HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinterAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Bailaing Permit Application
vionning onU aevedopmenr -Nerv:vus
um"O.,,g o,.a coae H'g. lario,.
2300 Virginia Avenue, Forr Pierce FL 34982
Phone: (772)462-1553 Fax: (r72) 415c lmla Commercial
Residential
PERMIT TYPE:VICkh 1CC.,
PROPOSED IMPROVEMENT LOCATION: _
Address: 3U0"1 F rr — Of 1-Q(N Pjr,-rce 3�let�l`
Property Tax ID #: t�3 L� u� • oo �o • b r�0.5 77
_._ I'ot Ido.
Site Pian Name:{ ri v r , Qr' _ _ Block No.
Project Mame:!f I!N� NMC, �Joc-z (
DETAILED DESCRIPTION uF WORK:
a`xam /Z cnangeout, no Chet worR, Li ton, 1 —% seer, t U KW
CONSTRUCTION INFORMATION:
,R aaitionai worn to oe perfvr,,,cia ander this permit— check all that apply:
Mechanical — Gas Tank _ Gas Piping _ .3hutters _ vvintlows/Doors
_ Electric _ PlumQing zprinRiers _ uCncrular _ Roof Pitch
i vial Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost or Construction: $ G500 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name -ti ryye; t 1 xct r Name: Dennis LaceR
Hddress: SUOCIlY t rX ... Corripanr:AFiS
City: Csx � NterC _ _ State: P1 hddress:/-300 05 MVVT i
Lip Lone: '54 c4 A Fay: City: Vero Beach State: FI
Phone No, Lip Cotle: 3Ly6u r.,
E -Moil: Phone No (772) 794-7205
Fill in fee simple i ide Molder on next page ( ii I irrerenc E -Mail m-illi3(arars.com
from the Owner listed above) State or County License CMC X49153
If value of construction is $cs'uu or more, a RECORDED Notice vT Cor fflc :aaR cF11 i., requires
it value of RvAC is $1,50u e. marc, a RECURUEu Notice of Commencement is required.
U
I
T
c 0
R
a A
Permit Number:
Bailaing Permit Application
vionning onU aevedopmenr -Nerv:vus
um"O.,,g o,.a coae H'g. lario,.
2300 Virginia Avenue, Forr Pierce FL 34982
Phone: (772)462-1553 Fax: (r72) 415c lmla Commercial
Residential
PERMIT TYPE:VICkh 1CC.,
PROPOSED IMPROVEMENT LOCATION: _
Address: 3U0"1 F rr — Of 1-Q(N Pjr,-rce 3�let�l`
Property Tax ID #: t�3 L� u� • oo �o • b r�0.5 77
_._ I'ot Ido.
Site Pian Name:{ ri v r , Qr' _ _ Block No.
Project Mame:!f I!N� NMC, �Joc-z (
DETAILED DESCRIPTION uF WORK:
a`xam /Z cnangeout, no Chet worR, Li ton, 1 —% seer, t U KW
CONSTRUCTION INFORMATION:
,R aaitionai worn to oe perfvr,,,cia ander this permit— check all that apply:
Mechanical — Gas Tank _ Gas Piping _ .3hutters _ vvintlows/Doors
_ Electric _ PlumQing zprinRiers _ uCncrular _ Roof Pitch
i vial Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost or Construction: $ G500 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name -ti ryye; t 1 xct r Name: Dennis LaceR
Hddress: SUOCIlY t rX ... Corripanr:AFiS
City: Csx � NterC _ _ State: P1 hddress:/-300 05 MVVT i
Lip Lone: '54 c4 A Fay: City: Vero Beach State: FI
Phone No, Lip Cotle: 3Ly6u r.,
E -Moil: Phone No (772) 794-7205
Fill in fee simple i ide Molder on next page ( ii I irrerenc E -Mail m-illi3(arars.com
from the Owner listed above) State or County License CMC X49153
If value of construction is $cs'uu or more, a RECORDED Notice vT Cor fflc :aaR cF11 i., requires
it value of RvAC is $1,50u e. marc, a RECURUEu Notice of Commencement is required.
SUPPEEM ENTAL CONSTRUCTIOM CIEIv Mw IIWORMA 1101q:
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 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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Co ra for as Agent for Owner Signature o Contractor/Lie a Helder
STATE OF FLORIDASTATE OF FLORIDA
I
COUNTY OF St Lucie COUNTY OFS1Lucie
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this Al day of _ v_ 2020 by
Dennis Zack
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced LlC_&*4t__
re of"Notary Pu
Commission No. GG340178
REVIEWS I FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
MELISSA,CMTEAUNEUF
State of Florida- ICOM Public
CWmWssion * GG 340178
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this jj� day of V 2020 by
Dennis Zacek
Name of person making statement.
Personally Known x OR Produced Identification
Typeof Id n ification
e
Prodwced� i/evt 5 Lcc.ev.D-t_
of NotaryP'ublic-
1 No. GG340178
CONING SUPERVISOR I PLANS I VEGETATION
REVIEW REVIEW REVIEW REVIEW
1-sr-a-zion Work Orue"
(7-.M67 SAO
mm".
hMY_"WlS 3JYF u[Nim-1
19t HUI V. AND CIJRE-RVISIOnt*;C;IJAP-E-,,4i3,pxqCA 5T
k you lv-* f.'KA thi E.
roll RIGHT TO CMCEL- ThIshm ham.
.-tUF;7 -
.w.id[sp wiftim =O.m to tho sellwim Pvmtoy wamproo, by r111. IN 0041m rrumt.:t4k-ft" Wu du rW WaA lh 0
ur w-imm -m -ml luddimm4 - PMEA94 bwhn rrwdnFjhl OfOe lhtPd b+Alnfts Oqathm
!hill asAwmank thm SOW Mt- •,vt kwpAm o, pert CA arl'"QN.ft" WdDftnL _llbftrwftoml
lhrlcmadbefaNdcsM.rrf)tudulxitpa pa
...Tier3-,P—
AXL'
i FFM,
I
savwW_
r I1
_.I
F-1
IR
jLw
.d H.,
f. V�
Wa'm ...... . i.
P%af.
Cdl
OU
f L-FLORUd TI!, ccr4a�.
E3
4
MA4
in M4,
-Gh EC' WX
pp Tj
rl EL. --&-A! CAw
F.L
IT." 1w
FXF*
i . Jwe "pi
r R71
'Z; I Ili
L L
x-
hMY_"WlS 3JYF u[Nim-1
19t HUI V. AND CIJRE-RVISIOnt*;C;IJAP-E-,,4i3,pxqCA 5T
k you lv-* f.'KA thi E.
roll RIGHT TO CMCEL- ThIshm ham.
.-tUF;7 -
.w.id[sp wiftim =O.m to tho sellwim Pvmtoy wamproo, by r111. IN 0041m rrumt.:t4k-ft" Wu du rW WaA lh 0
ur w-imm -m -ml luddimm4 - PMEA94 bwhn rrwdnFjhl OfOe lhtPd b+Alnfts Oqathm
!hill asAwmank thm SOW Mt- •,vt kwpAm o, pert CA arl'"QN.ft" WdDftnL _llbftrwftoml
lhrlcmadbefaNdcsM.rrf)tudulxitpa pa
Certificate of Product Ratings
ARn1 Certine0 Rercrcnov Ram6cr : 9BZ4465 Date : 08-,7zvzv Motlel status : Active
ARRI Type: RCU-A-CB (oplit system: Air-Coolen Uon0ensing Unit, Loil witli Slur)
oeries : CvICIF0R I 14 Al.
Uet0eer Omit 6rurld N -mo : CARRIER
Olata-vr On it Model Number jLon'uenser or single PacIMge) : z4ACC;449A*030*
InVoor 'unit Model RumBer (Evaporator ..Pinter Air Rundler) : FE4CRF0413E
Regiem : SoatFieaat a,.d North (AL, AR, DC, DI'_, FE, urs, RI, R T, 174, 14115, 1415, Mi,, rJK, 5t,, I R, I A, VA, HR, CO, C 1, ID, IE,
11i, IR, R5, MIA, RIE, 101, MIR, 1910. M I, RD, RE, RR, Mi. NY, CR, DR, PA, RI, SD, UT, v P. vvm, vvv, vvl, vv T, 0.5.
1 crrltvrivs)
Reniorl Not-: Central air conditioners manu,aclureu prior to 3anuary I, /015 are eiigi0re to 6e imutaliea in -II rc9ion3
until rune 30, z516. Suginning Jai, 1, z018 central air ooFaitioners can only be installe'u in reyion(st ,or
which they meet the regional e„ Iciency requirement.
I he .,,an;afa-tarer of this CARRIER prouuct is responsiBle for the rating or tRis system �mt>3inatie,..
R -tea ..c tcllo — in ao`vrd.nce with the latest euition o, mR3IrfNMR1 c,Orz40 witil n'aaentla I anti z, PeRerm-pia. Rating of Onita; y
mir-Con'aitioning 5 Air -Source neat Perrlp E,,aiprnc„t .aria 306;-ct tv r -tiny rccar.uy by AHRI-sponsoreu, in0epen5enl, tllir party Testing:
Coolima [:ap-wity (Az) - sinslc or Fli'yh St.ye (95F), btuh : 4350
SEER: 14.00
EER 'kmz f - single or Miglt stage (uzw) : 11.5u
?"Active" Model Status are those that am AHRI Certifeeti.n Progr-mr Purti-ipon; is vantrnliy prvvacing .,RC selling or offering for sale; OR new models that a16- brim,
mancelva But are not yet being produced.?Produ:_tion Stoppud? Mod.1 Staten -me thcsc th-t v., AHRI Ccrtifi-,;ion Program F..rd,. pant ,s no longer producing BUT is still
-vlling or offering fvr a-olc.
F;aii; 7s :ha. area rsmnanicd by WAS indicate an invinjui Lary m -rasa. The new pu*,I:shed Win[t is sho-n,lana with � .e wevious f -.e WAS) rating.
DISCLAIMER
AHRI does not endorse the producttst listed on thio Certlfi.atc..md msakcs no r.p.eaene.:iuns, warranties rr guarantees as to_ and assumes no responsibility for,
V'.. prb aettsj listed on this Certificate. AHRI expressly disclaim= all liability for d -m -gra of any kir.-,d ..rlsL,g vee of eho ase v. p.rrrrmanee of the produettst, or the
,reauthorized oRcmaon re rue.. I.w,.v on this Certificate. Certified ratings are valid only for mrodrls -::d remflgmmtl.n- listed In the
director} at--.ahridir.otory..,g.
Ts Cer AND CONDITIONS
This Certiflcaeo a. -,a iu wnacnts are proprietary products of AHRI. This Certificate shall _ml; be used for Individual, personal Wnd
wmfidemtial rofcrvnw parpo, aa. The -rnwnw vi ails certificate may not, in whole or In part, be reproduced; copied; dl . riatad;
entered Into a wmrput■. dotaba,o; .r.tharwise atlll..d, in any f.,rm -r m..nncr rr ry any means, except for the user's Individual, low ag
personal and confidential reference. „iR . ompl Ivnrno, HEATING,
CERTIFICATE VERIFICATION & nep"1eert„.ren IN37 1!
The Informatirm forth. mtsdel rlted en thio wrtlfieate con b. -.rhos ae www.afrluirectory.org, click on 'Verify Certificate” link nr rmak� I;F h=r:er'”
and enter the AHRI Certified Refererew Norriber, amd the d -to ore :hieh the .vetifivaec Ras Imam,
wilicll Is Nstm above, and the Certificate No., which Is listed at bott.mr rignt.
Q2020Air-ConuIdon1ng, Fleeting, anti ReTrlgerazlon In -Batu CERTIFICATE IQv.: 132418171278909534
MiclIelle Franklin, LFA-- Saint Labe C:oanty Property Appraiser --Alf riyhts reserved.
Property Identification
cite t0ffess:
ra"Ci lU:
tvccount fid:
M_' 1U:
Use Type:
Cay County:
uwnersiiip
Eau is L M,Nair
? 009 Andcr.o„ Rd
Port P:.s.., FL 34y46.
[egal Description
NHERATUN PLAZA -UNIT FOUR REPLAT LOT 302 ZOR 3244-1935)
Current values
.iusuntarxet value; x79,000
A53v3, 3 Whic: 126.174
nxemplions: $25,000
l_;;aDlo Val -a.: x1,374
Property taxes are sub;ect to change upon
cpange of ownersRip.
• PZ -3t [aAC3 me nui z. ciiable projection of future taxes.
• The :»le of .. pftperty -ill p.-omn t the
exemptions, assessment caps, and special classifications.
tn-.„ t,arccl: SLC Tu; C.flc.tvi'a Off[,.
Download TRIM for this parcel: Dowmoa'u PDF
A09 ANDERSON DR
1432-807-0060-000-5
il:)o4
1432S
0.00
RS -4 C-ent
Saul Uu is Cuuniy
r►
I oral Areas
r inisuew uunuer ntr t;Sr). 1,36,
GRY33 JRctcned A -cu (Sr): 1,614
Land Size Zacres): 0.19
Lana 5iZo (5r): 8.250
mll information is rieiieveZi to ve correct at lriis time, out is sul ject to en.. -be a :21 in Pn,-idea -aneet w-., a a«..t'.
C7opyn: m Ai'Sa:a L��:e l erel, Y,-vyeTl, Apy w 3c-. All -isl t� e�errcd.