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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION, PROPERTY IDENTIFICATION & CERTIFICATE OF PRODUCT RATINGSAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: lD I C Zl Permit Number: S�v L Ur CflL i Building Permit Application Planning and Development Services Building and Cade Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding X PERMIT APPLICATION FOR: MAC PROPOSED IMPROVEMENT LOCATION: Address: Cra}� Sb rL,1 3 - V lr- PropertyTax ID #:: 332-7 - Q-[�T�` a3L " cop — Yve Site Plan Name: plT Q1 r n2_(-- AAt 11�1�r-cs j Y 1 Project Name: C1 V ! tl _ I�'l C 1 1 U 1 'ti ca 4 Lot No.______ Block No. DETAILED DESCRIPTION OF WORK: �m (o Eiz. r l % Cool w to W K cotCr U �_E FO LA �--F_ New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: (Affidavit required) 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: II ����>> ��>> Sq. Ft. of First Floor: Cost of Construction: $ ]5, b 6V • 0 Utilities: _ Sewer _ Septic Building Height: OWNERAESSEE CONTRACTOR: Name enr) is erg Name: f-V10 1iY1d Address: 10 2 [ ros Company: Address: U City: Zip Code: hone No 772 m NjN MM Cf_ ee.MX6 � I '�5 State:.4 L Fax: 3Q_Q - 0740 City: PorF. L(Auc Stater Zip Code: ff Fax: Phone No. 570 2 `•I' 1 r 37U, E- Mail: r pn OY-} tyaol.0 Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail Ck i rA oaccz,Q . [cam State or County License. C`ali LA 3 it value oT consTrucxion is cbuu or more, a KLLVKDti7 Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE MOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: City: Zip: Phone: — Not Applicable State: BONDING COMPANY: Not Applicable Name: _ Address: City: _ Zip: Phone: UVVINE t/ C:UN I iRACTUR 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 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 attornev before enrinmanrinu,nrnrk nr nQrnrrlin6 im,ir Aln+i,-- „-Fr�.�,.,,..V .,. ... Signature of Owner/ Lessee contractor as Agent for Owner STATE OF FLORIDA COUNTY OF Sworn to (or affir ed) a d su scribed before me of - Physical Presence or Online Notarization this- dayof FrY1t_(f r,20211 by 1 ri i M0 Name of person making statement. Personally Known K OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida) I-J]r Commission No. L 1 "! Zeal) 'ahk� NO=Y Public State of Florlde Brianna V Lorenz �a MY Commission HH 0420e8 ah Expires0911412024 REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev 5/20/21 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 10212 Crosby PL Sec/Town/Range: 33/36S/39E Parcel ID: 3327-709-0030-000-0 Jurisdiction: Saint Lucie County Ownership Dennis J Rogers (TR) Jacqueline A Rogers (TR) 10212 Crosby PL Port St Lucie, FL 34986 Legal Description POD 26 AT THE RESERVE PHASE IT CYPRESS POINT LOT 81 (OR 1377- 1833:3043-2949) Current Values Just/Market Value: $334,400 Assessed Value: $276,773 Exemptions: $50,000 Taxable Value: S226,773 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 Collectovs Office 12 Download TRIM for this parcel: Download PDF 19 Use Type: 0100 Account 4: 142181 Map ID: 33/27N Zoning: Planned Un Total Areas Finished/Under Air (SF); 2,397 Gross Sketched Area (SF): 3,838 Land Size (acres): 0.25 Land Size (SF): 10,699.49 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. Eligible for Federal Tax Credit AHRI Certified Reference Number: 201294083 Date; 12-29-2021 Model Status: Active Old AHRI Reference Number: 7943535 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) : RA1648AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T4821STAN Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, Ml, 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 priorio 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 as 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 : 44500 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 accom anied b WAS indicate an invafunia re,rate. The new ub€Ished rati-o is shown aion with the grevious f.e. WAS ratin . 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.ahrldfrectory.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; �t`'�'°' 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-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE; The information far the model cited on this certificate can be verified at www.RhritHroctory.org, click on "Verify certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, we snake life betters• which is listed above, and the Certificate No., whlch Is listed at bottom right. ©2021 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATF Nn • '32852693692481456