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HomeMy WebLinkAboutCHANGE OUT FORM - GOULETAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a'� I a I Permit Number: S.Y Lucm 0 � V 17 111 0 a 0° t Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential /1Y 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: AC uA",O* av PROPOSED NIMPROVEMENT LOCATION: Address: i`�� � +k S 23I VCR U CLC-k , �R_ 34 q S`? Property Tax ID #: LV — 00D —3 Site Plan Name: Project Name: V. U t& Lot No. Block No. DETAILED DESCRIPTION OF WORK: Ck(kAU aV+ Y�Ckovc_ UY) I 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 _ Electric _ Plumbing _ Sprinklers — Generator Total Sq. Ft of Construction: 1 l Cost of Construction: $ Sq. Ft, of First Floor: Windows/Doors Pond Roof Pitch Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name H I Ou e- I 4 Address: 1 X 0 .1.. [ + � 6r VA - - - - City: '7k' -sen State FL Zip Code: 3LI lS `1 Fax: Name: � .� LS A�lt 6w I S Company:S?Q_z��f C_0- Address:532. 04-) �1ef C�r1 i -� � -, 111 City: 'Ae cl Z�4• c)!6?Ck� State�VL Phone No. `?�� " � ` *71 1 Zip Code: 219 tf, � Fax:-172-93u -- 351 1 E-Mail: Phone No `nz- 711 _ n&-o Fill in fee simple Title Haller on next page 1 if different E-Maii i fl;u e106-2 rV iC.e-. . CD(V I State or County License from the Owner fisted above) 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 Native of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: i Not Applicable Name:_ Address: City: Zip: Phon State FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address- city. - Zip: Phone: MORTGAGE COMPANY: Name:_ Address: City: Zip: Phone: BONDING COMPANY: Name:_ Address: City:, Zip: Phone: Not Applicable State: Not Applicable ❑WNER/ 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 for 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 lend me before commencin work or recordin ur No i0of Commencement. Signature of ClwGner see/ ontractor as Agent for owner Signature of C tra or/ cen Holder t STATE OF FLOR A STATE �F LORI COUNTY OF ❑r-� 5�. L�C✓ie. COUNTY O� r4 L-V Sworn to (or affirmed) and subscribed before me of azsical Presence or Online Notarization dayof _ riF— w, 2021 by 30'M o.s 0 1 C-'r1U I S Name of person making statement. Personally Known _�O OR Produced Identification Type of Identification Produced {Signature of Notary Commission No. REVIEWS RATE RECEIVED DATE COMPLETED Av ow" Notary Public Stabs of Florida Jenn€fer �8r y c ►GG 339071 Expires 0512W2023 Sworn to (or affirmed) and subscribed before me of -X Physical Presence or Online Notarization this el, day of M ar i l , 2021 by Name of person making statement Personally Known Z` OR Produced Identification Type of identification Produce ] (Signature of NotaryTF" Notary Public State of Florida Commission No. Jennifer I ui Uy GOmmi= 338871 Expires 05QW023 FRONT ZONINGANGRO COUNTER I REVIEW IS REVIEW UPERVISCR I REV EW PNS I v EVEWEGETATIDN I S EV EWEATURTLE I MREV EWVE This combination qualifies for a Federal Energy Efficiency Tax Credit when • placed in service between 1/1/2015 and 12/31/2020. CERTIFIE Certificate of Product Ratinas AHRI Certified Reference Number: 202031000 Date: 04-02-2021 Model Status : Active AHRI Type : SP-A (Single -Package Air -Conditioner, Air -Cooled) Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC143OH41G4 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, MC, 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 onfy be installed in region(s) for which they meet the regionai efficiency requirement. The manufacturer of this GOODMAN product is responsible for the rating of this system combination. Rated as follows in accordance vvM the latest edition of AHRI 2101240 with Addendum 1, Performance Rating of Unitary Air -Conditioning & Air-Souroe Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 28400 SEER.- 14.00 EER (A2) - Single or High Stage (9517) : 12.00 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 far sale. Ratio s th t re accom led b WA + dic to an inv I is re- T e new hed ratio is shown alona with the re�WAS ratio DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility tor, the products) listed on this Certfffcate. 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 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 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, ILI personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION 6 REFRIGERATION INSTITUTE The information for the model cited on this certificate Can be verified at www.ahrid Irector y.org, click on "Verify Certificate" link we make life hettrr 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. -- — — ©2021 Air -Conditioning, Heating, and Refrigeration Institute j CERTIFICATE NO.: In618472924475645 Michelle Franklin, CFA— Saint Lucie County PropertyAppraiser--All rights reserved. Property Identification Site Address: 1227 NET TLESBLVD Sec/Town/Range: 02/37S/41 E Parcel ID:4502-501-1414-000-3 Jurisdiction: Saint Lucie County Ownership :Michel Goulet Jocelyne Lampron Luc Lampron-Goulet 160 Low St St Catherine De Hatley QC, JOB Iwo C'ANADA Legal Description NETTLES ISLAND INC, A CONDO -SECTION lI PARCEL 1227 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 3624-2304) Current Values Just/Market Value: $179,300 Assessed Value: $179,300 Exemptions: s0 Taxable Value: $179,300 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 exemptions, assessment caps, and speeia] classifications. Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 12 Use Type: 0200 Account 4, 120999 Map ID: 45/03S Zoning Hutch Isla Total Areas Finished/Under Air (SF): 813 Gross Sketched Area (SF): 912 Land Size (acres): 0.05 Land Size (SF): 1..967 Building Design Wind Speed Occupancy Category I lI 111 & IV Speed 140 160 170 Sources. links: All information is believed to be correct at this time, but is subject to change and is provided without any warranty. 0 Cop yr'sght 2021 Saint Lucie County Property Appraiser. All rights reserved.