HomeMy WebLinkAboutCHANGE OUT FORM - SCHUPPMANAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1� �� ' d Permit Number:
NIr'
U * W° _;_3a Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierre FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: C4no,,ncxc cu --
PROPOSED IMPROVEMENT LOCATION:
Address: 61 kJc_krkl i -pr?0'-4 '�+.
Prope rty Tax I D #: 3 ti Z(o �to L1 -[gyp 3 Q ~ 00O � Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Oc_c'4 r', c )�,e S*Lfs
New Electrical Meter Second Electrical Meter
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Mechanical _ 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: $ 5 00 • 00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Nuri'C)Cv MName: H0J IC �*�n,-r
Address: S to 1 l� a -A!, "fir • Company: �C ,� +Lor)
City: 9 D t S_. k�l l'� Stater! Address: 2 Moir' o �L l
Zip Code: 3Yq5.Q Fax: City: 603 i C.I, �C.i_� State:�L_
Phone No. `)`1 a 3q �. - "O$ • Zip Code: (Gi �b Fax:77Q. 4 w-3 's) 11
E-Mail: Phone No�2
Fill in fee simple Title Holder on next page ( if different E-Mail kn�u cxrn .
from the Owner listed above) State or County License
if value of construction is 0000 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:
ENGINEER: — Not Appli
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
1 itv:
Zip: Phone:
State:
BONDING COMPANY: Not Applicable
Name:_
Address:
city:_
Zi p: �.
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 su bject structu re
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 our Notice of Commencement, _
�.
Signature of owner/ Lessee/Contractor as Agent for owner signature of Contractor/License Holder
STATE OF FLORIDA C� STATE OF Y FLORIDA
COUNTY OF J(, � off•
Svgrn to (or affirmed) and subscribed before me of S orn to (or affirmed) and subscribed before me of
Physical Presence or online Notarization - Physical Pre nce or online Notarization
I this _ Q day of 2020 by this 4�7 day of QC� r 2020 by
Cc n- K
I Name of person making statement. Name of person making statement.
Personally known OR Produced Identification Personally Known DR Produced Identification
Type of Identification Type of Identification
Produced+ Produced
{Signature of Notary - a N0 a Fl a (Signature of Notary ates jl d iwe ik Florida
Jennifer 1 ui r Jrtnnftf 1 Aguisr
Commission No. FAy Commi�lllf�G 339871 Commission No. µye � 3��1
O * Expires OWW2023 ALAL
ANGRO
REVIEWS ' CFRONT ZONING OUNTER � REVIEW � 5 REVIEWER � REVIEW PLANS � VEGETATION EV EW� 5 REVEWLE M EVIEWVE
DATE
RECEIVED
DATE
COMPLETED
This combination qualifies for a Federal Energy Efficiency Tax Credit when
placed in service between 1/1/2015 and 12/31/2020.
Certificate of Product Ratings
AHRI Certified Reference Number : 200945a43 Date : 12-10-2020 Model Status: Active
Old AHRI Reference Number. 6892357
AHRI Type : SP-A (Single -Package Air -Conditioner, Air -Cooled)
Series : GPC14
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GPC1436H41D"
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL. IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
MT, NO, 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, 2018. 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 GO0DMAN product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 210/240 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 : 35600
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 12.00
f"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
sellaor offerin
Rfg that
aemFlied by WAS indicate an involuntary re -rate. The new publi had rating is shown alp ❑with the previous [i.e. WA51 rating.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes in representations, warranties or guarantees as to, and assumes no responsibility for,
the product(s) 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.abrldkectory.org,
TERMS AND CONDITIONS ���
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and As
confidential reference purposes. The cements of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; ow no .1
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-CONDITIONING,EREFRIGERATION
IHEATING,
CERTIFICATE VERIFICATION
d�REFRIt6ERATIONlN5TITUTE
The information for the model cited on this certificate can be verified at www. a h r ld i recto ry. o rg, 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.
a2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: f3252oaT053sa2�5on
Michelle Franklin, CFA — Saint Lucie County PropertyAppraiser --All rights reserved.
Property Identification
SitcAddress: 561 Natalic DR
Sm,`Fownfltange:26 36540E
Parcel ID: 3426-664-0032-000-0
Jurisdiction: Saint Lucie County
Ownership
La 1Buona Vita Co-op Luc
8601 SFedera111wyy
Port St Lucie, 1'L 34952
Legal Description
LA BLONA VITA COOPERATIVE UNITA-0T 32 [OR L398-1724]
Current Values
Just/Market Value: 520,000
Assessed Value: $20,000
Exemptions: $0
Taxable Value: $20,000
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
excm does, assessment caps, and special
- classi�rations.
'Faxes for this parcel: SLC Tax CoIlector's ❑ffice
T)owriload TRIM for this parcel: Download PDF
Use Type: 0005
Account #: 145999
Map ID: 34126S
Zoning RMH-5 - Co
Total Areas
Finished/UnderAir (SF): 0
Grass SketchcdArea (SF); 0
Land Size (acres): 0.04
Land Size (SF): 1,697.14
Building Design Wind
Speed
occupancy Category I II III & IV
Speed 140 160 170
Sourcestlinks:
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
O Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.