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HomeMy WebLinkAboutCHANGE OUT FORM - STEWARTAll APPLICA LE IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Bate: Q 1 10 1 �Doac Permit Number: LUCE W0 A�1 W' ° 1� Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: cf)�"Q�c pv 1- PROPOSED IMPROVEMENT LOCATION: Address: ?-3q5 �S R0 Q a l o-r o-2 �L � Property Tax ID #: 2323 `5()1 —00 0,- ' 000 I Site Plan Name: Project Name: �- DETAILED DESCRIPTION OF WORK: 10 K. o -CJ C fir- r 1 r' s New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: S . Lot No. Block No. Additional work to be performed under this permit- check all that apply: Mechanical _ Gas Tank Gas Piping _ Shutters _ Windows/Doors _ Pond Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ W Od • DD OWNER/LESSEE: Name 310M4hcl,rl �)+V_ t` Address:' City: _ ]E+. Pie rG-e State: Zip Code: 3 f3Y 5 -- Fax: Phone No. 260 9 V) 8 E-Mail: Generator Roof Pitch Sq. Ft. of First Floor: Utilities: _ Sewer T Septic Building height: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: nCL( 6, Company: '4"CA-y A ►! l or, t()!� '1y i Cz�� Address: 532 +�':✓ M +�1-it City: eo(li S�'_AVLA4rState:�L Zip Code: �>4cl %' Fax: 77 `[ q -Y-)1 Phone No `�2 E-Mail io�o State or County License R 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 LAIN 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: a}__ .�J-1 OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ao the wvrK ano Instauation as 1"%A nteu. 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 anccovenants 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 application& are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, wails, 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 � 0Cy?_' COUNTY STATEOF FORIDA fuirt j+ LL . e COUNTY OF ?JC+ �• S rn to (or affirmed) and subscribed before me of 5ryorn to (or affirmed) and subscribed before me of Physical Pros nce or Q 1ne Notarization X1 Physical Prese or Online Notarization this �U day of r_� 2020 by this day of �2420 by I IaLV K r Name of person making statement. I Name of person making statement. Personally Known �_ OR Produced Identification Personally Known �_ OR Produced Identification Type of Identification Type of identification Produced Produced - jSignature of Notary - a eno rldriUdj (Signature of Notary at9AA �3taleoff70rida Nolsry Public State of FWida I Agular Jennifer�uir � 33Aa7t Commission No. � � My Corn 8G 539871 commission iVQ. xpires 05/29/2023 REVIEWS FRONT ZONING SUPERVISC COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED R I PLANS REVIEW I VEGETATION SEA REVIEW MANGROVE R— . 5/6/20 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 111l2015 and 12/31/2020. Certificate of Product Ratin AHRI Certified Reference Number: 201785242 Date: 12-10-2020 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) GSH16S481A* Indoor unit Model Number (Evaporator andfor Air Handler) : ASPT49D14A* Region : Southeast and North (AL, AR, DC, DE, FL, GA. HI, KY, LA, MD. MS, INC, OK, SC, TN, TX VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, full, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, 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 all regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in regions) far 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 : 45000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 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 or offering for sale. Ratinas that are accomnan Ied by WAS indicate an involuntary re -rate. The new published rat€ n is.-aWym alone with the previous (I.e. WAS) rafinp. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsiblIIty for, the products) listed on this Certificate. AHRI expressly disclaims all liah€Iity 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 wvvw.ahridirectory.org. TERMS AND CONDITIONS it ��� 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; � ..■ rI 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, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www. a h ri d I rectory.org, click on "Verify RertlIleate" link we make life Fetter' 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. - 132521009184077915 ©2024Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: Michelle Franklin, CFA — Saint Lucie County PropertyAppraiser --All rights reserved. Property Identification Site Address: 2395 SROCK RD SecrTown/Range: 2 313 5 S'39F. Parcel I D : 23 23-5 01-0027-000-1 Jurisdiction: Saint Lucie [County Ownership Jonathan K Stewart Erika L Stewart 1-395 S Rock RD Fort Pierce, FL 34945 Legal Description MODEL LAND C'O'S S D 23 35 39 THAT PART OF S 165 FT OF LOT 8 IN NW 1 A LY6 E OF TRNPK-LESS E 30 FT RD RIW- (1.24 AC) (OR 1554- 1697:4043-1115) Current Values Just/Nlarkci Value: Assessed Value: Exemptions: Taxable Value- -.....�x- � $167,800 $167,900 S50,000 $117,800 Property taxes are subject to change upon change of ownership. • Past taxes are not it reliable projection of future taxes. ■ the sale of a property will prompt the removal of all exempptions, assessment caps, and special class iiteation&. 'Taxes for this parcel: SLC Tax CoI[cc tor's Office Download TRIM for this parcel: Download PDF Use Type: 0100 Account #: 14107 Map ID: 23/23N Zoning AR-1 Count 11I0�1�19 Total Areas Finished/UnderAir (SF): 2.256 Gross Sketched Area (SF); 5.312 Land Size (acres): 1,24 Land Size (SF): 54.014.4 Building Design Wind Speed Oeeupaney Category I II III & IV Speed 140 150 160 Sourcesllinks; All information is believed to be correct at this time, but is subject to changc and is provided without any warranty. ti Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.