HomeMy WebLinkAboutCHANGE OUT FORM - HUBBARD - TC HOMELESSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
CCUNT
o R c n A
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 349g2
Phone: (772) 462-1553 Fax: (772) 462-2578
Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: L(ky,4.G j;x)a 14A N—Vn j 1 ►� : t}-�iC,��7��-I- .t cinil e..13/1 aJ
LIP, 'S
Property Tax ID #: V 01 - 6I a` 01 0-3 --per] - S Lot Na.
Site Plan Name:
Project Name: kfl/ hh r]
Setbacks Front Back: Right Side; Left Side;
DETAILED DESCRIPTION OF WORK:
Block No.
ChA ncyc, kw' air Coo d� � tor%er � �. �, � 7Drj 1 � &2-e-rl
W i H 19-e 14t -; c hdat S 1, i PS
CONSTRUCTION INFORMATION:
7Mional war p e e orme under is perm -checka apply:
2tHVAC 11 Gas Tank ❑Gas Piping In _ Shutters Windows/Doors
11 Electric El Plumbing OSprinklers CGenerator Roof Roof pitch
Total Sq. Ft of construction:
Cost of Construction. $
OWNER/LESSEE:
Dame L00,'e.1 vw&(o -,TC k- I'e&S "S�'Jv,
5 Ft, of First Floor: _
Utilities:0Sewer Septic
Address: 53G Ato)&e.j. �?
City: '1 • t� i24-''•-g- State:-YL
Zip Code:Fax:
Phone No.-7'? :ZL--_` b-1�--77CID
=MMI;
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name; aV +d
Building Height:
Company: Cyj
Address; 5 32 lJtJ M g-r+?an+i le 11 I
City: Lick— State: P
Zip Code: _3qa_{G Fax:7?Q "q 3q -2511
Phone No. Z-- 8 i I -15W
E-Ma11, i4o S feet y Naer" like
State or County License: CAC I gl 1 (*13
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State
Zip: Phone:
BONDING COMPANY: Not Applicable
Narne:_
Address:
City:_
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 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 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 FAK-URE 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 O E JOB SITE BEFORE THE FIRST INSPECTION. IF INT D TO OBTAIN FINANCINC, CONSULT
WITH R LENbER OR AN ATTORNEY BEFORE RECORDING YOTIR NOTICE OF COMMENCEMENT. -
Sign a t u re of 00vner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA P
COUNTY OF i 6�
The forgoing instrument wa5 acknowledged before me
this 1�` day of t-I CL I- CIL 20^l7 by
Signature of Contractor/License Holder
STATE OF FLORIDA
J"� +C
COUNTY OF .
The forgoing instrument w s acknowledged before me
this L day of f76U"'Cl4\- r 20W by
t1)c-via
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
Notary
et $fe of Florida
gr I AguiarComm! i Jenn�i��c 339er
S�Epres32828
REVIEWS I FRONT I ZONING
COUNTER REVIEW
RECEIVED
DATE
COMPLETED
Personally Known X OR Produced Identification
Type of Identification
Produced
-!r .
Notary Public, State of Florida
IN N ennihr I xguiar iSeal)
Fxpiras 05/29I2023
S REVIEW PERVISOR I REVIEW PLANS I VREVI WDN I SEREVEWLE I MREV EWVE
Certificate of Product Ratinas
AHRI Certified Reference Number : 201298732 Date : 03-17-2020 Model Status: Active
Old AHRI Reference Number ' 7094193
AHRI Type RCU-A-CB
Series : GSX14
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX140301i *
Indoor Unit Model Number (Evaporator and/or Air Handler) : ARUF31 B14A'
Region : Southeast and North (AL, AR, DC, DE, FL, GA, H1, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL,
IA, IN, KS, MA, ME. MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 requ{rement.
The manufacturer of this GOO DMAN product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition o€ANSI/AHRI 2101240 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 : 28200
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.50
T"Active" Model Status are those that an AHRI Gertifi catio n 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."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing 6UT is still
selling or offering for sale.
Ratings that are.�eeomaanied by WAS indicate an involuntarre-rale. The new published ratino is shown along with the previous [i.9. WAS} ratino.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibilityfor,
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.ahridirectory.org.
TERMS AND CONDITIONSit Ulm.
This Certificate and itsscontents are proprietary products of AHRI. This Certificate shah only be used for individual, personal and
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copled; disseminated; .�
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, ILI
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. a h rid I rectory. org, click an -Verify Certificate" link v . make life better"
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.
020200-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1322893B5215383497
Michelle Franklin, CFA-- Saint Lucie CountyPropertyAppraiser—All rights reserved.
Property Identification
Site Address:
Parcel ID:
Account #:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Treasure Coast Horn cless Services Council Inc
2525 Saint Lucie AVE
Vero Beach, FL 32960
Legal Description
LAKEWOOD PARK -UNIT 12-A- BLK 172-ALOT 1 (MAP 13112S)
(OR 3644-1745)
Current Values
Just/Market Value: S202,700
Assessed Value: S 101,461
Exemptions: $101.461
Taxable Value: $o
Prope rty 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: ST.0 Tax Collector's Office
Download TRIM for this parcel: Download PDF
5300 SANIBEL AVE
1301-615-0107-000-5
3751
13 12S
0800
€ IM-5 - Cou
Saint Lucie County
Total Areas
FinishedlUnderAir (SF): 2,380
Gross Sketched Area (SF): 2,788
Land Size (acres): 0.3
Land Size (SF): 13,200
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
0- Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.