HomeMy WebLinkAboutCHANGE OUT FORM - EDGAR - specificationsALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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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.