HomeMy WebLinkAboutCHANGE OUT FORM - SMITH-WAYNEALL APPLICABLE INFO MIDST 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 34.982
Prone: {772] 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of Cine
PROPOSED IMPROVEMENT LOCATION: y r
Address:`.�r
Legai Description- +C _ i�-
f 11 fl x c 7 f �R.SE f� (D 300(-�
Ido l - zc'Io
Property Tax !Q #; _T1 [ " CaC3� r: 0Lot No.
0 — �
Site Pian Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Me narmr � r s't a t a ann V:
Block No.
30morldI WUIR IV Uc I IV[ Irt—""' _..__..
allVAC -� Gas Tank E]Gas Piping Shutters j� Windows/Doors
11 Electric LJ Plumbing oSprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $
OWNER/LESSEE:
Name U" -' LL
S. of First Floor,
ut'slities:nSewer E] Septic
Address: ' fiu ir1 �5 s � t' IL F4 -f--
City: i�lC (:' State: fit..
Zip Code: � � Fax:
Phone No.� �� -qo 2
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
CONTRACTOR:
Name: D aim kd.
Building Height:
Roof pitch
Company:
C Ser v c LLQ
Address: 53 �l W eanf, I2. LIV
i I I
City: Lc P State:
Zip Code: 3LI$ Fax:_77a`'93'4 -3511
Phone No. `7'�' -- �_l I
E -Mail: ill{U SQA d v.C'. ifrV�C. .CCU_
State or County License:
If value of construction is $2500 or more, a RECORDED Notice vi' Commencement is required.
ENTAL CRUCTION LIEN LAW INFORMATION:
FDESIGNER�/ENGINEER�:
_ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
r
City:
State:
Address:
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 olaiain a permit to du tine VWui K ailu II17Jw aL10" @a Iflu1.. r..•
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 Horne 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 1 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 fuli 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
POSTE[I�TBE JOB SITE BEFORE THE FIRST INSPECTION. IF INT o TO OBTAIN FINANCING, CONSULT
WITH R LENDER OR AN ATTORNEY BEFORE RECOROINC YO R NOTICE OF COMMENCEMENT."
Signature of O3 fner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF___.
The forgoing instrument was acknowledged before me
this day of - � i i 2Q Say
�'�,
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
Signature of Contractor/License Holder
STATE OF FLORIDA r)
COUNTY OF X04
The forgoing instrument was acknowledged before me
this -3L day of 2CLC by
av
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
a)
(Signa Notery Public State of Florida # Notary Public State of Florida
Commi i Jennifer I Aguiar ,Seal C .NnniFf361 P1gul�ir �t (Seal)
r 05129f2t323 a38R7 a Expires 05l29f20 !
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETER
Certificate
of
Product
Ratings
AHRI Certified Reference Number: 201294088
Date : 04-03-2020
Model Status : Active
Old AHRI Reference Number: 7943535
AHRI Type: PCU -A -CR
Outdoor Unit Brand Name: RUUD
Outdoor Unit Model Number (Condenser or Single Package) : RA1648AJ1
Indoor Unit Model Number (Evaporator anftr Air Handler) : RH1T4821STAN
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, 1D, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
MT, NC, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Rl, 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 RUUD product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source Hest Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Coating Capacity (A2) - Single or High Stage (95F), btuh :45000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
7"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 far sale,
RatinaS that are accompanied by WA indicate ori involuntary re rate The new published rating is sh wn a14riR with the Dreyious fi.e. N1ASl retina.
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 afteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www.abrfdlrectary.ort;.
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 otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING,
personal and confidential reference.. & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information forthe model cited on this certificate can be verified at www.ahridleeattory.org, click on Verify Certificate" link wa 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. 13230416011MM3M
02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE N�.:
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
Wayne 1-i Smith (TR)
Joyce D 'knit h(T]Rt)
3300 Twin Lakes Ter #205
Fort Pierce. FL 34951
Legal Description
LAKESHORE VILLAGE OF MEADOW OOD PHASE I BLDG 3006
UNIT 205 (OR 739-1628: 1501-2903)
Current Values
Just/Market Value:
$97,700
Assessed Value:
$55.622
Exemptions:
$30,622
Taxable Value:
525.000
Property taxes are subject to change upon
change of ownership.
• Past taxes are not a reliable projection of future
tales.
• 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
3300 TWIN LAKES TER 205
1327-704-0071-000-6
130246
13:275
0400
Saint Lucie County
Total Areas
Finished/Under Air (SF): 1.417
Gross Sketched Area (SF): 1.680
Land Size (acres): 0,02
Land Size (SF): 1,000
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
V, Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.