HomeMy WebLinkAboutSUBMITTED PAPERSDue:
1�
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave. .
Fort Pierce, FL 34982
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing JM HVAC ❑ Fence SCq�
❑ Shed ❑ Demolition ❑ Gas ❑ Siding Sz
Seepage 2 for instructions and additional paperwork required for specialty permits 4C/O 0O[/rj
J. o ty
1. Location/Site Address: JZZ {��t� a,r► nz Fe [rar pt�•
2. Parcel ID Number: Kti Z-Lf -'�'0Q -00 Z z -00 o - __7
Office Use
. .Only
Section
Township
Range
Map Page
Zoning
Land Use
In' d
lC��zes•, ,-1 1 V^ i3 Scar !G k1,J 4e,1•ca4t t^�: -�
. fLs/IdM �4o���k
4. Owners Information A 5. Contractors Information
Name: D� bo ro, ko I'n^ d FL Reg/Cert 9: C-,4 at, 9 Z S 3
Address: e<� , 4,� County Cert#:
City: Por� c��L State: Ff- Business Name: A-t-4, (
Zip: 3L(9'SZ- Phone: 3yi9- b��G "Phone �l Lt d- �f9% Fax: S�� -�i3u-a0llr
6. Value of Construction: S
OWNER'S AFFIDAv1T:..rI certify tha
compliance
ion contained.in this application is correct and that all. work will be done,in
laws re construction and zoning:
M-Mis
r-- V ...
PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF / P V•
ACKNOWLEDGED BEFORE ME THIS ' `'1 DAY OF �� �• , 20 (3 ' . BY A V ^tS
WHO IS PERSONALLY WN TO NE OR WHO HAS PRODUCED
AS IDIEIC O �o��a::;'&� . JENNIFER FRANK
* * MY COMMISSION # DD 949997
-- EX"
NAME OF NOTARY - --- ---------- -- ---� ---- (seal-- ------
OF NOTARY �f"oFI��•�e Bonded ru udg e
COMMISSION NUMBER
NOTICE TO OWNER FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WPTH CONTRACT UNDER $7500.00
Revised 04/26/2010
NOTICE TO OWNER FAILURE 1-., -' ECORD• A NOTICE OF COMMENCEMENT K �'-7tESULT IN YOUR. PAYING TWICE FOR
IMPROVED', -_-,4['S TO- YOUR PROPERTY. IF YOU INTEND', OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000.
INSTRUCTIONS
Please complete all information in the space provided. All information must be printed (use black or blue ink
only) or typed. This permit application is to be used only for those activities that are not otherwise included
linder- a pr-imary building pemit- This . application may not be used for any actiAty that inrAndes �tnictural
rx-
alteration. The information to be provided with this application includes:
1. Location/Site Address
2. Parcel ID Number
3. Description of Project or Work Activity
4. Owner Information
5. Contractor Information
Indicate the street address or general location of
property where the building activity is taking place.
l
Indicate the tax identification number of the
property where the building activity is taking place.
Fully describe the activity to take place.
Indicate the name and address of the owner of the
property on which activity is taking place.
Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license
number and•the name of the business doing the
work.
6. Value of Construction Indicate the total value of the work to take place.
Total cost of construction includes all current retail
material=and-labor-costs-associated-with-the --
building/construction activity. Construction value is
used to determine the permit fee. St. Lucie County
reserves the right to question and/or modify the
indicated value of construction if it is demonstrated
that the submitted figures are not consistent with
similar types of construction.
❑ Gas Attach 2 piping schematics with tank size, location, and BTU of each appliance
❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications ;
❑ Fence Attach 2 plot plans showing location'of fence height of and type of fence
❑ Siding Attach 2 copies of manufactures specifications
❑ HVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for
new system or full replacement .
This application can be submitted to St. Lucie County Building and.Zoning,-2300 Virginia Avenue,rFort Pierce,
FL 34982. All permit applications must be filled out completely before submission. No applications. will be
accepted for processing after 4:30 P.M. For assistance ,in completing this application, please call (772)
3 dining re ar office hours (8:0O.:A---S;DO P1VI),.1Vlondaq ti�rough:-Friday:
NOTE: Emergency electric service change out inspections will not he performed after 3:00 PMawithout.- w ,s
special•arrangements4and additional; fee, paid.
Upon issuance of this permit, required inspections can be, scheduled by,calling (772) 462-1261.
Property Appraiser - St.Lucie C sty, FL
T, Page 1 of 1
Deborah J Holland Record: 1 of 1
Property Identification
Site Address:
3228 Perigrine Falcon Dr
Sec/Town/Range:
24:36S:40E
Map ID:
34/24N
Zoning:
Ownership and Mailing
Owner:
Deborah J Holland
Address:
3228 Perigrine Falcon Dr
Port St Lucie FL 34952
Sales Information
Date Price Code
3/29/2006 0 01
9/30/1997 4000000 02
PROPERTY RECORD CARD
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Horne Print
,`%)PE CO
ParcellD: 3424-800-0022-000-7
Account* 162061 y� ,
Use Type: Mob Homes
City/Cnty: St Lucie County
Legal Description
FAIRWAYS AT SAVANNA CLUB REPLAT NO. 1 (PB 57-40) BLK 66
LOT 8 (OR 2532-560)
Assessment2012
Deed Book/Page 2012 Final: 82900
LE 2532/0550 Assessed: 82900
WD 1106 / 1324 Ag.Credit: 0
Exempt: 50000
Taxable: 32900
Taxes: 859.91
BUILDING INFORMATION
Total Land and Building
Land Value: 16000 Acres: 0.17
Building Value: 67900
Finished Area: 1990 SgFt
Exterior Features
View:
-
RoofCover:
-
RoofStruct: -
ExtType:
MHA - MHA
YearBlt:
2006
Frame: -
Grade:
SAVL - SAVL
EffYrBlt:
2006
PrimeWall: -
StoryHght:
0010 -1 Story
No.Units:
1
SecWall: -
Interior Features
BedRooms:
0
Electric:
-
PrmintWall: -
FullBath:
0
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
1/213ath:
0
HeatFuel:
ELEC - Electric
Prm.Flors: -
%A/C:
100
%Heated:
100
%Sprinkled: 0
Special Features and Yard items
Land Information
Type Y/S
Qty. Units Qual.
Cond. YrBIt.
No. Use Type
Type Measure Depth
1 0200-Mob Homes
N -Flat 1
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
http://www.paslc.org/paslc/prc.asp?prclid=342480000220007 3/14/2013
TradeBrand name RHEEM RSNM SERIES }
r S'• Y ��/.Rea
:Manufacturer responsible for the rating of this system combinatiort4s HEEMANUFACTURING COMPANY
�
Rated' as follows in accordance with AHRI Standard 210/240-2008 for Wiitary AIr.Condlfioning and Air -Source
Heat Pump Egwpment and subject to verification of rating accuracy by AHRlsponsored, independent, third
party testing
Cooling Capacity (Btuh): 46000
Ratings followed by an asterisk (7 indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate
DISCLAIMER
AHRI does not endorse the product(s) listed an this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the product(s) listed an this Certificate. AHRI expressly disclaims all liability far damages of any kind arising out of the use or performance of the produet(s), orthe
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectoryorg.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products ofAHRL 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
The information forhe model cited on this certificate can be verged atwww,ahridirectory,org, "topAir-Conditioning, Heating,
click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on ®. IAN and Refrigeration institute
the certificate was Issued, which Is listed above, and the Certificate No. which is listed below.
02012 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130076738221397796
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Duct gain 6/0;: .10
Heating infiltration (A.CH.) 0.8'.
Summer ventilation 0
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