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HomeMy WebLinkAboutCHANGE OUT FORM - COFFEEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: n �-1 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2 300 Virginia Avenue, Fort Pierce FL 349E Phone: (772) 462-15 Fax: (772) 462-1578 j PERMIT APPLICATION FOR: CJn Residential .P1 PROPOSED IMPROVEMENT LOCATION: I Address: 1(05 Li'n �44 IS- 4V 6C , Property Tax ID# y-3i, s r s— 1--coo Lot No. Site Plan Dame: Project Name: Block No. 4 DETAILED DESCRIPTION OFWORK: Chafe o��- � etht,4-r- *i )-),, A f St-` i New Electrical Meter Second Electrical dieter, CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: &Mechanical Electric Gas Tank Plumbing Taal 5q. Ft of Construction: Cost of Construction: W E R/LESSEE: NaMe Address: -I City- � r WIN Gays Piping Sprinklers State: Shutters Generator q. Ft. of Fiat Floor: Windows Doors ,^ Pond Roof Pitch Utillties: iSewer — Septic Building Height: Zip Code: 3 5'A Fax: Phone No.?? k E-illlai� Fill in fee simple Title Molder on next page ( if different from the Owner listed above) CITRACTR- Name: tz - �' Company: Q-Q-&r 4 1 1 J k c Address- t�30 -n+ CLQA- III City: VOC4 State L Zip Code: Fax.-In-MLi -- Phone o "7— Y"'I I J 14S LID E-Mail rJu o 6zeV Imo.. Co or State or County License CAS I �9 1�&3, 9 - — if naive of constructian is 2500 or more, a RECORDED Notice of Commencement Is required. If value of HA►VC is $7,,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL I TR U TION LIEN LAIN INFORMATION: DESIGNER/ENGINEER: ,Not Applicable Name:_ Add ress: City: Zip: Phone State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: _. _ State: Zip: Phone: BONDING MP A Y: Not Applicable Name: Address: City: Zip: Phone: NER 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. t. LucieCounty makes no representation that is granting a permit will authorize the pemit holder to build the subject structure which is in conflict with any applicable Horne Owners Association rules, bylaws or an covenant that may restrict or prohibit such structure. Please consult with your Home Owners AkssDciation 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 t. 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 WAR NIN TO OWN ER: Your failure to Record a Notice of Commencement may re SU[t 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 ,tad on the jobsite before the first inspection, ff t d to obtain financing, consult with lead t rr a before commencin rorl or recordingur No i of Commencement. Signature of Q ner see/ antractor as Agent far Owner STATE OF EL RI ACOUNTY OF- 0r4 LuUk' Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization tFs_"'�L day of , 021 by ko I-S Name of person making statement. Personally Known �_ OR Produced Identification Type of Identification Produced Signature of Cfitraor cen Molder STATE OF L R I � - s COUNTY F -'k � f ., .�LK_ Sworn to (or affirmed) and subscribed before me of Physical Presen a or Online Notarization this day of 2021 by �TC_4_m CS &) 101. Name of person making statement. Personally Known ��. OR Produced Identification Type of Identification Produced (Signature of Notary RU {.5ignature of Notary Notary Pvbk State of Flofida � � Notary Fubi� State of Florida Commission siar� o. Jenniter r Jennifer � iwAy omMrG 339871 COfYlr1i1551 n No. My ommi 339�T1 Expires 0512512023 � � Expires 05 $12023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED e, Eligible for Federal Tax Credit Certificate of Product Ratainas AHRI Certified Reference Number : 201785 74 Date'. 05-07-2021 AHRI Type. RCU-A-CB (Split System: Air -Cooled ondensing Unit, Coll with Blower) Series : GSX16 Outdoor Unit Brand Name . GOOOMAN Outdoor Unit Model Number (Condenser or Single Package) ' GSX16S421Aft Indoor Unit Model Number (Evaporator andlor Air Handler) - APT49D14A* Model Status: Active Region: Southeast and North (AL. AR, DC, DE, FL, GA, H1, KY. LA, MD, M S. N G. OK. SC, TN, TX, VA, AFC, CO, CT. ID, IL, IA, IN, I{ S, MA. ME, M1. M N, M0, MT, ND, NE, NH, NJ, NY, OR OFF, PA, FBI, 8 D. UT, VT, WA. WV. Wl, 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. 016_ Beginning ,July 1, 2016 central air conditioners can only be installed in region(s) for which they rneet the regional efficiency requirement. The rn a n ufactu rer of this GO0DMAN product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHR12101240 with Addendum 1 r 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) - S inglie or High Stage (95F), btu : 41000 SEER ; 16,00 EER (A2) - Single or High Stage (9SF) : 13,00 t"Active" Mwel Status are those that an AHRI GerliTication Progr'em Paricipant is currently producing AND selling or offering for sale: OR new models that are being marketed but are not yet being prod uced.`Prvduction Stopped- Model Status are those that an AHRI Derlirication Program Participant i5 no kD�nger producing BUT is still selling or offering for sale_ Ratinos that are acoamoanPed bar WAS indicate an involuntary re- rate- The new published rating is shown Mona WO the Drevious i'k_e_ WAS rating. DISCLAIMER AHRI does inot endorse the products) listed vn this Certificate and makes -no representations. warranties or guarantees as to. and assumes no respo nsi Wl ity 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 onauthorized alteration of data Ilsted on this CertIfIcate- Certified ratings are valid only for models and con}fgufation% Ilsted In the directory at www.ahridireotoxy.org. TERMS AND CONDITiONS At 1JF This Certificate and its contents are prior etary products of AHRI. This Cortifrcato shall only be used for Individual, personal and co-nfidential reference purposes. The contents of this Certificate may -not. in whole or In part. be reproduced: copied; disseminated; psoOn ILI entered into a computer database, or otherwise utilized, in any form or manner or by any means, except for the user's InaMdual. Personal anti confidential reference. 1wIR 0#�IDITICI IN{�, HEATING. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.athrFd Irectory.org. click on 'Verify Certificate" link anO eater the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is Ilsted at bottom right. F 0 1 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE TE NO.: & REFRIGERATION INSTITUTE we nia6life tK#ter- 1326075 89503ZM Michelle Franklin, FA-- Saint Lucie County PropertyApprai r --All rights reserved. Site Address. 765 LINDO LN SecTown/Ran gv: 2 2 /3 6 SA 0 E Parcel IDS 41 -� 15-0167-000-4 Jurisdiction: Saint Lucie County Ownership Alec Coffee 765 Lindo LN Port St Lucie, FL 34952 Legal Description RIVER PARK -UNIT 3- BLK 26 LOT 10(MAP 34'22S) Current Value's Just '.Markct Value: $125,700 Assessed Value; $53,290 Exemptions: $28.290 Taxable Value: $25.000 Property Identification Usc Type: 0100 Account 4, 42235 Map III: 4/22S Zoning RS-4 Count tom:...►' - ., . - , � • - � `� _ � �' _ _ . Property taxes are subject to change upon Total Areas c h a n a of ownership. Finished/Under Air (SF) 1,199 ■ Past taxes are not a reliable projection of future Gross Sketched Area (SF): 1,981 [axe S. Land Stye (wren): 0.19 • The sale of a property will prompt the removal of all exemptions, assessment C�IpS, and spkcial Land Size (SF"): S,?56 elassiflcatiotts. Building Design Wind Ta= for this parcel•. SLC Tax Collector's 0Mee 19 DoVrnload TRIM for this parcel. Download PDF 12 Speed occupancy C."ategoty 1 II III& IV Speed 140 160 170 Sourcer, 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 Coutily Property Appraiser.All rights reserved.