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HomeMy WebLinkAboutCHANGE OUT FORM - EDGAR - specificationsALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED P -t N b ermurn er. Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 3498,E 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: Arlrlracc- SS I -) ink 4C fc+L.. i�( . T -r-. ��' f J 3`t' 1 fl Description: �d- ti(A_.r) ►e r �S' -` 5 -U6CRL4'. S I l Property Tax Ila #: ,3qo _ tJ j C �b Lot Na. Site Plan Name: Block No. Project Name: L&2L r Setbacks Front Back: Right Side: Left Side: pct �W C} u -t- `#' k.u-i eom 3 -To 0 w,ir` Stir' ,'P -S .. .CONSTRUCTION INFORMATION: AOclmonal work to be nPrtormed under tispermi - check all that appy: HVAC 13 Gas Tank Gas Piping Shutters E]Windows/Doors Electric L_1 Plumbing Sprinklers ElGenerator 0 Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: S. of First Floor: []Sep— Utiiities:]Sewer []Septic Building Height: OWNERAESSEE: CONTRACTOR: Name_ .ivi� n t$.� Name: aV wd. 4 d o r" Address: t� [t t. b s'Company: �)_ E'A1C Sef V tee�.�-_ Co+u Address: 532- Ql) i' Q f i7M+i 16 TLI NTv ermurn er. Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 3498,E Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Arlrlracc- SS I -) ink 4C fc+L.. i�( . T -r-. ��' f J 3`t' 1 fl Description: �d- ti(A_.r) ►e r �S' -` 5 -U6CRL4'. S I l Property Tax Ila #: ,3qo _ tJ j C �b Lot Na. Site Plan Name: Block No. Project Name: L&2L r Setbacks Front Back: Right Side: Left Side: pct �W C} u -t- `#' k.u-i eom 3 -To 0 w,ir` Stir' ,'P -S .. .CONSTRUCTION INFORMATION: AOclmonal work to be nPrtormed under tispermi - check all that appy: HVAC 13 Gas Tank Gas Piping Shutters E]Windows/Doors Electric L_1 Plumbing Sprinklers ElGenerator 0 Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: S. of First Floor: []Sep— Utiiities:]Sewer []Septic Building Height: OWNERAESSEE: CONTRACTOR: Name_ .ivi� n t$.� Name: aV wd. 4 d o r" Address: t� [t t. b s'Company: �)_ E'A1C Sef V tee�.�-_ City; State: _L Address: 532- Ql) i' Q f i7M+i 16 TLI Zip Code: `��� Fax: city: AC4 51, luC.k- State: L� Phone No. " {� J c{ Zip Code: 3q9$_G Fax: 77-1 `q 3q ^ I I E -Mail: Phone No. 2-11171 _6W ^ Fill in fee simple Title Holder on next page if different E -Mail: i(l(u Sgeed vtic.SC� G Ca State or County License: Urc I V1 4 a3 frau} the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable 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. 5t. Lucie County makes no representation that is granting a permit will authorize thepermit 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 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 full concurrency review: room additions, accessory structures, swimming pools, fences, walks, 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 00-0E JOB SITE BEFORE THE FIRST INSPECTION, IF YALT_1NT&dD To OBTAIN FINANCING, CONSULT -WITH T06k LENQER OR AN ATTORNEY BEFORE RECORDING YORJR NOTICE OF COMMENCEMENT," Signature of CWner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA n COUNTY OF 16c -� I_u Signature of Contractor/License Holder STATE OF COUNTY OF FLORIDA rb -� J''. ° �'C-1-1e: The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this ~' dayof J�-'4�i 202c by this 24. day of 1i 2Qr,� by JJGL2 ��r1i1Y. �i�jC1c�t� Name of person snaking statement. Name of person making statement. Personally Known /X OR Produced Identification Type of Identification Produced (Signa rI* Notary Pu6ifc State of Flows `F Jennifer 1 Aguier � Commi i G 3393AS �, POes Q5/2WO23 oftoewe~ REVIEWS FRONT ZONING COUNTER REVIEW BATE RECEIVED DATE COMPLETED Personally Known X OR Produced Identification Type of Identification Produced 'I. 40 P, Natary'Pubiic State of Florida �_U._..,Jennifer i AStuiar Expires 05!24!2023 PLANS $ REVIEW I REVIEW I VEGETATION s REVIEW MANGROVE REVIEW Certificate of Product Ratinas AHRI Certified Reference Number: 201851579 Date: 07-20-2020 Model Status : Production Stopped AHRI Type : HMSV-A-CB (Multi -Split Heat pump) Outdoor Unit Brand Name : DAIKIN Outdoor Unit Model Number 4MXS36RMVJU 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 Law Heat (1 7F) : 22000 HSPF : 12.20 Sold in?: USA, Canada t"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 ar offering far sale. Ratings that are accompanied by'WAS indicate an involuntary r�r�� Tl��o¢.�aubliAhBd rating Is shown alone with the orevlous (Le, WAS) ratino. 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 Certtflcate. 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,ahrldlrectory.org. TERMS AND CONDITIONSconte This Certificate and Itsscontents 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; On r' entered Into a computer database; or otherwise utilized, in arty form or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING.. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited an this certificate can be verified at www.abridoractory.org, dick on "verify Certificate' link „v stake 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. 02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132897314481087965 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 John Paul Edgar 5512 Pinctree DR Fort Pierce, FL 34982 Legal Description INDIAN RIVER ESTATES -UNIT 1- ELKS LOTS[ 6 AND 17 (MAP 3411 IN) Current Values Just/Market Value: $278,400 Assessed Value: $116,554 Exemptions: $50,000 Twoble 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 removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Doumload PDF 5512 PINETREE DR 3402-602-0283.000-8 36605 34/1 IN 0100 RS -3 - can Saint Lucie County 0 d Total Areas Finisbed(UnderAir (SF): 3,636 Gross Sketched Area (SF): 7,677 Laird Size (acres): 0.91 Land Size (SF): 39,600 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. Copyright 2020 Saint Lucie County Property Appraiser: All rights reserved.