HomeMy WebLinkAboutBuilding permit appAll APPUCAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
goo WC��.
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s Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5`'1 a`i 7-1-o V z C U �J -y p, � - 'i�s� c 0e_ ; FL 3,g 3r _
Property Tax I F3 #i: 3' 1 1 t7 - iCy� ` c =` 3 ` Lot No.
Site Plan Name:
Project Name: N i I_�e S
Block No.
DETAILED DESCRIPTION OF WORK: I
New Electrical Meter - Second Electrical Meter
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit -check all that apply:
/— Mechanical N Gas Tank — Gas Piping Shutters � Windows/Doors _ Pond
— Electric — Plumbing _ Sprinklers — Generator hoof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
�' rZ.
Cost of Construction: $ :]6 . Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name -Pr,.I-n K A y
Name:_Za0.m 4. ;
Address: 2i`jSLf IrclVe k-LJ (4LY
Corn pany= ILZ!:�d LLC.
City: State:1&
Address: ra . u� Cf iA �n i _ .3 411 I
Zip Code: 3 q ` Fax:
Co. ;P c� S+- a-t.'C:�s� state: �,L
Phone No. l - d� .
Zip Code: 2;ggl to Fax:77Q.-`t3t?
E-Mail:
Phone No__7?,'Z- '�'l I ' ISLU
Fill in fee simple Title Holder on next page j if different
E-Mail 1tZ�rrl t' AG £r } [:Q ti iC4'r°rl
from the owner listed above)
5tate or County License �.�" '� �`. Gf)31
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
if value of HAVC is $7,500 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:
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. Lurie 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 gr 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 paqsted on the jobsite before the first inspection. If you inte d to obtain financing, consult
with lend s afkornev before commencing work or recording vsrr citidof Commencement.
Signature of wnfeee/Contractor as Agent for Owner
Signature of C tra 1Lic rise Holder
STATE OF OR
COUNTY OF ?,-If+ 'fit r l c
STATE OF 1 kn
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
i;
Physical Presence or Online Notarization
'
this _ day of _ )�Z 11 .� 2020 by
this,20 day of -r - 2020 by
�RYNIU. Z; f.. �lC',6t5 Jr.
_y(&rn;LS �. fUtCQ)cz[S � -
Name of person malting statement.
Name of person making statement.
Personally Known �( OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary u�ateal&$we or Florida
Jeer l Aguier
Florida
(Signature of No7YER
er
CommissionNo. �� 3S9t;7t
Commission No.NO71
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ReV. 5/6/ZU
Certificate of Product Ratings
AHRI Certified Reference Number: 202566562 Date : 09-30-2020 Model Status : Active
AHRI Type : RCU-A-CS (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Outdoor Unit Brand Name: RUUD
Outdoor Unit Model Number {Condenser or Single Package} : RA1442CJ1
Indoor Unit Model Number {Evaporator andlor Air Handler} : R H 1 Q4221STAN
Region Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC. OK, SC, TN, TX VA, AK, CD, CT, ID, IL,
IA, IN, KS, MA, ME, MI, MN, MO, MT. ND. NE, NH, NJ, Ny, OH, OR, PA, RI, SI7, UT, 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 ail 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 210/240 with Addenda 1 and 2, Pefformance 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 : 40500
SEER: 14,00
E E R (A2) - Single or High Stage (95F) : 11.50
t"Active" Model Status are those that an AHRI Certification Program Particlpan I is currently producing AND selling or offering for sale; OR new moons [hat are being
marketed bu., are not yet being produ ced."Produ ctio n Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for safe.
Rating, the[ are accompanied by WAS indicate an involuntary re-r te. The new published rating is shown a no with the previous i.e. WAS] retire.
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 products) listed on this Certificate. 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 woew.ahrid6rectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents 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; copled; disseminated;
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 confldential reference. AIR-CONDITIONING, INSTITUTE
CERTIFICATE VERIFICATION REFRIGERATIONINST1T1IrE
The information for the model cited on this certincate can be verified at www.ahrldirectory.org, click on "Verify Certificate" link we make 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. I i32469490330131440
@2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
Michelle Franklin, CFA-- Saint Lucie County PropertyAppraiser--All rights reserved.
Site Address:
Parcel ID:
Account #:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Frank Aviles
5954 Travelers WAY
Fort Pierce, FL 34982
Legal Description
PALM GROVE &D BLK D LOT 13 {0.I2 AC]
Property Identification
5954 TRAVELERS WAY
3410-503-0109-000-5
133228
34110A
0100
Planned Un
Saint Lucie Cavity
Current Values
JustlM arket Value: $126,000
Total Areas
Assessed Value: $3 8,173
F inishcd/U nder Air (SF):
1305
Exemptions: $38,173
Gross SketchedArea (SF):
1,759
Taxable Value: s0
Land Size (acres):
0.12
Land Size {5F]:
5,227.2
taxes are sulaject to change upon
change of ownership.
FPro,erty
taxes are not a reliable projection of future
s.
sale of a property will prompt the removal of
xemptions, assessment caps, and special
ifications.
Taxes for this parcel: SLC Tax CoIlector's Office
Download TRIM for this parcel: Download P D F
All information is believed to he correct at this time, but is subject to change and is provided without any warranty.
C Cop yripbt 2020 Saint Lucie County Property A p p rai ser. A 11 rights reserved.