with the latest edition ofAffil 210/240 with Addendum 'i , 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 : 54000 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. Ratinas that are accompanied by WAS indicate an involuntaU re -rate. The new Uublished ratio o is shown along„tlMth the previous (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties 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 www.ah rid TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for indlvidual, 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 Qn thir, certificate can be verified at click on "Vorify Certificate" Mk we make fiIfe betters" and enter the AHRI Certified Reference Number and the date on which the certificate vkfas issued, which is listed above, and the Certificate No., which is listed at bottom right. 02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132282439202784492 Michelle FrankHn, CFA-- Saint Lucie County Property Appraiser --Ail rights reserved. Property Identification Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning.- City/County: Emz=& David W Nichols Sandra I Nichols PO Box 880091 Boca Raton, FL 33488 Le-gp-d [DescrRoptolorl] POD 25 AT THE RESERVE LOT 24 (OR 2055-432) Current Values Just[1\4 arket Value: $45 1 ,200 Assessed Value: $45 1 ,200 Exemptions: $0 Taxable Value: $451,200 Property taxes are subject to change upon change of ownership. * Past taxes are not a EreJU2ble projeeflon of future t a g" e 5. * The sage of a property will prompt the iremoval of ,%lR exemptions, assessment caps, and speOal classifications. Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 12 8 0 5 6 KIAWAH T RCE 3327-705-0025-000-8 138296 33/33N 0100 Planned Un Saint Lucie County Total Areas Finished/Under Air (SF): 3,671 Gross Sketched Area (SF): 4,786 Land Size (acres): 0.38 Land Size (SF): 16,681 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.