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HomeMy WebLinkAboutCHANGE OUT FORM - UNDERWOODAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1) (C1(,1 aY2,-% - Permit Number: 1 77 Building pp Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FC 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Chi r�� 4- _. c PROPOSED IMPROVEMENT LOCATION: Address: I i �"1i o 1� o n l s' ieF [y Property Tax ID #: Z'�03 -7 (1 - C QL r5 " L' GX; — S Lot No. Site Plan Name: Project Name: I DETAILED DESCRIPTION OF WORK: zkwn!'4 civ l- &Ck i i -+o t�_ S 700 1 � se -e -r Block No. New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: Mechanical r Gas Tank —Gas Piping � Shutters _ Windows/Doors Pond Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ `7 Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name _T2Ery Und Y_W00 i Name: HOV K 'enc r Address: ISc-'Ll 1 &41D ecx�d S be company: ' Fou', City: 7t . 9e d 0 0_ State: Address: 532 -"ttJ E Zip Code: Jq CT (4 43 Fax: City: e0a C4. II UC4 e_ State4L Phone No. 1 5 3 Zip Code: 2-A I16 Fax:7 H - 3'j 11 E -Mail: Phone No Fill in fee simple Title Holder on next page I if different E -Mail in�u from the Owner listed above) State or County License 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: Zi p: Phone Zi p: 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 I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and 5t, 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 jobs ite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDASTATE OF FLORIDA COUNTY OF {+ �J�L COUNTY OF_j�. sWQrn to (or affirmed) and subscribed before me of 5Wo_rn to (or affirmed) and subscribed before me of -' Physical Presence or online Notarization rte` Physical Presence or Online Notarization this day of ' - , 2020 by this ,, day of UV 1 1 ' -_,2020 by t -- Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary - a o i a Notary Pudic to of Florida J*nni#ar I ui r Commission No. (AyC�o1 . ��A;G 330871 xpkes 06i'281 23 REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED Personally Known X OR Produced Identification Type of Identification Produced 'z (Signature of Notary at%AQ }teed Fkwida JenrAler I Apuiar Commission No. my C 339071 4 PLANS REVIEW I VEGETATION l S REVIEW REVIEWVE This combination qualifies for a Federal Energy Efficiency Tax Credit when Placed in service between 11112015 and 1213112020. Certificate of Product Ratings AHRI Certified Reference Number: 201152966 Date: 11-06-2020 Model Status: Active Old AHRI Referance Number : 7429124 AHRI Type : SP -A (Single -Package Air -Conditioner, Aar -Cooled) Series GPC14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC 14421-141 E" Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL. GA, H1, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MIS, 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 GOODMAN product is responsible for the rating of this system combination. 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 (A2) - Single or High Stage (95F), btuh : 40000 SEER: 14.00 EER (A2) -Single or High Stage (95F) :12,00 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 ❑r offering for sale. Ratings that are accompanied by WAS indicate an InvoCuntary re -rate. The new ouri`ished ratno is shown 21ann with the ores ious ii.e. WAS1 rating. DISCLAIMER AHRI does not endorse the product(s) Fisted an 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 www. ah rid I re oto ry. o rg. TERMS AND CONDITIONS to 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; copied; disseminated; �■ entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, ILI personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at w .ahridlrectary.org, click on `Verity 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. @)2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE N[3,: 132491549769906449 Michelle Franklin, CFA-- Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: 10001 W ANGLE: RD Secl'TownlRanpz: 033 5 S'3 9F Parcel ID: 2303-211-0025-000-5 Jurisdiction: Saint Lucie County Ownership Pershing Mobile Hoene Sales Inc 901 NW 31st Ave Pompano Beach, FL 33069 Legal Description 3 35 39 NW 1 4-LESSAVON MANOR -UNITS 1 AND 2 AND LESS W 615.5FT LYG S OF AVON MANOR -UNIT t AND LESS CANAL AND RD RSW AND LESS1-95AS IN OR 237-1372- (99.02 AQ (OR 630-13 1 ) Current Values Just/Market Value: 511.856,900 Assessed Value: SI 1.856,900 Exemptions; $0 Taxable Value: 511,856,900 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: Download PDF Use Type: 2800 Account #: 12845 Map ID: 23I03N Zoning RMH-5 - Co Total Areas FinishedlUnderAir (SF): 9,528 Gross Sketched Area (5F): 14,303 Land Size (acres): 99.02 Land Size (SF): 4.313.3 11.2 Building Design Wind Speed Occupancy Category 1 11 111 & IV Speed 140 150 160 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. 0 Copy riot 2020 Saint Lucie County Property Appraiser. Ail rights reserved.