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HomeMy WebLinkAboutCHANGE OUT FORM - GM MillworkAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: OI 2- i Permit Number: D ° ° Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial X Residential 2300 Virginia Avenue, Fort Pierre FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Aamye nL)+ PROPOSED IMPROVEMENT LOCATION: Address: 132g b C a. Q-i( Property Tax lD #. noq L -4c>o — I --- _ Lot No. Site Plan Name: Project Name: Block No. DETAILED DESCRIPTION OF WORK: 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 T Plumbing —Sprinklers Generator „ _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction. $ 5i5W • OD Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: !Name J. Name: HOY K Address: 32`+6 C. mrr)t+'G'(;&-f CLI Company: A;( (!"J i ' ♦�r"�ln -)y IC:�. City: iro-4—' State: �Z_ Address: S'32 kit"./ iyiQ,r� Zip Code: 3051 Fax: City: (20C14 S+' �)J CA�_ State:�L_ Phone No. 56 Zip Code: -'- �b Fax: 77D 4 -Y.) I I E-Mail: Phone Na SC12 -- V I - 6W Fill In fee simple Title Holder on next page t if different E-Mail If) Oo � �C '�V,� Cc m . from the Owner listed above) State or County License cl�\C_G 03`? 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: DESIGNERIENGINEER: — Not Applicable I MORTGAGE COMPANY: Name:_ Address: City: Zip: Phone State: FEE SIMPLE TITLE HOLDER: Not Applicable Name:_ Address: City: Zip: Phone: Name:_ Address: City: Zip: Phone: Not Applicable State: BONDING COMPANY: Not Applicable Name:_ Address: City;_ Zip: Pho 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 thepermitholder to build the subject structure structure. conflict cconsult any applicable Homeowners owners andrrevrew your deed #or any restrictions which maor apply prohibit such In consideration of the granting of this requested permit, I do hereby agree that l 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 attornencinp, work or recording our Notice of Commencement, Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA 4 �' COUNTY OF __ IJ (+ `�j-I- - S rn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this 1 day ofaAwcvw! , 2021 by Name of person making statement. Personally Known �<'�OR Produced Identification Type of Identification Produced It - (Signature of Commission No. or Pubiio State of Florida inifer I Agui t Commi t�I G 339871 dyes 0528r2023 i REVIEWS FRONT ZONING T COUNTER REVIEW DATE RECEIVED DATE 1 COMPLETED Signature of ContractoriLicense Holder STATE OF FLORIDA fD(1- COUNTY 01 Shorn to (or affirmed) and subscribed before me of 1 Physical Presence or Online Notarization this 2L_ day ofIt1lJCCV1l� 2021 by Ci r' �J'`� l Q Name of person making statement, Personally Known _ _ OR Produced Identification Type of Identification Produced JAL (Signature of No19909%0%^^0%0VVVk14^1 6W d Florida uiar 0 33M 1 Cpmrrii$SiOn Na- ANG 5UPERVISREVIEWOR � REVIEW PLANS IVREVEWEGETATION 5 REVIEWATURTLE M REVIEW Re-v-375RO Certificate of Product Ratings AHRI Certified Reference Number : 201170992 Date : 01-21-2021 Model Status: Active Old AHRI Reference Number: 7491807 AHRI Type : RCU-A-CB {Split System: Air -Cooled Condensing Unit, Coi€ with Blower] Outdoor Unit Brand Name : RUUD Outdoor Unit Model Number (Condenser or Single Package) : RA1436AJ1 indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T3617STAN 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, fA, IN, KS, MA, ME, MI, 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 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 tha 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: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 1"Active" Model Stratus 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 prod uced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing OUT is still selling or offering for sale. Ratings that are accomoanied by WAS indicate an involuntary re -rate. The new oublished rating is shown alono with the previous Ii.e. WAS) ratina. DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes na representatians, 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.ahridIrectory.org. TERMS AND CONDITIONS This Certificate and itssContents are proprietary products of AHRI. This Certificate shalt only be used far individual, personal and confidential reference purposes The contents of this Certificate may not, in whale or in part, be reproduced; copied; disseminated; �■ r entered into a computer database; or otherwise utitized, in any form or manner or by any means. except for the user's individual, personal and confidential reference. AIR-cPNDITIdNINa, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrid Irectory.nrg, click on "Verify CertiIk,ate" link µv ,,.ake Iire 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. i3255735551981D8i5 Cv72021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: Michelle Franklin, CFA-- Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: 7328 COMMERCIAL CIR Sec'To,, mu Range: 35134S19E Parcel ID: 1335-801-0044-000-1 Jurisdiction: Saint Lucie County ownership Joseph G Miller (TR) 5500 Orange Ave Fort Pierce, FL 34947 Legal Description KINGS 11ICMWAY INDUSTRIAL PARK•UNIT ONE- BLK D LOT 8 (0.56AC) (OR 3251-2114: 3676-2704) Current Values JustlM arket Value: $359,400 Assessed Value: $310.123 Exemptions: $0 Taxable Value: $310,123 i propertytaxes are subject to change upon change of ownership. • Past taxes are not a rellabie projection of Future taxes. • The sale of a property will prompt the removal of aII exemptions, assessment caps, and special classifications. Taxcs for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF Use Type: 4800 Acoount #: 127121 Map ID: 13135S Zoning: Industrial Total Areas Finished/Under Air (SF): 7,158 Gross Sketched Area (SF): 7.490 Land Size (acres): 0,57 Land Size (SF): 24.725 Building Design Wind Speed Occupancy Category I II III & IV Speed 140 150 160 Soarcesllinks: A I I information is believed to be correct at this time, but is subject to change and is provided without any warranty. ,V Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.