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HomeMy WebLinkAboutCHANGE OUT FORM - EDGARALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ■ Building Permit Application Planning and Development Services Ouilding and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of fine I I PROPOSED IMPROVEMENT LOCATION: Address: 55 I a in�.�t - �- at. i'tr f �L 3`i r Legal Description: 'Tr"i• +ekr) ---UL) I BLY. i C.P'}- cnc� P Property Tax ID #: .3qc _�cJ — �� �;� C '" - Lot No. Site Plan Name: Block No. Project Name: r — Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: I u + 5e + rn 3 7o wr Co) de/n ,%i n� r1- �'1e-� - v U CONSTRUCTION INFORMATION: Hoarcionat worK to De perTarmea uriaer tHlb Pet FRU — L.FIt2MA Cm Mripply. ZHVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors 0 Eiectric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof Roof pitch Total Sol. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ �mq o 6 00_._.. _ Utilities: L Sewer OSeptic Building Height: OWNWLESSEE: CONTRACTOR: - Name :]ohn Address: 5'5 1 a P i City: T+ 4, Wro-e State: L zip Code: 3qC)Fax: Phone No. E-Mail; Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: company: Pied [ C- LEI V c �-1 Address: 53Z �JLD ' o-re&n+i I,e, i?L,# City: P64 S�. C. State: 4 U zip code: �3q q Y to -_ Fax:_7?a -q 3'4 -3511 Phone No. MZ-` 1-7I -bW E-Mail: (40 Speed 0.C.5c.- V;C . Q7 01- State or County License: Ci4C I ` I '"i (aa3 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Add ress: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Adcl res5: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, In all respects, perform the work in accordance with the approved plans, the Florida Building Codes and 5t. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ONLTdQE JOB SITE BEFORE THE FIRST INSPECTION. OF TOUIRY—TENID TO OBTAIN FINANCING, CONSULT WITH TZUR LENRER OR AN ATTORNEY BEFORE RECORDING YOJfR NOTICE OF COMMENCEMENT." Signature of OWnerl Lessee/Contractor as Agent for Owner STATE OF FLORIDA r> COUNTY O,F I b4-y$, LuC Signature of Contractor/License Holder STATE OF FLORIDA COUNTY CIF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 15day of z0`� by this a' day of �3V" A:t Zor�d? by CL Name of person making statement. Name of person making statement. Personally Known � OR Produced identification Type of Identification Produced NNotary Pub0c state of F:loada Jennifer I Aguiar Comm i I riii9r+iaG 3398715 Expires 05129/2023 REVIEWS FRONT ZONING COUNTER REVIEW [SATE RECEIVED DATE COMPLETED : Personally Known X OR Produced Identification Type of Identification Produced Notary Publfc St" of Florida Jennifer iAguiar ssmoi;71 {Seal} Comr4dx� Expires OW912023 SUPERVISOR REVIEW I VEGETATION REVIEW S REVIEW LE MREVIEW VE Certificate of Product Ratings AHRI CertVied Reference Number: 201851579 Date: 07-20-2020 Model Status : Production Stopped AHRI Type : HMSV-A-CB {Multi -Split Neat Ptimpy Outdoor Unit Brand Name: DAIKIN Outdoor Unit Model Number: 4MX836RMVJU Indoor Type : Non -Ducted Indoor Units Rated as follows in accordance with the latest edition of AHRI 2101240 with Addendum 1, 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 (95F) : 36000 EER (95F) : 9.20 SEER: 17.70 High Heat (47F): 36000 Low Heat (17F):22000 HSPF : 12.20 Sold in?: USA, Canada t"Active" Model Status are those that an AHRI Cartification 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 na longer producing BUT is still selling a offering for sale. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new vublishe.d ratim.ls3b-qwrLal4aaWith the revious (i.e. WAS} rating. DISCLAIMER AHRI does not endorse the pmduct(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibilltyfor, the products) listed on this CefftlAflcate. 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 fisted on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahrldIrectary.erg. TERMS AND CONDITIONS &Ilnm This Certificate and tts contents are propHetary products of AHRI. This Certificate shall only be used for individual. personal andconfidential reference purposes, The contents of this Certificate may not, In whole or in part, be reproduced; copied; disseminated:n r' 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. AfR-CONDITIONING- HEATING. CERTIFICATE VERIFICATION & REFRIGERATION INSTm.JTE The information for the model cited on this certificate can be verified at www.ahrid iractory.org, ellek on °verify Certificate" fink AT make life Ixlter" 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 fight. ©2020Air-Conditioning. Heating, and Refrigeration Institute CERTIFICATE NO.: f323f173144t31ot379B5 Michelle Franklin, CFA — Saint Lucie County PropertyAppraiser--Alf rights reserved. Property Identification Site Address: 5512 PINETREE DR Parcel ID: 3402-602-0283-000-8 Account #: 36605 Map Ili: 34111N Use Type: 0100 Zoning: RS-3 - Cou City1county: Saint Lucie County Ownership John Paul Edgar 5512 Pinctree DR Fort Pierce. FL 34982 Legal Description INDIAN RIVER ESTATES -UNIT 1- BLK8 LOTS 16 AND 17 (MAP 34/1 IN) Current Values Just/Market Value: $278.400 Assessed Value: $116,554 Exemptions: $50,000 Taxable Value: $66,554 Property 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 remo►�al of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF . ANSI AL, _ Total Areas F inished/Under Air (SF): 3,636 Gross Sketched Area (SF): 7,677 Land Size (acres); 0,91 Land Size (SF); 39.600 All information is believed to be correct at this tithe, but is subject to change and is provided without any warranty, ,D Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved. ti