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HomeMy WebLinkAboutPermit app.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: L Leo WC ML An O� Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION. Address: 5805 KILLARNEY AVE Property Tax ID #: 1301-61100M0004 Lot No. Site Plan Name: Block No. Project Name: SIMMONS DETAILED DESCRIPTION OF WORK. AC CHANGE OUT GV�N \�G9 )cfvl� - zfo New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION. Additional work to be performed under this permit — check all that apply: XMechanical _ 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: $ ` 3 l'1 � 0 0 Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ITALIA SIMMONS Name: Paul Cloutier Address: 5805 KILLARNEY AVE Company: FPL Home Services City: FT PIERCE State: FL Address: 6001 Village Blvd city: west palm beach state: FL Zip Code: 34951 Fax: F Phone No. & Zip Code: 33406 Fax: Mail: Phone No Fill in fee simple Title Holder on next page (if different &Mail stephanie.kussrath(aDfpl.com from the Owner listed above) State or County License CAC1820030 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 Name: Address. Applicable MORTGAGE COMPANY. _ Not Applicable Name: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Name: Applicable 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 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. Inconsideration 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 commencing work or recording vour Notice of Commencement. Signature of Contractor - or -Owner Builder as applicable STATE OF FLObZ1Dwd � COUNY OF T''�Q"" Sworn (or affirm d an I subscribed befor rn of X Physical Presence or Online Notarization th' ay of 20 by �ik'A 1 , , o'k �V Name of person making statement. Personally Known OR Produced Identification Type of Ide ' isa ' oduced 1$4 nature of Notary Public- State of Flo i Commission No. REVIEWS DATE RECEIVED DATE COMPLETED (Seal) FRONT ZONING COUNTER REVIEW REVIEW , Im �.PLANS SEA TURTLE I MANGROVE REVIEW REVIEW Michelle Franklin, CFA w- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 5805 KILLARNEYAVE Sec/Town/Range: 12/34S/39E Parcel ID:1301-613-0072-000A Jurisdiction: Saint Lucie County Ownership Italia N Simmons 5805 Killarney AVE Fort Pierce, FL 34951 Legal Description LAKEWOOD PARK-iJNIT 11- BLK 139 N 1/2 OF LOT 24 AND ALL OF LOT 25 (MAP 13/12N) Current Values Just/Market Value: $1663700 Assessed Value: $166,700 Exemptions: $50,000 Taxable Value: $116,700 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 Ofiice Download TRIM for this parcel: Download PDF p Use Type: 0100 Account M 3183 Map ID: 13/12N Zoning: RS-4 Count Total Areas Finished/LTnder Air (SF): 1,208 Gross Sketched Area (SF): 2,068 Land Size (acres): 0.36 Land Size (SF): 15,616 Building Design Wind Speed Occupancy Category I ' II ,III & IV Speed 140 ( 150160 Sources/links: All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2022 Saint Lucie County Property Appraiser. All rights reserved. ❑ Add Naw Return Duct �. Refrigerant lane PTION eA/p MANUFACTURER �.:,_., �yM 70NNAOE:: — SEEA �n � r CSUTDOOR UNIT �_ tG�^ N - �' +,�' 0 � NEATIKMrj --�— ur -y �'.�.0 � � p INITIALiNYESTMEN7 Z, — � v .,� 7 FPLES REBATE �., „ �� O � '^ d YOU PAV TODAY �� — � ���„: i 0::.. � �+_- N ` *' � +� � � OTHER REBATES �' — i Pan Now U Filters Standard _-_ / _— '` 5{xe Quantity __ ❑New Duct Work Connaci to Existing Gans & Gr{Iles Drain Line ❑ Air Flllration System �p ❑ Removo Old A/H Stand ❑ Install Pan 8 Stand to Code ' ❑New Drain Line PTION B OPTION C ❑ Naw A1H Plenum Ralurn Supply �,, Permit Included ❑ New Programmable T Stet [�--New Digital Thermosiat ❑ New Humitllstat ❑ New STD Thermostat Drop Cloths Used `Make it 'Today No moneydown 3 � ✓ O E fINALINVESTMENT ` (�� AFTER REBATES � � 'a � ' 7Fie Stress -Free A!C prosdram is offered and provided by FPL Home under a separate written agreement. �, � =o y BrpRRAN7`Y EARS) PARTS YEARS) PARTS ��_ YEAR(S) PARTS _ `�'o ro � �`,,,—r Systemsbn Home��'^� Y�R LABOR YEAR LABOR YEAR LABOR _ tZ _O ,G � l/ YEAR COMPRESSOR YEAR COMPRESSOR YEAR COMPRESSOR � � �_ N Number of YEAR INDOOR COIL YEAR INDOOR COIL YEAR INDOOR COIL � N X v Systems Being ( � ro � ro Replaced 1 t (YEAR OUTDOOR COIL YEAR OUTDOOR COIL YEAR OUTDOOR COIL YEARS) PARTS ,YEAR LABOR _YEAR COMPRESSOR _YEAR INDOOR COIL _YEAR OUTDOOR COIL � a __ .G � j, ., �`_� NO LEMON NO LEMON NO LEMON NO LEMON ' G 0 O OUTDOO�RJUNIT BEING REPLACED INDOOR UNIT BEING REPLACED d1 v L MODEL N _ (����� - �� o a � � 1,�ODEL it v1 � � � SERIAL N �� � �j SERIAL ft �__ 7 ll �-`�` T �� LOCATION __ ___ LOCATION �' � � (-]CASH []CHECK []FINANCING [� CREDIT CARD INFORMATION (che ne) � f -- --- _ �(sa I _Master Card Q AcctN Exp. date: mo. _ r„ .r FF'L HOME DATE OFACCEPTANCE lh1STAL. GATE Discover 7ty Code �—L 1_! _:: �'` American Express "� ACCEPTANCE OFPROPOSAL -THE ABOVE PRICE AND CONDITION ARE SATISFACTORY AND ARE YOU ARE AUTHORIZED TO DO THE WQRK AS 5 WILL BE MADE AS OUTLINED ABOVE.. BY SIGNit I ALSO AGREE TO BE BOUND BY THE DOVE CONDITIONS PRIIJTGfI nfl -ruc onnv r.r -,-� .�....