HomeMy WebLinkAboutbuilding permitAll APPLiCA6 E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: C�` I0�1 D'I Permit Number:
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: Ct1a_,nO�e oV J
PROPOSED IMPROVEMENT LOCATION:
Address: (6105- ND +t"' g1 tr'd �i �rCLe piS
Property Tax ID #: I3C)I —0 "`�� �� ! Lot No.
Site Plan Name:
Project Name:
Block No.
DETAILE❑ DESCRIPTION OF WORK:
Change, out ai►� end; +���r A� 3.5 7V�
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Mechanical ^ Gas Tank T 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: $ 75 1 51S • GD Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name r2 oipnl e � .T vic Name:
Address: a5 :Z51 • V '�y-� Company:g U nd tit ronllflV �-�.
City: V 4P_fD 1111E �C.`v State:-rL Add ress:53Z 0w h Qfm+, -t G;A_11
Zip Cade: 32 (&Q Fax: City: :?t Z�4QJie StateVL
Phone No. -7-2 ZL-j--~17 l� Zip Code: ]�g(, Fax -]?�
E-Mail: Phone No �2- T1 l - 54-0
Fill in fee simple Title Holder on next page (if different E-Mail in
0 5if'�Y�C`�V l� ' C]fr ]
from the Owner listed above) State or County License CK i % �2
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:
INEER: Not Applicable
Name:
Address:
City: State
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:_
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zi p: Pho
OWN ER/ 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 bulid 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 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 far
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and p� ted on the jobsite before the first inspection. If t d to obtain financing, consult
with IendeFur-awftrney before commencing work or recording tar No i' of Commencement.
signature of O ner seed ontractor as Agent for Owner ' Signature of
Holder
STATE OF FLORI�A ;l� I STATE OF RLORI
COUNTY OF �— OC4 L
_UC.tfz, COUNTY OF-=r LuCirE
Sworn to (or affirmed) and subscribed before me of Sworn to for affirmed) and subscribed before me of
Y Physical Presence or Online Notarization Physical Presence or Online Notarization
this ft day of 1Pe4Pr—y0-ej 2021 by this _ft day of ����r 2021 by
�] o'm 4"s i G�� i s `Am I-S IU I 1 5_
Name of person making statement. Name of person making statement.
Personally Known . �0 OR Produced identification
Type of identification
Produced
(Signature of Notary RU
No
Jennifer
Notary
Public State of Florida
r
Commission No. 7�y CQ 33071
V*—"—1 Expires 1)512WO23
REVIEWS I FRONT
j COUNTER
DATE
RECEIVED
DATE
COMPLETED
Personally Known ��. OR Produced Identification
Type of Identification
Produce
(Signature of Notary T;— 'W "
Notary Public State of Rorka
Jennifer I ui
Commission No. luy Comm 339871
Expires 05►2912623
ROEVIEW SUPERVISNING OR
REV EW VREVEWON I SREV EWLE MREV EWVE
This combination qualifies for a Federal Energy Efficiency Tax Credit when
Als, "lap placed in service between 1/1/2015 and 12/3112020.
CERTIFIED'
certificate of Product Ratings
AHRI Certified Reference Number : 2013a4341 Date : 02-19-2021 Model Status: Active
Old AHRI Reference Number! 8242GSO
AHRI Type : RCU-A-CS (Split System' Air -Cooled Condensing Unit, Coil with Blower)
Series: GSX16
Outdoor Unit Brand Name : GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX160421F"
Indoor Unit Model Number {Evaporator and/or Air Handler} : ASPT49D14A"
Region: All (AK, AL, AR. AZ, CA, CO, CT, DC, ❑E. FL, GA, HI, ID, IL, lA, IN, KS, KY, 1_A, MA, MD, ME, MI, MN, MO, MS,
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 21W240 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 W) - Single or High stage (85F), btuh : 41000
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 tha: 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.
Ratt s that are acce Hied WAS indi ate an inv luntar r te. newput-
DISCLAIMERhed rat' show al n with the nevi i.e. W S ratln .
AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to. and assumes no responslbihty 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 pro duct(s), or the
unauthorized alteration of data Ilsted on this Certificate. Certified ratings are valid only for models and configurations Ilsted in the
directory at www.:shrld3reotnry.arg. � ��,
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; 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, AIR-CONDITIONING, HEATING,
personal and eanfldemlat reference. & REFRIGERATION INSTmrrE
CERTIFICATE VERIFICATION
The information for the model cited on this certiflcate can be verified at www.a h r l d iireotory.o rg, click on °Verify Certificate" I I n k . make life hener"'
and enter the AHRI Certified Reference Number and the date on which the certiflcate was issued,
which is listed above, and the Certificate No., which is fisted at bottom right. 132582247942108634
@2021 Air -Conditioning, Heating, and Refrigeration Institute F ERTIFICATE NO.;
Michelle Franklin, CFA — Saint Lucie County Property Appraiser --All rights reserved.
Property identification
Site Address: 6905 NORTH BLVD
Se67own/Range: 013 4 0 9 E
Parcel ID: 1301-61 1-0 i 94-000-9
Jurisdiction: Saint Lucie County
ownership
Treasure Coast Homeless Services
Council Inc
2525 Faint LucieAVE
Vero Beach, FL 32960
Legal Description
LAKFWOOD PARK -UNIT 9- BLK 109 LOT 16 [MAP 13101N] (OR
3644-1743)
Current Values
JustlMarket Value:
$190,400
Assessed Value:
$171,679
Exemptions:
$171.679
Taxable Value:
$ 0
Property taxes are subject to change upon
change of ownership.
Past taxes are not a reliable projection of future
taxes.
• The time of a property will prompt the removal of
all exemptions, assessment caps, and special
classifications.
Taxes for this parcel: SLC Tax CoIlector's Office
Download TRIM for this parcel: Download PDF
Use Type: 0100
Account #: 2585
Map ID: 13101N
Zoning: R&4 Count
Total Areas
Finished/Under Air (SF):
1,904
Gross Sketched Area (SF):
2,561
Land Size (acres):
0.27
Land Size (SF):
11,700
Building Design Wind
Speed
Occupancy Category I It III & 1V
S peed I40 150 160
Sources' lin ks:
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
(Q; Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.