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HomeMy WebLinkAboutCHANGE OUT FORM - TC Homeless 5302All APPLICABLE IN�O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ❑v130 OL1 Permit Number: TM U-i 11 C D r R O Planning and Development Services Building Permit Application Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1S78 PERMIT APPLICATION FOR: DL PROPOSED IMPROVEMENT LOCATION: _ Address:1s30a V c '-'F C-41 rl, 3KR5 i Property Tax ID #: Site Plan Name: —(1 S --a 1 OKI - 000 — S Project Name:1— +10 r A,? Lot No. Block No. I DETAILED DESCRIPTION OF WORK: I r i n 4cw- -e, it e,-ri C. � tA,+ 6*r New Electrical Meter Second Electrical Meter. CONSTRUCTION INFORMATION; MEAVOM, Additional work to be performed under this permit— check all that apply: &Mechanical _ Gas Wank —Gas Piping T Shutters Windows/Doors Pond Electric — Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ J �. Generator Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: I OWNER/LESSEE: I CONTRACTOR: f Name Address: DSO �` •dJ'Cif- '-tl� City: VUD 'f)�JatJ, State: & Zip Code: 3'D°!bo Fax: Phone No. ?'%a — 5(a7 — 7112 dot-: 1o1s E-Mail: Fill in fee simple Title Holder on next page ( If different from the Owner listed above) Narne:_�:Y i is U l 'Lko I S — Company:� Q.Q& C-0_ Address:532- 01J UCME- 11 City: i? rl '�A- IvQk, State*VL Zip Code: 349 t(c, Fax.I?2--13Y - 35l I Phone No `�2— Vl I E-Mail i f4y E attxjcljct,Cszey IG-[.. Cor'v l State or County License CflC l % 20 SZ q If value of construction is 2SOO 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. I SUPPLEMENTAL CONSTRUCTION LIEN LAW iNFORMATION: DESIGNER/ENGINEER: _ Not Applicable i MORTGAGE COMPANY: Not Applicable Name:_ Address: City: Zip: Phone State FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: Name; Address: City: Zip: Phone: State BONDING COMPANY: _Not Applicable Name: Address: City: Zip: Phone - 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 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 peolted on the jobsite before the first inspection. If to�i+d to obtain financing, consult with lendeparzn.attbrnev before commencing work or recording ur No ic-Aof Commencement. Signature of 0 ner see/ ontractor as Agent for Owner Signature of C ra or/ en Holder STATE OF FLORI A I GlQ STATE OF FLORI C K COUNTY OF pC-l`�. W COUNTY O Sworn to for affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Y Physical Presence or Online Notarization X Physical Pres ce or Online Notarization — -Qr this � day of ik4r i , 2021 by J this day of ► � 2021 by ,-3 Ck,M ILS I�J� Cana i s Q-m 4s �� ell o / Name of person making statement. Name of person making statement. Personally Known 4� OR Produced Identification Personally Known _ OR Produced Identification Type of Identification Type of identification Produced Produceo. f )Signature of Notary PB (Signature of Notary i - ,�.� NcUry Pubtic State os Floipi Notary Publ� State a#Florida Commission No. Jennifer at y Can G 334a74 Commission No. Jennifer I ui luny Commi 339874 IV Expires l]5129 023 p' Expires 05/29/2023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW LATE RECEIVED DATE COMPLETED Rev. 5/6/20 Michelle Franklin, CFA— Saint Lucie County P roperty Apprai ser --All rights reserved. Property Identification Site Address: 5300 SANIBEL AVE Secrrown/Range: 12345139 E Parcel ID: 1301-615-0107-000-5 Jurisdiction: Saint Lucie County Ownership Treasure Coast Homeless Services Council Inc 2525 Saint LucieAVF Vero Beach. FL 32960 Legal description LAKEWOODPARK-UNIT 12-A-BLK 172-A LOT 1 (MAP 13112S) (OR 3644-1745) Current Values JusiNarket Value: Assessed Value: Exemptions: Taxable Value: S209,200 $111,607 $1 l 1,607 $0 property taxes are subject to change upon change of ownership. • Past taxes are not a reItable projection of future taxes. • The sale of a property will prompt the remova I of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF 12 Use Type: 0800 Account #: 3751 Map ID: 13112S Zoning: RM-5 - Cou Total Areas Finished/UnderAir (SF): 2,380 Gross Sketched Area (SF): 2,788 Land Size (acres): 0.3 Land Size (SF): 13,200 Building Design Wind Speed Occupancy Category I Ill III & IV Speed 140 150 160 SaurcesAinks: All information is believed to be correct at this tinge, but is subject to change and is provided without any warranty. CC? Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. Certificate of Product Ratings AHRI Certified Reference Number. 201298732 Date: 04-30-2021 Model Status : Production Stopped Old AHRI Reference Number: 7984193 AHRI Type : RCU-A-CB {Split System: Air -Cooled Condensing Unit, Coil with Blower} Series: GSX14 Outdoor Unit Brand Name. GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140301K* Indoor Unit Model Number (Evaporator and/or Air Handler) : ARUF31 B14A` Region : Southeast and North (AL, AR, DC, DI-, FL, GA, HI, KY, LA, MD, MS, INC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, 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 all regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in regions) for which they meet the regional efficiency requirement. The manufacturer of this GOO DMAN product is responsib€e far the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 2101240 with Addendum 1, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third pally testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 28200 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; 0R new models that are being marketed but are not yet being prod uced. " Prod uction Stopped" Model Slatus are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. _ Ratin that are acco anted bX W S indicate a vol nta re-r new nub I ished ratin is show Eon with th s 0 .e. WAS) ratLmL DISCLAIMER AHRI does not endorse the products) Iisted on this Certificate and makes no representations, warrarnies 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 Iisted 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 whale or in part, be reproduced; copied; disseminated; A. On 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. AIREFRIG RATI N HEAV & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.aIt rid lrocWry.org, click on '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 Iisted at bottom right. 132642698257049214 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: