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HomeMy WebLinkAboutRath, Dale SLC Permit ApplicationAll APPLICABLE INFO MUSTf BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: - Z_ - 2 1 Permit Number: 0, s U EL; cIEi� Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial CBDG Funding Residential PERMIT APPLICATION FOR:-H VAC I ' �c c i ca PROPOSED IMPROVEMENT LOCATION: + '� Address: O Property Tax ID #: I Z-7 - 3 Lot No.� Site Plan Name: �Q4*� Block No. Project Name: DETAILED DESCRIPTION OF WORK: k New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION 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 — Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ 1 , 00-1, 4 ( Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: l Addre s: Company �r Cr)d► Ii:Yl1 VVI City: (,'( iry+ 1 tiCAL Stater Address:. Z N-4 rne.rrG>; , 12 P) I 1 1 Zip Code:. Fax: City: �'L� �" �1n+ WC 1 e State: F L Phone No.. 2 --I® - 5�) 1 E- Zip Code: L_ )A C121tO Fax:772 - 'I N' Ml Mail: �Le' , lo,Ohn Phone No '_J Z ' - IcJISL® Fill in fee simple Title Holder on next page (if different E-Mail QLC_1:;Pr-/ ire. from the Owner listed above) _ State or County License 1820CQ C • ..... ­• I .., w, a nF..%JnUr-U wvuFLe yr wmmencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGN ER/ENGINEER• IName: — Not Applicable Address: City: Zip: Phone State: FEE SIMPLE TITLE HOLDER: Name: _. Not Applicable Address: City: Zip: Phone: IMORTGAGE COMPANY: Name: ___ Not Applicable Address -- City - Zip: ______ Phone: State: BONDING COMPANY.. Name: ._._.Not Applicable Address: City. Zip: OWNER/ CONTRACTOR AFFIDVIT: Application is hereb �~ Phone: I certify that no work or installation has commenced prior to the issuance of a permit. y made to obtain a permit to do the work and installation as indicated. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may structure. Please consu t with your Homeowners Association and review your deed for any restrictions which ulthe subject structure In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects y perform restrict or prohibit such in accordance with the a may apply. approved plans, the Florida Building Codes and St. Lucie County Amendmentsp orm the work The following building permit applications are exempt from undergoing a full concurrency review: room accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential WARNING TO OWNER; your failure to Record a Notice of Commencement additions, improvements to your property. A Notice of Commencement must be r use may result d paying twice for Lucie County an ted o he jobsite before the first inspection. If you intend to obtain with lender an atto a recorded in the public records of St. fore commencing work or recordingour Notice of C°mmenclement. Consult Signature of Ow ntr for as Agent for Owner STATE OF F ORI COUNTY O ' Swor to (or affir tnd subscribed bef re me of this day of Zak by Physical Presence or Online Notarization Name of person making statement. Personally Known OR Produced Identification Type of I entification XProduced (Signature o NotaryPublic- State of Flo Commission No. Mm� (Seal) REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED ► OWY PueNc State of Fwnds Stephanie Spurlin `W My COMRIIfs= HH 057731 Expires 10/27/2024 !REVIEW PERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW Eligible for Federal Tax Credit Certificate of Product Ratinas AHRI Certified Reference Number: 9278448 Date: 10-26-2021 Model Status: Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: LEGACY LINE AC Outdoor Unit Brand Name: BRYANT HEATING AND COOLING SYSTEMS Outdoor Unit Model Number (Condenser or Single Package) : 116BNA048*0**B* Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DN(B,F)049L Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 BRYANT HEATING AND COOLING SYSTEMS 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 : 46500 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. Ratinas that are accomoanied by WAS indicate an involuntary re -rate The new Published rating is shown along with the Previous (i.e. WAS) 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 AND CONDITIONS This Certificate and itsscontents 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, personal and confidential reference. AIR-CONDMONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridlrectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better"' which is listed above, and the Certificate No., which is listed at bottom right. I - - -- - ©2021 Air -Conditioning, Heating, and Refrigeration Institute f CERTIFICATE NO.: 132797270913970216 Michelle Franklin, CFA Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 10208 Crosby PL Sec/Town/Range: 33 '36S/39E Parcel ID: 3327-709-0035-000-3 Jurisdiction: Saint Lucie County Ownership Dale E Rath '.Marjorie R Rath 10208 Crosby PI Port St Lucie, FL 34986 Legal Description POD 26 AT THE RESERVE PHASE II CYPRESS POINT LOT 80 (OR 3492- 454) Current Values Just/Market Value: $336,800 Assessed Value: $321,759 Exemptions: $50,000 Taxable Value: $271,759 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 12 Use Type: 0100 Account #: 142180 Map ID: 33/27N Zoning: Planned Un Total Areas Finished/Under Air (SF): 2,489 Gross Sketched Area (SF): 3,526 Land Size (acres): 0.23 Land Size (SF): 9,893.93 Building Design Wind Speed Occupancy Category I II 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. 'Q) Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.