HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: aQ I ay I a I Permit Number:
0
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: n f_ 00�
PROPOSED IMPROVEMENT LOCATION:
Address: Itn UC Char S+Qn Oaks 51. JV Cc" ii , 3q 9 gS
Property Tax ID#:_3gd01- 40 -obo g-oao -S Lot No.
Site Plan Name: ii Block No.
Project Name- tt k�g_ r _
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CON5TRUCTION 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:$ y0 .ov Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name a 0. S r Name: ':5C"-M tZ
Address: 01 iJ S40VI Q&M r-. Company: uk r�l'+tionlri �ZUI C.t-
City: t�oc=� 5 �-vC� State.,. Address:532_0W' h Cqn},1-Q, PJue_ . Ii)
Zip Cade; `3��1 Fax: City: urC b -- C� 5tatey.
Phone No._T�a Zip Code: 34q tL T Fax..-] _J'Jq--sn I 1
E-Mail: Phone No `02." T1 l - )"S4.0
Fill in fee simple Title Holder on next page L if different E-Ma11 I f14p, 5iI' dYACSzry(c-[. . Cyry 2
from the Owner listed above] State or County License__
If value of construction is 2500 or more,a RECOADE5 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:
Zip: Phone zip: 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.
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 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 poAted on the jobsite before the first inspection. If t' d to obtain financing, consult
with lend me before commencingwork or recordingur No iclof Commencement.
Signature of D ner see/ ontractcr as Agent for Owner Signature ofro
a orb cen Holder
i,.
STATE ❑F FLORI A STATE OFI
COUNTY OF ter Luu COUNTY O� f 5 L{ I�
sworn to for affirmed]and subscribed before me of Sworn to for affirmed)and subscribed before me of
-X Physical Pr enc or Online Notarization X Physical Pr sence or Online Notarization
this day of ,2021 by this day of �Cy�1� 2021 by
Name of person making statement. Name of person making statement.
Personally Known_�_OR Produced Identification Personally Known V, OR Produced Identification
Type of Identification Type of Identification
Produced Produce
(Signature of Notary d (Signature of Notary i
Notary Public State of Florida Notary Aubtic State of Fiorida
Commission No. Jennifar�isr Commission No. Jennifer I ui
?t
Cam G 339871 luny commi 339871
M n Expires 0812912U23 a Expires OBU912023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE --
RECEIVE[)
DATE - --
COMPLETED
ev.
This combination qualifies for a Federal Energy Efficiency Tax Credit when
A LAMP placed in service between 111/2015 and 1 213 1/2020.
NNIA f
Certificate of Product Ratings
- � l
AHRI Certified Reference Number:201785242 Date:02-24-2021 Model Status:Active
AHRI Type:RCU-A-CS(Split System:Air-Cooled Condensing Unit,Coil with Blower)
Series:GSX16
Outdoor Unit Prand Name:GOODMAN
outdoor Unit Model Number (Condenser or Single Package).GSX16S481A*
Indoor Unit Model Number(Evaporator andlor Air Handler):ASPT49D14A'
Region: Southeast and North(AL,AR,DC,DE,FL,GA,HI,KY,LA,MD,MS,NC,OK,SC,TN,TX,VA,AK,CO,CT.ID,IL,
lA,IN,KS,MA,ME,MI,MN,MO,MT,ND,NE,NIA,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 region(s)for
which they meet the regional efficiency requirement.
The manufacturer of this GOO DMAN product is responsible far 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 45000
SEER: 16.00
EER(A2)-Single or High Stage(95F) : 13,00
-"'Active"Model Status are those that an AHRI Certifcation Program Pardo pant is Currently producing ANC selling or offering for safe;OR new models that are beinc
marketed but are not yet being produeed.`P(oduction Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
�Ratinns that are acoomnanied b�v�WAS indicate an involuntary re rate The new outzished rating is shown along with the previous e,WAS)rating.
DISCLAIMER
AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties er guarantees as to,and assumes no responsibility far,
the products)listed on this Certificate.AHRI expressly disclaims ail liabitity 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,orp.
TERMS Ce AND CONDITIONSUlm
This Certificate and its contents ct are proprietary pro 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;dtsseminated; �� r■
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 certiflcate can be verifled at www.ah rid I rectory.org,click an`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.
132586749820e78371
02021 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.:
Michelle Franklin, CFA—Saint Lucie County Property App ra 1 ser--All rights reserved.
Property Identification
Site Address: 107 NE CHARLESTON OAKS DR Use Type:0 i 00
Sec/Town/Rangy:09136S'40E Account#: 138608
Parcel ID:3409-601-0008-000-5 Map ID:34/09N
Jurisdiction:Saint Lucir County Zoning RS•2-Cou
Ownership
Stephen G Hayskar 9
Linda Hayskar
107 SE Charlston Oak s Dr
Port St Lucie.FL 34983
Legal Description
CHARLESTON OAK,SPHASE Two LOT 5(OR 1018-454)
Current Values
Just/Market Value: $378,600
Assessed Value: $371,113
Exemptions: $50.000
Taxable Value: $321,113
4 Property taxes are subject to change upon Total Areas
change of ownership, F inis hed/U nder Air(SF): 3376
Past taxes are not a reliable projection of future taxes. Gross Sketched Area(SF): 4,536
i The sale of a property will prompt the removal of a]I
exemptions,assessment caps,and special Ladd Size(acres): 1.28
classifications.
Land Size(SF): 55,756.8
Taxes for this parcel: SLC'1-ax Collector's Office Building Design Wind
Dow nload TRIM for this parcel:Download PDF
Speed
Occupancy Category 1 11 III&1V
Speed 140 160 160
Sourcalinks:
All information is believed to be correct at this time,but is subject to change and is provided without any warranty.
Copyright 2021 Saint Lucie County Property Appraiser.A11 rights reserved.