HomeMy WebLinkAboutCHANGE OUT FORM - CABRERAALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Fate:
Permit Number:
� e
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34.982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial — Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: I CAC);j O C LIUL.0 _04-- . V�0 4� . -1e.inSen 0J),
Legal Description: AT LA "4715 CrVjrJ0 n i NIV(1 ON 17 ?,V A Ali
MO - e, k jig} C ±8nQt,j YID f• j`S
Property Tax ID #: so `!: ` OUc) Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back. Right Side: Left Side:
I DETAILED DESCRIPTION OF WORD: I
OnCL r,C; .z Vu -f U ►c �c]�1 � �t7 1 +i1c t". 'a toij I q
iCk) 2kit CA( 1'(' J-vea4 ��'r " PS
CONSTRUCTION INFORMATION:
Aaamonai worK to oe errormeta unser rnis permit - cnecic aiiappry:
4JHVAC _ Gas Tank E]Gas Piping Shutters Windows/Doors
DElectric 0 Plumbing ❑Sprinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor'.
Cost of Construction: $ �C! Q, C;r? Utilities:Sewer 1_I Septic Building Height:
OWN8R/LESSEE:
CONTRACTOR:
Name �ti s t �+7 �t E+!` �CLi3(-e I-0 ,
Narne: Ali i �. 9 � Q -i.
Address. I `1 WS U-) 1(04�,, 1
Company: � c sec! ylel LLC
�
Address: 53Z I 1{: Q%, l! I
- - T
City: 14 i Cit i State:
- -^
Zip Code: T'SO 12 Fax:
City: o(4 IU C. ' State: L`
Phone No. li�tC ` C 3�`�
Zip Code: _� C} Fax:' 1 � 3"4 -35 # I
E -Mail:
Phone No. —l5(10
Fill in fee simple Title Halder on next page I if different
E -Mail: ioi o Seed t>w.C. Cf i+`rC C
from the Owner listed above)
State or County License: C -AC 1111- Ga -3
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN 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 theermit holder to build the subject structure
which is in conflict with any applicable Nome Owners Association rules, bylaws or andcovenantsthat 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 9N -TBE JOB SITE BEFORE THE FIRST INSPECTION. IF INT D TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO R NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for owner
STATE OF FLORIDA
COUNTY CIF 3� I_U(.;x-12 -
Signature of Contractor/License Holder
COUNTY OF FLORIDA
The fo�going instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 15 day of 24`x•' by this is day cif�1 V La �� t- by
)0_V
i ,�
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
Personally Known X OR Produced Identification
Type of Identification
Produced
06- sVotsry PutNie State of Flonda Notary'Nbiic State of Florida
Jennifer I A uiar nnifir 1 alar
4 G 33937�Seal C'rPJ°"Qmft71 (Seal)
Expires OUM2023 Exp`ves 05129/2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED S I
Certificate of Product Ratinas
AHRI Certified Reference Number, 201417943 Date: 07-15-2020 Model Status : Active
Old AHRI Reference Number: 8666632
AHRI Type: RCU-A-C13
Series GSX14
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX140241 L'
Indoor Unit Model Number (Evaporator andfor Air Handier) . ARUF29B14A"
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, 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, VVV, WI, WY, U.S.
Territories)
Region Note : Central air conditioners manufactured prior to January 1, 2615 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 effidency 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 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:
Ccoiing Capacity (A2) - Single or High Stage (95F), btuh : 23606
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.50
f"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND seising or offering for sale; OR new models that are being
marketed but are not yet being produced'Produetion 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 Involuntary re -rate. The new oublished rating is shown alono with the orevious (i.e. WAS) ratino.
DISCLAIMER
AHRI does not endorse the product(s) listed an 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 conflourations listed in the
directory at www.ahridlrectory.oM
TERMS AND CONDITIONS
��
This Certificate and Its contents are proprietary products of AHRI. This Certificate shalt 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; dlssemtnated;
�.
entered into a computer database, or otherwise utilized, in any farm or manner or by any means, except far the user's individual.
personal and confidential reference.
AIR-CONDITIONING. HEATING,
CERTIFICATE VERIFICATION
& REFRIGERATION INSTITUTE
The information forthe model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link
%v make Tile lvtlrm—
and enterthe 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 light.
02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO,,
132392980857261629
Michelle Franklin, CFA— Saint Lucie County PropertyAppraiser --All rights reserved.
Property Identification
Site Address:
Parcel ID:
Account 4-.
Map ID:
Use Type:
Zoning
City/County:
Ownership
Christopher A Cabrera
1745 W 76th ST
Hialeah. FL 33014
Legal Description
ATLANTIS CONDOMINIUM 131: DGA 1JN1T202AAND PRO -RATA SHARE
IN COMMON ELEMENTS
Current Values
Just/Market Value:
$162,700
Assessed Value:
$100,667
Exemptions:
550.500
Taxable Value:
$50,167
Property taxes are subject to change upon
change of ownership.
Past taxes are nut a reliable projection of future taxes.
• The sale of a property will prompt the removal of all
exemtions, assessment caps, and special
classSirations.
Taxes for this parcel: SLC Tax Collector's Office
Download TRIM for this parcel: Dowiload ?DF
10102 S OCEAN DR 202A
4502-802-0009-000-8
122278
45/025
0400
Saint Lucie County
Total Areas
Finished/Under Air (SF):
Gross Sketched Area (SF):
Land Size (acres):
Land Sire (SF):
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
s Copyright 2020 Saint Lucie County Pmpeny Appraiser. All rights reserved.