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All APPLICAB E IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �- Permit Number: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application Commercial Residential x PERMITTYPE:A/C CHANGE -OUT Address: _ L �'Id ' iCr�f_ Fl— 3cllgg Property Tax ID #: Site Plan Name: Project Name: - 6 76 OD "I'M . AddZei(c, l work to be performed under this permit— check all that apply: hanical _ Gas Tank — Gas Piping — Shutters — Electric — Plumbing — Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ r • 00 Name F-.A 'hifT01 � Addridg q k"r r-, City:w- State: Zip Code: -Iq +9 1 Fax: Phone No. 7G? - %.'Vy — 141! 7 E-Mail: _ Generator Sq. Ft. of First Floor: Lot No. Block No, — Windows/Doors Roof Pitch Utilities: —Sewer —Septic Building Height: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: JAMES F. GRIMES Company: GRIMES HEATING AND AIR CONDITIONING Address: 3054 N US HWY 1 City: FORT PIERCE State: FL Zip Code: 34946 Fax: 772461-8722 Phone No 772-461-8711 E-Mail ROBERTGRIMESAC@AOL.COM State or County License 4426 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNERIENGINEER: � 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: 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 Count 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 Horne 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, accessary structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTHCE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST I NSiPECT1ON. IP YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.!" S ature of Owner/ Lessee/Contractor as Agent for Owner Si ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ct COUNTYOF S T L Lc cc a _ The fnru Ing instru W nt e acknowledged before me +day The forgoing instrument was acknowledged before me 20 by this of! . 20 2( by this W day of _ . _ Name of person making statement. Name of person making statement. Personally Known__ OR Produced Identification Personally Known )!!� OR Produced identification Type of identification Type of Identification Produced Produced ignature of Notary Public- State of Florida) nature of Notary Public- State of Florida) Commission Na. N MONTENEG�0mmission „....,I.,,,, SEJdIaiN T E raR o No MYCOMISSIONYGG09903. w ' "•' MY COMMISION(3 0fl9099 EXPIRES: April 2,2021 :Xcvnitzry Iniy NW Undamil ir. '%:;' �F "' Bolo unit'] ryPu*UWOWAWC REVIEWS FRONT NS VEGE`f'ATI -1" COUNTER REVIEW REVIEW REVIEW! REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED neV.,4/ a/ ay Certificate of Product Ratings AHRI Certified Reference Number: 201629998 Date! 04-28-2021 Model Status: Active Old AHRI Reference Number: 7489182 AHRI Type : HRCU A -CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Outdoor Unit Brand Name: RUUD Outdoor Unit Model Number (Condenser or Single Package) : RP1448AJ1 Indoor Unit Model Number (Evaporator andlorAir Handier): RH1T4821STAN The manufacturer of this RUUD product is responsible for 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 (951=), btuh : 45500 SEER! 14.00 EER (A2) - Single or High Stage (9517) : 11.00 Heating Capacity (H12) - Single or High Stage (47F) : 45500 HSPF (Region IV) : 8.20 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. Ratin s that are accom anied by WAS indicate an involunta re -rate. The new Oublished ratina is sho�l= alono with th revious i.e. WAS atin . DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) 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 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, 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.ahridirectory.org, click on "Verify Certificate" link we make life 6etteG'" 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. I -'-"— --'- "—� - - ©2021 Air -Conditioning, Heating, and Refrigeration Institute I-- CERTIFICATE N�.: 132640834160636557 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 3255 Lakeshore DR Sec/Town/Range: 25/34S/40E Parcel ID: 1425-676-0003-000-6 Jurisdiction: Saint Lucie County Ownership Kathleen A Rice (Tit) 3255 Lakeshore DR Fort Pierce, FL 34949 Legal Description LAKESHORE AT SANDS (OR 1640-1177) UNIT 3 (Olt 2697-537; 3888- 2666) Current Values Just/Market Value: $255,400 Assessed Value: $216,676 Exemptions: $50,000 Taxable Value: $166,676 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 special ciassifications. Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 12 Use Type: 0400 Account #: 149986 Map ID: 14/25N Zoning: Total Areas Finished/Under Air (SF): Cross Sketched Area (SF): Land Size (acres): Land Size (SF): Building Design Wind Speed Occupancy Category I II III. & IV Speed 140 160 170 Sources/links: All information is believed to be correct at this tithe, but is subject to change and is provided without any warranty. © Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.