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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLIC$ABBL INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:y �) Permit Number: v'�o C�LL115 �`R� ° `r Building Permit Application Planning and Development Services p /� Building and Code Regulation Division Commercial Residential 1 / 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: `"( At2d ail Sk )CIO Property Tax ID #: Lot No. WC Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: I rnrte � 5 7�/I S -- _ f��p�- % �e�Qfn'� /-��Pr• New Electrical Meter Second Electrical Meter (Affidavit required) -71 CONSTRUCTION INFORMATION: Additional work to be performed under this permit - check all that apply: VMechanical _Gas Tank _ Gas Piping _ Shutters _ Windows/Doors — Pond Electric Plumbing — Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: _ Sq. Ft. of First Floor: Cost of Construction: $ 'J ��7 • 0 Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: Name t-7'C-t QQ =- ? r_- SL k -icx�r Address: 69 Ll I L AC 7 I nnCA9 wa� City: Pe t 4- sf- Lt.C_ioState: EL Zip Code:. 0 54 Fax: Phone No. g s- n614 -E- Mail Fill in fee simple Title Holder on next page (if different from the Owner listed above) NTRACTOR: Name: -L Company: Address: 57�5 NW a.¢-rc nh N • S* /07 City: a4 f S7Z- )4iL State: Zip Code: 3 Yem�e- Fax: Phone No -4?a- a90-9e5 E-Mail CIp 8,0 C a viZS-�6 Aj� AC • C—''M State or County License(" AC l g� % ?,,7�33 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 Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: _Not Applicable 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 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 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 concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Si ure of Contractor/License Holder re of Owner/ Agent/ Lessee STATE OF FLORIDA- STATE OF FLORIDA COUNTY OF `yf \-) WC1C', COUNTY OF Gr%t(_J_t CiV, The forgoing instrument was acknowledged before me '1— The forgoing instrument was cknowledged before me this day of 4�}C��r1 20 . � by this 1= day of 20_�a � by ��� :� ►S C�e�- be n J (Name of person acknowledging) (Name of person acknowledging ) ,1 (Signature of Not P bliicc- State of Florida) (Signature of Not bli - State of Florida ) Personally Known ✓ OR Produ Know OR Pr u� envide*FmAcstWofF Type of Identification Produced testate iiof entification oduced Urania Ganes � UraniaC'� My Coinnieskion 25 No.OSOgr ' Expires 05*6/2025 Vli) omtkIJJCommission a� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 712014 Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number : 8703699 Date : 08-30-2021 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 Handler) : TEM4AOC42S41+TDR 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, 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 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. Ratings that are accompanied by WAS indicate an involuntary re -rate The new published rating is shown along with the previous (i.e. WA rating. 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 ANDD 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; JUN 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 verified at www.ahridirectory.org, click on "Verify Certificate" link %ve 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. 132748247945316226 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 6421 Las Palmas WAY Sec/Town/Range: 15/36S/40E Parcel ID: 3415-504-0026-000-8 Jurisdiction: Saint Lucie County Ownership Etelberto Escobar Camilo Escobar 6245 Sw 192nd Ave Pembroke Pines, FL 33332 Legal Description LAS PALMAS (PB 46-2) LOT 22 (OR 2675-1785) Current Values Just/Market Value: $178,400 Assessed Value: $109,303 Exemptions: $0 Taxable Value: $109,303 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 Download TRIM for this parcel: Download PDF 12 Use Type: 0100 Account #: 160312 Map ID: 34/15N Zoning: RM-5 - Cou Total Areas Finished/Under Air (SF): 1,749 Gross Sketched Area (SF): 2,454 Land Size (acres): 0.21 Land Size (SF): 9,148 Building Design Wind Speed Occupancy Category 1 11 111 & IV Speed 140 160 170 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.