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HomeMy WebLinkAboutCHANGE OUT FORM - CORLEYALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: w Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34952 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION. ' Address:' �1 lti f�'-�• ` G Legal Description: \kd i 0 &F L40t a Q AtJ C•v't •a. q ftC)(dr- Property Tax lD #: 3q a3' a 5 —Oo6 ,;� `-CyU --19 . Lot No. Site Plan Name: Block No. Project Name: - Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: QJ)wn'2�c. O L+ A if- � i - -one +r } Ot- 3 - v iJ CONSTRUCTION INFORMATION; Adaitional work to e erformed under Efils perms - check a apply: �IHVAC []Gas Windows/Doors Gas Tank Piping _Shutters EJElectric 0 Plumbing []Sprinklers 11 Generator Roof Roof pitch Total Sq. Ft of Construction: SCI. Ft. of First Floor: 9v 02 D Cost of Construction: $ 5--? ,-Utilities: Sewer Septic 71 Building Height: OWNER/LESSEE: CONTRACTOR: ri Name -1 Address:g40 Mk1+0nr � --, -- City; + V � �� State L Zip Code,. Fax: Phone No. E-Mail: Fill in fee simple Title Molder on next page ( if different from the Owner listed above) Name: V�-%QAL -- Company: Set-VIC'e-. Lb Add ress.'5Qi) flVea.n+i [2 QL , # I I I City: „Qnll] Cif _ State: Zip Code: 3q t GG Fax: 7l -q 3q II I Phone No. `7iZ'- 1-71 - r-40 E-Mail: jf4o @, 5f eed_V Nelec y; c e . Ca m State or County License: CA %III (d if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION; DESIGNER/ENGINEER: — Not Applicable I MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER; Not Applicable Name: Address: City: Zip: Phone: Name:_ Address: City: Zip: State: Phone: BONDING COMPANY: Not Applicable Name: Address: 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 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 E JOB SITE BEFORE THE FIRST INSPECTION. IF TBU-1—NTI&D TO OBTAIN FINANCING, CONSULT 1 TFH YAKIR LENDER OR AN ATTORNEY BEFORE RECORDINIC YO R NOTICE OF COMMENCEMENT." — Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF I (fir+ ��• ,� ui-i-�_ Signature of Contractor/License Holder COUNTOYOFORiDA ;4- .%c.►C{� The forgoing instrurp�ent was acknowledged before me The forgoing instrument was acknowledged before me this 1 day of 0a-7V� , 20 0by this day ❑f J''1� ] 20 40by JbCjw i -e Name of person making statement. Name of person making statement. Personally Known X OR Produced Identification Type of Identification Produced N Notary Public Stake of Florida Jennifer I Aguiar ommi i�, �+o�c 33wj$ �Wires n�s►7axs REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVER] DATE COMPLETED Personally Known X OR Produced Identification Type of Identification Produced Nwery Public State or Florida Jennifer ar jsealj Iglu i •nmw.ie� nn c 3:71 Expires ff512W=3 SUPERVISOR PLANS REVIEW I REVIEW I VEGETATION REVIEW I SEA REVIEW I MREVIEW VE Certificate of Product Ratinas AHRI Certified Reference Number: 201461290 Date: 03-18-2020 Model Status : Production Stopped Old AHRI Reference Number : 9103491 AHRI Type : RCU-A-CB Series: GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX160371A* Indoor Unit Model Number (Evaporator andlor Air Handler) : AVPTC37C14A" Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL. GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, 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 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 regions) for which they meet the regionat efficiency requirement. 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 ANSIIAHRI 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 (Q) - Single or High Stage (95F), btuh : 35000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 fi"Active" Model Status are those that an AHRI CeniScation Program Participant is currently producing AND selling or offering for sale; OR new mode€s that are being marketed buI are not yet being produced. " Production Stopped" Modei Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinas that are accomoanied by WAS indicate an involuntary re -rate. The new published ratino is shown aIona with the previous 6,e. WAS] rating. DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes na 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.ahridIrecto ry,org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and andIts 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-CONDIrIONIN0, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The info rmati en far the modal cited on this certificate can ba verified at www. ah r€d€ ra eta ry. o rg, click an War lfy Cartiftente" IInk K.� make life better' and enter the AHRI Certified Reference Number and the date an which the certificate was Issued, which is listed above, and the Certificate No., which is listed at bottom right. ©202DAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: f32290309454o9&18U Michelle Franklin, CFA -- Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning City/County: Ownership Tina Corley 350 Melton DR Fort Pierce. FL 34982 Legal Description RUHLMAN SD BLK 3 W 1 2 OF LOT 22 AND LOT 23 (0?4 AQ (OR 3681-137) Current Values .IustlM arket Value: $151,30U Assessed Value: $74,341 Exemptions: $49,341 Taxable Value: $25,000 Property taxes are subject to change upon change of ownership. • Past taxes are aot 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'lax ['Vector's Office Download TRIM for this parcel: Download PDF 350 MELTON DR 3403-805-0062-000-9 39559 34:'03 S 0100 RS-4 Count Saint Lucie County Total Areas FinishedlUnderAir (SF)- 1,232 Gross Sketched Area (SF): 1.800 Land Size (acres): 0.24 Land Size (SF): 10,454 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. FC5