HomeMy WebLinkAboutCHANGE OUT FORM - ConradAll APPLICABL INF1"cLl
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: O5j oPermit Number:
c7
is LL a C ° i% 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: 01]�.
PROPOSED IMPROVEMENT LOCATION:
Address: 'D03
Vie_' V- -- pier C-r-
S
k
Prope rtyTax ID#: 130 1`z —02y —Uco—a Lot No.
Site Plan Name:
Project Name: L.0Y7 c%'CA
I DETAILED DESCRIPTION OF WORK:
.P00A- oiC
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
_ Electric —Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Block No.
Shutters _ Windows/Doors Pond
Generator Roof Pitch
Sq, Ft. of First Floor:
Cost of Construction: $ r 2-c>L2 • 00 Utilities: _ Sewer _ Septic Building Height-
OWNER/LESSEE- CONTRACTOR:
Name -� f'1 to I {- L-d+rl -a
Address:
city: I State:
Zip Code: -� ��� Fax:
Phone No, `77� `-' OP I rl
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: (z k t I
Company:S Q.I&�I+t'o411Y1 ENV I C�
Address: S32 Ob-3 hert Cqn+', R. 0Gam- 11
City: ? C� � 5tate��..
Zip Code: aJ9 ${� F a x .-_I 72- Jaq - 37) 11
Phone No ` I Zr 711- i5 GD
E-Mail I frf n e- Sfi'CL.. C.ofr
State or County License flC I
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:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Phone
Zip: 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 commented 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 concurrenry review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-resident"sal 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 pq1ted on the jobsite before the first inspection. IfY0111vt d to obtain financing, con5ult
with lendgEfT7Uftriney before commencing work or recording ur Noticlof Commencement.
1 �
q
Signature of ner Seel ontractor as Agent for Owner Signature ofrctra�ffor/, cen Bolder
STATE OF l:LORI A STATE OFI
COUNTY OF ai4 S}. LLt4,, COUNTY OF r 5� 1�c VC.
.
Sworn to (or affirmed) and subscribed before me of 5w rn to (or affirmed) and subscribed before me of
Physical Prese a or Online Notarization X Physical Presence oqi Online Notarization
this i!c day of , 2021 by #his � day of r C 2021 by
13ic s'M4.s 1 � 1D S �M 4.S AJ1 C-00
Name of person making statement. Name of person making statement.
Personally Known � OR Produced Identification Personally Known Z- - OR Produced Identification
Type of Identification Type of Identification
Produced Produce
_ �I
(Signature of Notary
(Signature of Notary ix=ennq�f
f Florida ��� Notary Public State o7 Florida
Commission No. nnifer I �{
,Commission No. '4
Me Commi 33s3877
34877 Y
of Expires OS12812023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Cv. -
Certificate of Product Retinas
AHR! Cerlif led Reference Number : 204462464 Date: 05-06-2021 Model Status : Active
AHRI Type : PCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Outdoor Unit Brand Name: TGM
Outdoor Unit Model Number (Condenser or Single Package) : CTV14CN042A
Indoor Unit Model Number (Evaporator and/or Air Handler) : CTA14C042A
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,
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, Rl, 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 TGM 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 (95F), btuh : 42000
SEER : 14.00
EER (A2) - Single or High Stage (95F) : 11.70
j"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering far sale; OR new models that are baing
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.
Ratir.gg that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown alono with the previous 6.e. WAS1 rating.
DISCLAIMER
AHRI does not endorse the products) listed on this certificate and makes no representations, warrantles 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 CMiflcate. Certified ratings are valid only for models and configurations listed in the
directory at www.ahrldIrectory.org.
TERMS AND CONDITIONS
This CerIEFEcate and its contents are proprietary products of AHRI. This CertEffcate shall only be used to individual, personal and
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copled; disseminated;
NMI OnrI
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 cortfficate can be verified at www.ahridiroutory.org, click on "Verify Certificate" link
we make life bettet•"
and enter the AHRI Certifled 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.
(02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
132647847720398783
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser —All rights reserved.
Property Identification
Site Address: 7003 OCALAAVE
Seci'Town/Range: 0113 4 S13 9E
Parcel ID: l 3 01-612-02 80-000
Jurisdiclion: Saint Lucie County
Ownership
Jennifer Conrad
7003 Ocala AVE
Fort Pierce, FL 34951
Legal Description
LAKEWOOD PARK -UNIT 10- BLK 130 LOT 18 (MAP 13 01 S) (OR
2941-1 244: 4187-2484)
Current Values
Just/M arkct Value: $128,400
Assessed Value: $54,410
Exemptions: $29,410
Taxable Value: $25,000
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 remo►2l of
all exemptions, assessment caps, and special
classifications,
Taxes for this parcel: SLC Tax CoIIector's Office 12
Download TRIM for this parcel: Download PDF 19
Use Type: 0100
Account #: 3001
Map 1D: 131015
Zoning RS-4 Count
Total Areas
Finishe(Wnder Air (SF): 1,444
Gross Sketched Area (SF): 2,248
Land Size (acres): 0,27
Land Size (SF): 11,790
Building Design Wind
Speed
Occupancy Category I II III & I`'
Speed 140 150 160
So urces/links:
All information is believed to be correct at this time, but is subject to change and is provided without any warranty,
C� Copyright 2021 Saint .Lucie County Property Appraiser. All rights reserved.