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Building permit app
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:. _0q lic)12 Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 3490 Phone: (772] 462-1SS3 Fax: (772)462-1578 Commercial Residential I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of fine 1 PROPOSED IMPROVEMENT LOCATION: �- Address: T a -er 8 Legal description: c IGL V-� � S-Oz, — ( ri 1 (A—$L 61 LOT Property Tax ID Lot No. Site Plan Name: Block No. Project Name: 2� S�- Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Gk"Y,,z ova i rind ► t�.an-.� -{� �, 3.5 W �-� 1 a i< CONSTRUCTION INFORMATION: Adclitional Work to orme un er is permit- c ec a apply: �HVAC U Gas Tank ❑Gas Piping _[1 Shutters ❑ Windows/Doors 11 Electric 1:1 Plumbing []Sprinklers Generator hoof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ C7_2 ' CZ,7 S . Ft. of First Floor: _ Utilities: 0 Sewer 11 Septic Building Height: OWNERAESSEE: CONTRACTOR: Name .c4' fl " Name: sd 14_r~ Address: 511 a i `( f �- f� � � C o m pa ny, � Le.2d-cl AG Se-f V I Ce_� LL - City: T_-- �+e c_e_: State: Address: 53Z 0u) �'Joyem+i Ie, QL)1# 1 I -- Zlp Cade: Zg CIV� Fax: City: 6+ c State: Phone No, �]'j 13a16 �' Iy _ Zip Cade: 3q qj�2 Fax:�7'7'a -f13q -�5 I I -- T E-Mail: Phone No. 227,-- $-7l 45W Fill in fee simple Title Holder on next page { if different E-Mail: i4c) C from the owner listed above) state or County License: CAC 1 % 1 6a3 If value of construction is �2500 or more, a RECORDED Notice of commencement is requires. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Warne: 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: I ❑WNER/ 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 wi11 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED O E JOB 51TE BEFORE THE FIRST iN5PECTIDN. IF INT D TO OBTAIN FINANCING, CONSULT WITH R LENDER OR AN ATTORNEY BEFORE RECORDING YO R NOTICE OF COMMENCEMENT." Signature of 0 ner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA 7 COUNTY OF i()C4- Z-A- )_ik i._ STATE OF FLORIDA COUNTY OF V"' `� ')4-• The forgoing instggnent was a knowledged before me this i� day of 1 P 'fit e I , 2a�y The forgoing instr meat was cknowledged before me this j_ day of � i•r� C� za by �LL1} �iS � � 11� �'�.'� • 1J �� i �� ��1 t 1 �� Name of person making statement. Name of person making statement. Personally Known �_ OR Produced Identification Personally Known X OR Produced Identification Type of identification Type of Identification Produced Produced J (Sfgna Notary Puhric State of Florida Jennifer i Aguiar Commi i'-�+yrnrruai�siari GG 339a75ea1 { - a ] 4P r Notary Putsiie State of Florida Jennifer I �:tiar C� ..n1NQliy COmmia:WgGG 33p87t [Seal] wn Expires 05/2912023 � Expires 05f2912023 REVIEWS FRONT COUNTER ZONING SUPERVISOR REVIEW REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED Rev, 217119 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/31/2020. ANWRILI CERTIFIED Certificate of Product Ratings AHRI CertlW Reference Number; 201290221 Date: 09-10-2020 Model Status : Active Old AHRI Reference Number : 7942888 AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: RUUD Outdoor Unit Model Number (Condenser or Single Package) : RA1642AJ1 Indoor UnIt Model Number (Evaporator and/or Air Handler) : RH1T4821STAN Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL,1A, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, Tx, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015 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 efficiency requirement. The manufacturer of this RUUD product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSUAHRI 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: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 40000 SEER: 16,00 EER (A2) - Single or High Stage (95F) : 13.00 t"Active" Model Status are those that an AHRI Cortiricafkon Program Participant is currently producing AND aei ling or offering for sale: OR new models that are being marketed but are not yet being produced."Production Stopped" Modal Status are those that an AHRI certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinos that are accompanied by WAS indkate an involuntary re -rate- The new Dublished rating is shown along with the orevious (i.e. WASI 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 Certificate. AHRI expressly disclaims all Ilabgity 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 fisted in the directory at www.ahridIrertory.org. TERMS AND CONDITIONS "121 This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only he used for Individual, personal and As confidential reference purposes. The contents of this Certificate may not, in whale or in part, be reproduced; copied; disseminated; rs. WEad 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. AIR-CONprTl0NING. HFATING. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTF The Infonnatiort for the model cited on this certificate can be verifled at www.a h r id Ire ctory.org, dick on'Verlfy Certificate" fink vm make Tile 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.: 1324422559792©1483 Michelie Franklin, CFA -- Saint Lucie County P rope rty Ap pra iser --All rights reserved. Property Identification Site Address: Parcel ID: Amount #: Map ID: Use Type: Zoning: City/County: Ownership Fredrick 6 Hersey Lisa A Hersey 5712 Myrtle DR Fort Pierce, FL 34982 Legal Description INDIAN RIVER ESCAT F.S-UNIT 08- ELK 61 LOT 9 (MAP 34/1 1 N) (OR 3730-1781) Cu rrent Values JustlMarkct Value: $149,200 Assessed Value: $111,728 Fxemptions: $50,000 Taxable Value: $61,728 Property taxes are subject to change upon change of ownership. • Pact taxes are not a relIabie projection of future taxes. • The sale of a property wll] prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax CoIlector's Office Down to ad TRIAL for this parcel: Download PDF 5712 MYRTLE DR 3402-609-0327-000-0 37862 34111 N 0100 RS-4 Count Saint Lucie County Total Areas F in i s It ed/Under A ir (SF): 1.414 Gross Sketched Area (SF): 2.108 Land Size (acres): 0.23 Land Size (SF): 10,U()4 Ali information is be]ieved to be correct at this time, but is subject to change and is pro►'ided without any warranty. :0 Copyright 2020 Saint Lucie County Property Appraiser, All rights reserved.