HomeMy WebLinkAboutCHANGE OUT FORM - DESTEFANO.pdfAll APPLICABLE I � LJST BE COMPLETED FOR APPLICATION T BE ACCEPTED
Date: Permit Number:
" 0
K cm! r
U L C on k
Planning and Development Services
Building Permit Application
Buiiding and Code Regulation Division Commercial
23 00 Virginia Avenue, Fort Pierce FL .34 8
Phone. (7) 4 -1553 Fax- (77 ) 46-157
PERMIT APPLICATION FOR:
PROPOSED ED IMPROVEMENT LOCATION:
Address: 1 41
Property Tax ID #:
gib. vDf-+ S�--
�Sou _ 1Z — 000
Site Plan Name:
Project Narne: `V- r)
DETA1LED DESCRIPTION OF WORK:
Residential k
w1- — -AC .
tee, $L 3
��;+�on�ex `i� a- 2• S
)_P_OL�
New Electrical Meter Second Electrical Meter
I TR TI INFORMATION:
Additional work to be performed under this permit -check all that apply:
'Mechanical Gas Tanis _ as Piping , Shutters
Electric Plumbing Sprinklers
Total Sq. Ft of Construction -
Cost of Construction: 00
OWNER/LESSEE,
Name —
Address:
City:
I Carnyno
�4- �UC'L:
Zip Code: Fax.
C
N
Lot No.
Bloch No.
L S.e.2Y
Windows/Doors Pond
Generator Roof Pitch
q. Ft. of First Floor: _
Utilities; � Sewer _ Septic Building Height:
CONTRACTOR,.,
Marne: D ---
o M pang: .Qgr ti tDPkv r -
Address: tSH U411 - OUR,
State: .
City: �u- �. �;
i ode:
Phone fo.i
E-Mail:
Phone N.
.�'
1
Fill in fee simple Tale Holder n next pa if different E-Mail ; �o le Sea -� I � . Ccr'r. _
Co
from the weer listed above)
tote �rr�t�r License I.
l. - ._ -._ _ - - __ -. -
If value of construction is 7500 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.
S _�F L
tate7
SUPPLEMENTAL TEAL I TRUTI 1 LIEN LAIN INFORMATION:
DESIGN ER/ENGINEER:
Marne:
Not Applicable
Address:
City: State:
zip:.
Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
city:
Zip:
Phone:
MORTGAGE COMPANY: � Not Applicable
Name:
Address:
City: Mate:
Zip: Phone:
BONDING COMPANY:
Not Applicable
Name:
Address -
City:
Zip: _ phone: -
OWN NTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
t. 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 Horne 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 whici� may appl�r.
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 roams and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in pa 'rng twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of t.
Lucie County and p , ted on the jobsite before the fiat inspection. If t d t obtain financing, consult
with lead �rney before commencingword or recording ur No I of Commencement.
Signature of ner see/ ontractor a Agent for Owner Signature ofCLOVRI
orInHolder
..r
STATE OF FLORI STATE OFU TY F (G- r4 �, 1� UNTYOy t
Sworn to (or affirmed) and subscribed before me of
P +sical Preseace or Online Notarization
thss day of 1 2021 b
0'M_Sl�"1 -
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary
Commission No.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev.
i;
OF
FRONT
COUNTER
Noury Pubfic " of Florida
Jennifer r
Expire$ 4SIM2023
Sworn to (or affirmed) and subscribed before me of
P ysicai Prese or Online Notarization
thisAda of 201 by
�Tk (Y) CS �) I U'l-0/ 5
of person making statement.
Personally Known ��' OR Produced identification
Type of Identification
Produce --
(Signature of N-otary -
Commigsion No.
o�
(Votary Pudic State of Flonda
Jennifer l ui
My Comma 339071
Expi4rcs 050912023
ZONING SUPERVISOR I PLANS VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
=11^ikhm frw FpriFrrA Tax Credit
AHRI Certified Reference Number, 201281062
Date : 05-18-201 Ivloael ciarub _ r".11vu
Old AHRI Reference Number, 7941343
AHRI Type : RCU- - I3 (split ystern: Air -Cooled Condensing Unit. Coil with Blower)
Outdoor Unit Brand Name: RUUD
Outdoor Unit Mode Number (Condenser or Single package) ; RAI630AJ1
Indoor Unit Model Number (Evaporator ancVor Air Handier) , RMT36175TAN
�N
All (A, AL, AR, A, A, CO, C7, D, DE, FL, I': A, HI, ID, IL, AK , KY, LA, MA, MD. ME, MI, MIS, MO, MS,
MT, NG, ND. NE, NH, NJ, NM, NV, N1f, OH, OK. OR, PA, RI. SC, SD, TN, TX, UT, VA VT, WA, WV. WI, Wy' U-S
Region'.
Territories)
Rogim Note, Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions
L. nUl June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in reglon(s) for
which they meet the regional efficiency requirernent.
The manufacturer of this RUUD product is responsible for the rating of this system combination _
Rated as follows in accordance with the Iatest edilion of AHR1 21W240 with Addendum 1. Perforrnance Rating of Unitar Air -Conditioning
& Air -Source -Heat pump Equipment and subject to rating accuracy by AHRI-sponsored. independent, third party testing:
Cooling CepacitY W) - Single or High Stage (95F), btuh : 8600
SEER - 16.00
EER (A2) - Single or High Stage (9 F) : 13,00
#"A-ctive" Model Status are those that an AHRI Certification > rogra those that an s currently r AHRI Certification Prrog am Pamicipant ir, no longer producing BUT iss till
marketed but are not yet being produced."Production Stopped MOM us are
sal Iinq or. oft9ring for Sale._;-.J I L I %Aln Q i.,rljrcjtQ nn involuntary ra-r te. Then w fished ratln i ll along wi th r61+ S 1. .
DISCLAIMERa representations, waffantles or guarantees as AWRI does not endorse the prod ctls} fisted on this er#Ific to and rnakesfor darnages of any kiM arlsi g out of the use -oort.p-erforrn nrce of the pres no odu t(e oilfty r
the ptoduct(s) listed on this Certificate. AHRI expressly disclaims eu Iinglability
ur4�utttitxri�eti alter�tiert of data listed on this OertlflOat�, Cer#ified �#ir�gs ere r+2�lld Only fir models and cartfsgurations listed in the
directory et ww►rw,ehtldjfrFvtoryxrg; As King,
AND CONDITIONS usod for In�divldual, personal and
TERMS INS
,This ei-tificate and its contents are praprietary products of AliRl. Shls �ertlfi�ate shall only h�
confidential reference purposes. The contents of this CertificatefM oOrr,anneror hY any rrfea�s�ex except forpmd �the user $ individual,d ALR Ot+IDfIIOf�kLN{;V, LiFATthk[�,
entered into a corrtpu#er database; or oth�erwisi? utilized, Y g, REFf�IG1=RAT10N 1NS'T1TlF'�t.
personal and confidential reference.
CERTLFLCATE VERIFICATION we makeIiFe1*tte,-`
The information for Me rnod�l cited on this Certif-sea#e pan �e verified at wwv�+.ahrldirocto{�r.org, click on "Verl#y Oer#iflcata in
�tf: Or11�YitlCif the Celrtil`iC;�te was i55L1�'d,
and tinter the AN RI Cer#ifIed Reference Number and the d—
wnich is t15ted above, and tho Certificate No_. which Js listed at bottom right. [CERTIFICATE .: 13265B381534937390
0 1 Air-conditioning, Heating, and Refrigeration Institute
Michelle Franklin, C FA -- Saint Lucie County P roperty Appraiser --All rights reserved .
Property Identification
iteAddreNs: 1 1 1 C~AMINO DEL R1O
Sec/TowwRange, 27/36SF40E
Parcel ID. 3427-500-01 -000-4
Jurisdiet ion: Sairt Lucie Coon t y
ownership
Oregory DeRefaito
l i l Camino del Rio
Pot-t Saint Lucie, FL 34952
Legal Description
SPANISH LAKE'SR1'%TRFR0NT LEASEHOLD ESTATE (OR 2389-718)
THAT PART OF SEC" AS SHOWN IN OR 24 3-460 BEING, LOT l I 1
C:AMINO DEL RIO (0.12 AC I (OR 2786-2853)
Current Value
,lust M ark t aluc: $93.400
Assessed aluc: $K3,400
Exemptions, S75,000
Taxable Value: $8.400
Property takes are subject to change upon
change ofownership.
■ Past tuxes are nat a reliable projection of future
taxes.
1be sale of a property will prompt the remol�`aI of
all exemptions, assessment caps, and special
classifications.
Taxes for this parcel: SLC~ Tax CoIlector's Office 12
])nurnload TRIM for this parcel: Download PDF 8
Use Type, 0100
Account #: 170084
Map ID.
Zoning Planned Un
Tota I Areas
Finished/UnderAir (SFY 1,119
Cross Sketched Area SF): 1,905
Land Size (acres): 0.14
Land Size (SF): 6,008
Building Design Wind
Speed
0-ccu panty Category I H III &1 1%,
S peed 140 160 170
Sources -links:
All information is behoved to be corroct at this time. but is sub*t to change and is provided without any wwTanty.
Copyright 20211 Saint Lucie County Property Appraiscr. Ali rights reserved.