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Home My WebLink AboutCHANGE OUT FORM - DESJARDINSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Numise C0U NTY F E. 0 !i f Building Permit Application r. Plonning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Port Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: W aIl► n� �ir r , y ' rC a I Legal Description: Vo r �o�h czS ` phct' L�Jl- 34 � Property Tax ID #: Z `,D0 3 wo - - Lot No. Site Plan Name: Block No. Project dame: �'25-� ck i Ati rl S Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: Ck_i. uofn4 '4 - Lv* n c'(- -+-o ok 3 . "D Too 1( ` ree �' ^J( j5 CONSTRUCTION INFORMATION: Aaditional-worktoben0formedun 41HVAC er is perms - c ec Gas Tank Gas Piping a apply: Shutters ❑ Windows/Doors _ 13 Electric 0 Plumbing E]Sprinklers Generator 0 Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ (63 6 5 •00 S1]Ft of First Floor: _ Utilities Sewer Septic Building freight: OWNER/LESSEE: CONTRACTOR: Name Name; 0.VicL 9IO2I r Address: iz -'sS'c t O1 i -e r Company: Siff" A 5e�y jC LLC CitLI_e'fC-e- State: h J, Address: 532. UiD MV-Cob If, QZ,# i I I zip Code: Fax: city: Q( 5�1 -- - �-.iiC•d•2 State: Phone No,' �. - l 1 :� �" K_� i�_��_ _ — zip Coder $ Fax: -q 3q � 3Si i E-Mail: Phone No. `T"] V7I --15W Pill in fee simple Title Holder on next page (if different E-Mail: If o E %eek4j 0.CSC' ( Uj. G{e . Cis Sri from the Owner listed above) State or County License: C.i4C I I116'-�3 If value of construction is $z500 or more, a REcoRvkv Notice or commencemem is requires. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: ,Not Applicable 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 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 Q E JOB SITE BEFORE THE FIRST INSPECTION. IF PM11INTEND TO OBTAIN FINANCING, CONSULT WITH R LENDER OR AN &TTORNEY BEFORE RECORDING YO R NOTICE OF COMMENCEMENT." Signature of D ner/ Lessee/contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA r) ' _ COUNTY OF ()�-+< }�- • �51� ' � STATE OF FLORIDA C''' COUNTY OF �� J�• °� t'C &q The forgoing instrument was acknowledged before me 'tkCt.(' The forgoing Instrurpent wad acknowledged before me this day of . L t,_ , 20 5C by this u day of _ - 416L� l - 20 -XI by �W i � �� f 1�'1 c��.'1� �!J � } C7. � •1 i i � �'� Name of person making statement. Name of person making statement. Personally Known _K OR Produced Identification Personally Known X ❑R Produced Identification Type of identification Type of Identification Produced Produced �5igna I a } WNotary Public State of Florida Jennifer i Aguiar Commi i >;gd��5ea1 !Votary public State C' Florida Jennifer i Aguiar C � 71 (Seal) F-xPirea O5I28121723 Expkres Q5129120 of R REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED I DATE COMPLETED Rev. Z/ //19 This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. rounwal CERTIFIED"' Certificate of Product Ratings AHRI Certified Reference Number . 8627888 Date: 03-20-2020 Model Status : Active AHRI Type: RCU-A-CB Series : SILVER 16 Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4A7A6042J1 Indoor Unit Model Number (Evaporator and/or At Handler) : TEM6AOC42H41tTDR 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, INC, 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 region(s) for which they meet the regional efficiency requirement. The manufacturer of this AMERICAN STANDARD product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSIlAHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air-Condlt€oning & Air -Source Heat Pump Equlpment and subject to rating accuracy by AH RI -span sored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage {951F), btuh : 40000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.50 T'Active° Model Status are those that an AHRI Certification Program Participant is currently producing AND selling cr 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 CertificatEan Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new ou bI is hed rating is shown along with the previous 0.e. WAS I ratina. DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties orguarantees as to, and assumes no responsibilfty for, the products) listed an this Certificate. AHRI expressly disclaims all Ilabiity for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data Ilsted on this Certiflcate. Certified ratings are valid only for models and configurations Ilsted in the directory at www.ahrldImMory.arg. TERMS AND CONDITIONS A RAni This Certiflcate and its contents are proprietary products of AHRI. This Certiflcate shall Only be used for individual, personal antl confidential reference purposes. The contents of this CertlfIcate may not, in whole or in part, be reproduced; co pled; disseminated; A fts 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-OONDITIONINO, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information foytha model Cited on this certificate can be verified at www.ahrid Irectary.erg, click on "Verify Certiflcate° link vHe make life better' and enter the AHRI Certified Reference Number and the date oa which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. �- ®202OAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13229it3 ii17448B7 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 Bernard Dcsjardins Lise Desjardins 223 Rue Pascal Brigham, QC J2K 41.9 CANADA Legal Description PORTOFINO SHORES -PHASE THREE- (PB 43-40) LOT 341 (OR 3551-2220) Current Values Just/Market Value: $151,900 Assessed Value: $137,583 Exemptions: $0 Taxable Value: $137.583 Propertytaxes are subject to change upon change of ownership. o 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 Download TRIM for this parcel: Download PDF . . 6129 Spring Lake TER 1312-503-0114-000-7 155173 13/12N 0100 Planned Un Saint Lucie County ►1 Total Areas F inishe(W nder Air (SF): 1 A 16 Gross Sketched Area (SF): 2,244 Land Size (acres): U 4 Land Size (SF): 6,098 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. Ali rights reserved.