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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: [ Z ! 2c)12 l Permit Number: 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 ?C PERMIT APPLICATION FOR: HVAC- Me.chank' �. �,t d Pn `� OI,,25E JWBOVEMENT LOCATIONo — E Address: '�r1 pine P � FC.. y q$ l Property Tax ID #: 2-v(j Q - Qo - 0- 5 Lot No. (� Site Plan Name: i�1eS eS Block No. Project Name: DETAILED DES01PTION OF WORK: Insia . ..... ... .. ... tern u 4 UCr U kE Pi New Electrical Meter Second Electrical Meter CONSTRUCTION IN'FO`RMATION: Ll �-E- Additional work to be performed under this permit- check all that apply: Mechanical — Gas Tank ^ Gas Piping Shutters W4 r (Affidavit required) U kE— Windows/Doors Pond Electric ` Plumbing Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction: ff rr Sq. Ft. of First Floor: Cost of Construction: $ �-t uU . Utilities: ^ Sewer _ Septic Building Height: OWNER/LESSEE: IVTRACTOR: Name l n i i k l Address: 9A I TV-1 YNCA Pin.es tr. City: State: FL Zip Code: a Fax: Phone No. 72 35� - E- Mail: r f'1 I M cc Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: C Company: rno NC Address: L 'mm erceULM City: - O t- S i!W Q C. State: E, Zip Code: %! Fax: Phone No 772 Q-7 E-Mai! (r e Wh 0 co m State or County License `�.. 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. DESIGN ER/ENGINEEIR: Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: City: -State: Zip: Phone: BONDING COMPANY: Not Applicable Name: _ Address: City: Zip: Phone: %A V V IIN I rim%,, i vR wrriudii 1 : 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County 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. Signature of Owner/ Less /Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF [, Sworn to (or affir�ll Rd) a d subscribed before me of X Physical Presence or Online Notarization this ,� day of 9e_ el l\1p Vr 20 21 by V-...1tu C`_'r_rk-nsirnn Name of persorrrhaking statement. Personally Known )C OR Produced Identification Type of Identification Produced (Signature of Notary Public - State of Flo Commission No.. laq zolsrlsan REVIEWS � FRONT COUNTER DATE RECEIVED DATE COMPLETED ZONING REVIEW M IVotdiy Peibl to FforideBrianna V LorenzMy Commission HH 042089 Expires09114/2024 S REVIIEWOR REVIEW [ VEV EWON I S REVEWLE MREVIEWVE Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 1207 NW Bentley CIR 13 See/Town/Range; 25/36Si39E Parcel ID: 3323-815-0038-000-8 Jurisdiction: Port Saint Lucie r Ownership / r� Agnes G Amone (EST) 1207 NW Bentley CIR Apt B Port St Lucie, FL 34996 Legal Description ST LUCIE WEST PLAT #48 THE LAKFSAT ST LUCIE WEST LOT 120 (OR 861-1765) Current Values Just/Market Value: $178,300 Assessed Value: $116,362 Exemptions: $50,000 Taxable Value: $66,362 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 Q Use Type: 0100 Account 4: 134437 Map 1D: 33/25N Zoning: Total Areas Finished/Under Air (SF): 1,525 Gross Sketched Area (SF): 2,289 Land Size (acres): 0.1 Land Size (SF): 4,435.45 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. © Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved, AHRI Certified Reference Number: 201281646 Date: 12-28-2021 Old AHRI Reference Number : 7941343 AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name. RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1630AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RHIT3617STAN Eligible for Federal Tax Credit Em Model Status: Active 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 RHEEM product is responsible for the rating of this system combination, Rated es follows in accordance with the latest edition of AHRI 210/240 - 2017 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 : 28600 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 t"Active" Model Status are those that an AHRI Certification Program Particlpant 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 Particlpant is no longer producing BUT is still selling or offering for safe. Ratln s fhat are accom anted b WAS indicate an Involunta re rate. The new ublished ratin Is shown alpnI with the revious i.e. WAS ralin . DISCLAIMER AHRI does not endorse the product(s) Ilsted on this Certificate and makes no representatlons, warranties or guarantees as to, and assumes no responsibility for, the praduct(s) Ilsted on this Certtfleate. AHRI expressly disclaims all liability for damages of any kind ar€sing 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, personal and confidential reference. CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING, The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on 'Verify Certificate,, link & REFRIGERATION INSTITUTE and enter the AHRI Certif€ec Reference Number and the date on which the certificate was issued, which Is listed above, and tl^e Certificate No., which is listed at bottom right. «'e make li€c ircticr 02021 Air -Conditioning, Heating, and Refrigeration Institute CERTII=IrATr Kin • 13285183897382737a