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HomeMy WebLinkAboutFILLED LAND AFFIDAVITAll APPLICABLE I FO MUST BE COMPLETED FOR -APPLICATION TO BE ACCEPTED Date: , i Permit Number: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce Ft 34982 Phone: (772) 462-1.553 Fax: (772) 462-1578 Commercial Residential X PERMIT TYPE: A/C CHANGE -OUT Address: d CvMC ! - " d( C Fi. Property Tax ID #: 3 0 3 ' 0 Z Q td ' Lot No. Site Plan Name: Block No. Project Name: Ad7echanical I work to be performed under this permit —check all that apply: Gas Tank __ Gas Piping Shutters Windows/Doors — Electric — Plumbing —Sprinklers Generator � Roof Pitch Total Sq, Ft of Construction: Cost of Construction: $ 67sv i CIO Sq. Ft. of First Floor: Utilities: ,_,,,,, Sewer —Septic Building Height: Name t)C! 1 @5 . ! f tVA Address:. 3 E_ Sky" roale- City:. EU (A— i CSC' State: �. Zlp Code Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name; JAMES F. GRIMES Company; GRIMES HEATING AND AIR CONDITIONING Address: 3064 N US HWY 1 City: FORT PIERCE State: FI- Zip Code: 34946 Fax: 772461-8722 Phone No 772-461-8711 E-Mail ROBERTGRIMESAC@AOL.COM State or County License 4426 If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required. If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required. b aq °�'ri�... • ' . vr�+'�+ ^' .'?'7'.Al:w G#"Y'�' ���rs � ' ya'r � IV ' t Y +r4,' v1r • Yt .. k,�' ,5;, � »vi, . • 5 di llw� jp "pr. e. r j;r ,;b Y rtf ,ap a ;er41: 1 (,nai- �.. n1 i� .q1 V �,q�It.�;�'is• :" j ft}' :'ray7'{f ,r.j3W�r,.. ,�E.jtLw �S lipI1 (iA' �ry ,_, } U"�,+r��i i`.jjyOt. �.h,9:n },a`iy4 4.ti: "'t sFs f�'nPf„ .��,. ,7"Yf�ri i�if�,.rtEl`r'."iil,.1 4l �+1'7�,,? �l i,r '4-�d�' fi,S f' n n4SI+1 .�"�,y �t,�h ri7,J 1� :��r ft�i�r�}���; ` i�W yt� t i ;r �,ilY,' ! dEIM. nt+' :` 6. err r8 4�a rao. F ..1...��U7.1.4 Sr?4�.i l'�'e.Ft,+W }n4.n�Yfil�nf :� � �N�.f�4e .�17 ahw i �1 N3.ra'AYl ,�'6dd a'�i ,it vi ,4u.>rt�:�rl4ki', .J 1i n-t.•r"�ue.,aJn4�Y�.'4��.vAsa�.,fr1 OWNER/ CONTRACTOR AFFIDIT: fippllcation Ns hereby made to obtain a permit to do the work and tnstauation as rnatcama. I certify that no work or Installation has commenced prior tar the issuance of a permit. S .Lucite Cuuntt� ma, a no repre e fi Finn that Is rant n a e rnit r111 aut iorize the ermit hoide to build tltta ubJect sir turn vaNch is in canilict Cii ernr plcae H�srrre twrrsssnck�an rue, Iyawsr as any ti t may re trite nr prot�ii�t such structurm. Fir?a5a consult w t t par ome Quarters ociation-and rev ew our qe y restrictions whlc�i may a ply, 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 Aullding Codes and St. lxucle County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structure , swimming pooNs, fences, wails, signs, screen rooms and accessory uses to another non-rosidential use OWf4LRiffJG TO OWNER; YOUR FAULURE TO RECORD A NoToG.E OF Cg)NMEmCiomoff MAY RESULT In YOUR PAYnNG TWICE FOR Ni} PROVEMMS TO YOUR IPROPE'W'9I'. ,lit "A`N CE ap c0mmC-NC9Wff MUST BE RECO D150 AMC P65r D ON THE J0933 $111176 BEFORE VIE RM WSPRCMIM. 1IF YOU OffEN D TO R8UrAIN IFINYAN000, COAISO.iI..T S ature of dwner/ I-essee/contractoras Agent for Owner STATE OF FLORIDA COON TY OF ._ .xx�. . 494: d 4W The fn Jng instru Ant arras acicnowlvdged b0bre me thls Xday of +Av ' 20.7f by .J a! VW S Name of person making statement, Personally Known„ pit Produced Identific�at9an 'lope of identifi' rm ion Produced.-- �...r.. commission No., �l „r ryAl 11ONTENFaRO . I411'id!ifihJ0n4 RCV1GW5 • I CFR0N f _-. NNNz M- W • NB�� S azure of Contractor/License icons©I Holder STATE OF FLORIDA COUN1N'> Y O The lid sing inatr ant wa�s acknowled�gd before rme this, �„dayof 3t ..i! by Name of parson snaking statement. Personally Known °, . , OR Produced Identificatlon Type of IdentIf ation ,f Notary Public- Saxe of Florida) u "vb"�r �lca. t " sU 1'trNEidRq MY t:QMMI�NIi(3N � pQ G6�R99 REVIEW REVJEW RR�Evl�rw (EQETATI Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number : 8703699 Date : 08-09-2021 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series : XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6042J1 Indoor Unit Model Number (Evaporator and/or Air Handier): TEM4AOC42S41+T❑R Region: All (AK, AL, AR, AZ, CA, CO, CT, ❑C, DE, FL, GA, HI, I❑, IL, IA, IN, KS, KY, LA, MA, M❑, 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 TRANE 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 : 41000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 t°Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being 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. R i s th t are aecom anied by WAS indicate an involuntary -rate. The new published rating is shown ako _M with the grevious i.e. WAS ratincl. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties 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 listed 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 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, AM personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahvidirectory.org, dick 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 listed at bottom right. 02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13272998.6873338.361 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 5302 E SEMINOLE DR Sec/Town/Range: 11134S/39E Parcel ID: 1301-603-0202-010-7 Jurisdiction: Saint Lucie County Ownership Rebel B Horton Kimberly Matie Wauters 5302 E Seminole R.D Fort Pierce, FL 34951 Legal Description LAKEWOOD PARK -UNIT 3- BLK 23 LOT26 (MAP 13/11S) Current Values Just/Market Value: $183,800 Assessed. Value: $ t45,846 Exemptions: $28,946 Taxable Value: $116,900 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 caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 112 Use Type: 0100 Account #: go Map Ili: 13111S Zoning: RS-4 Count Total Areas Finished/Under Air (SF): 1,864 Gross Sketched Area (SF): 3,301 Land Size (acres): 0.37 Land Size (SF): 15,924 Building Design Wind Speed Occupancy Category 1 11 III & IV Speed 140 150 160 Sources/links: All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2021 Saint Lucie County Property Appraiser. All. rights reserved.