HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2� Permit Number:
ir
a n 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)452-1S79
PERMIT APPLICATION FOR: /
PROPOSED IMPROVEMENT LOCATION:
�-r. �7 r,, t 1 f
Address. L_0'_" ( S t t�_TR_ - W ( r t}
Property Tax ID#: `-t 3 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK: eKOO-+
LO Se
New Electrical Meter Second Electrical Meter
CONSTRUCTIOIV INFORMATION:
Additional work to be performed under this permit-check all that apply:
Mechanical Gas Tank Gas Piping Shutters Windows/Doors �Pond
—Electric —Plumbing —Sprinklers —Generator w—Roof Pitch
Total Sq. Ft of Construction: t� JJ� 1 Sq. Ft. of First Floor:
Cost of Construction: $C�''1' j Utilities. _Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Nam Name: �• 1J t Cfn�l
Addres s Company:S?U& Alf�nd�ttoillyyYl�i e UI
City; S+-LVCA State: , Address: 53Z 0h) HkT(2 n+;R.
Zip Code:L�Q 5 Z Fax: City: i?D(A r C}2 StateV- L
Phone No I _ zip Code: :�Jq t(c' Fax.1-12-` q-3511
E-Mali: CUM Phone No - _ - -
Fill in fee simple Title Holder on next page t if different E-Mail l fqy L 5i' GeLy0.C� �I - fin'
from the Owner listed above) State or County License_
If value of construction is 25O0 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 LAIN INFORMATION:
DESIGNER/ENGINEER: Not Appiicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address. Address:
City: State: City: State: i
Zip: Pqojie Zip: N Phdne:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: k VA X Address:
City. City:
Zip: - - - - -- Zip: hone:
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 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 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,
accessory structures,s0mming pools,fences,walls,signs,screen rooms and accessory uses to another nonresidential use
WARNING TO OWNER.Your failure to Record a Notice of Commencement may result' dying twice for
improvements to your property.A Notice of Commencement must be record d n the public records of St.
Lucie County a to the jobsite before the first inspectio ou inte d t obtain financing,consult
with lende ran Ott a efore commencin work cir recur ' ou oti of cimmencement.
Signature of fawn Lesse ntrat or as Agent for Owner Signature of Co ract icense H Ider
STATE OF FLORI STATE OF FL A
COUNTY OF COUNTY OF +
Swo to(or affirmed)and subscribed before me of Swor to(or affirmed)and subscribed before me of
P sical Pres n or---- 8n{!ne Notarization P ical Pre rt a ex------ nUne Notarization
this day of 202 by this day of ZO20 by
,. --Loa= 2). tJ;chl%� fir.
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known X" OR Produced Identification
Type of Identification Type of identification
Produced Produced
LLLATE
of FrotarY Pu4ti StatC of Plpridd) (5ignat of NO ry PUbIi r
Ho1vy Puhlit$tM�G!FlQfd3
n No. ��n�dFl�idr Commission No. �i'�
A�CA Si 1� El641
MY CQMM"M GO MOO
0 E
FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
ED 576/20
Eligible for Federal Tax Credit
CERTIFIEr
i
t
ertif icate of Product Ratings
AHRI Certified Reference Number:201278724 Date:07-28-2021 Model Status:Active
Old AHPI Reference Number:7940889
AHRI Type:RCU-A-CS(Split System:Air-Cooled Condensing Unit,Coll with Blower)
Outdoor Unit Brand Name:RUUD
Outdoor Unit Model Number (Condenser or Single Package):RA1624AJI
Indoor Unit Model Number(Evaporator and/or Air Handler):RF1T2421 MTAN
Region: All(AK,Al-,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,ID,IL,IA,IN,KS,KY,LA.MA,MD,ME,MI,MN,MO,MS,
MT,NC,ND,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,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 30,2016,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 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 Beat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing:
Cooling Capacity(A2)-Single or High Stage(9517),btuh 22800
SEER: 16.00
EER(A2)-Single or High Stage(95F) : 13,00
#"Active"Mode!Status are those that an AHRI Certification Program Participant is currently producing ANC selling or offering for sale;0R new models that are tieing
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.
Ratings that are a=mnanied by WAS indicate an invotuntary m-rate The new oublished ratino is shown a[ano with the greviDus fi.e,WAS]ratino.
DISCLAIMER
AHRI does not endorse the products)listed on this Certificate and maKes no representations,warranties orguarantees as to,and assumes no respansibility 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 01 the productts),or the
unauthorized alteration of data listed on this Certificate.Certifled ratings are valid only for models and configurations listed in the
directory at wrrw.ahrldirectory.org. AL ���
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and Ito �'
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, AIR-CONDITIONING,HEATING.
personal and confidential reference.
&REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate Can be verifled at www.ah rid irectory.o1g,click on"Verify Certificate"link we make IIti 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 listed at bottom right. 13271989D444532847
C�72021 air-Conditioning,Pleating,and Refrigeration Institute � CERTIFICATE NO.:
Michelle Franklin, CFA-- Saint Lucie County PropertyAppraiser--All rights reserved.
Property Identification
Site Address:6 LAKE VISTA TRI_201 Use Type:0400
SeclTown/Range:22136S/40E Account#: l 10167
Parcel II).3422-500-0079-000-7 Map ID.34/22N
Jurisdiction:Saint Lucie County "Zoning:
ownership Total Areas
Gerald E Lehecka
Patricia A Lehecka FinishedlU nder Air(SF):
6 Lake Vista TRL Apt 20I Gross Sketched Area(SF):
Port Saint Lucie,FL 34952
Land Size(acres):
Legal Description Land Size(SF):
V15TA 5T [.iICIE Bi.i)G 6 I1NIT 201 {DR 3619-264}
Building Design Wind
Current Values Speed
Iust/Market Value: $73,200
Assessed Value: 369,257
Exemptions: 544,257 Occupancy Category 1 II lI]&IV
Taxable Value: $25,000 Speed 140 160 170
Sourceg'lin ks:
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 taps,and special
classifications.
Taxes for this parcel: SLC Tax CoI[cc tor's Office
Download TRIM for this parcel:Download PDF 12
All information is believed to be correct at this time,but is subject to change and is provided without any warranty.
0 Copyright 2021 Saint Lucie County Property Appraiser.A11 rights reserved.