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HomeMy WebLinkAboutSUBMITTED PAPERSr I Date: I I Fee Due: /il I I Receipt# / W /yam I Permit # I ❑ Electrical ❑ Shed Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 ,`go1-0073 SCANNED St LuClQ County SPECIALTY PERMIT APPLICATION ❑ Plumbing EroilVAC ❑ Fence ❑ Demolition ❑ Gas ❑ Siding Seepage 2 forr instructions and additionalpaperwork required for specialty permits �� 1. Location/Site Address: `� IZ �Urnp 1�1 �I da� VA. V4 .si . u6b 2. Parcel ID Number: 33 22 — Sots _ o a-1 to - 0 00 - 1 Township Range Map Page Zoning Land Use Initials Office Use Section Only 3. C ,rcn 4. Owners Information _ J 5. Contractors Information (,� t—v g 4 n -, �n /' Name: i Cl l ,T ? 1. on S'�Q�(— Reg/Cert #: Address: ilk 2-1 Pui` p tin CLft (Z6 County Cert#: C�1 City: P1. - W� � Q- State: �[� Business Name: �_ (,�pl 2L uts�(l�, M& Zip: �`Cq q�-(� Phon(-(l2 {, DI-i �15Phonek`b)-lg1-574ax: Cali 1� 6. Value of Construction: $ OWNERS AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws regulating constru on zoning. K U,nk Z PRINT OWNER OR CONTRACTOR NAME 1 SIGNATURE WNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF ?GAVA ca ci ACKNOWLEDGED BEFORE ME THIS -- DAY OF J a4-� 20—LLL, BY 1 \ 1 ca - uyyt WHO IS PERSONALLY KNOWN TO ME X OR WHO HAS PRODUCED AS ID��TIFICATION. " ((kic ,l� V lR -)�)OL Cl OL o N1 A SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY I COMMISSION NUMBER (D { `� Notary Public State of Florida Dacia Thomas My Commission EE 866419' Exo¢es.0311112017 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 WITH CONTRACT UNDER $7500.00 Revised 04/26/2010 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. 3 w s AHRI Certified Reference Number: 6752339 Date: 1/7/2014 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: MSA6BF042K Indoor Unit Model Number: B6EMMX48K-C Manufacturer: MAYTAG Trade/Brand name: MAYTAG Series name: Manufacturer responsible for the rating of this system combination is MAYTAG Rated as follows in accordance withAHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing- * Ratings followed by an asterisk (•) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which Indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the products) 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.ahridirectoryorg. TERMS AND CONDITIONS This Certificate and its contents are proprietary products ofAHRi. 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 for the model cited on this certificate can be verified at www.ahridirectory.org, Air -Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on '�� I and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2013 Fair -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130335772474823349 Desig.n,Star Load tcucation Resuks are in tended for use with Rheem heafingand coaling systems Windows Cooling Loads 39,057 BTIJIhr A � ice, ��� Sensible People Load �— Latent People Load .. ---Wall r-- Internal Latent Infiltration Sensible Infiltration System Efficlenc Ceiling 20000 15000 0 10000 a 5000 AED Graph Sam Sam loam 11am 12pm 1pm 2pm 313m 4pm Spm 6pm 7pm 8pm �_- Hourly Loads — Average 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 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 under a primary building permit. This application may not be used for any activity that includes structural alteration. The information to be provided with this application includes: 1. Location/Site Address 2. Parcel ID Number 3. Description of Projector Work Activity 4. Owner Information 5. Contractor Information 6. Value of Construction Indicate the street address or general location of property where the building activity is taking place. 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. 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 fence 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, Fort 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) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. NOTE: Emergency electric service change out inspections will not he performed after 3: 00 PM without special arrangements and additional fee paid. Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261. Property Appraiser - St.Lucie CQ -v", FL (w'?_ _ Page 1 of 1 PROPERTY RECORD CARD Constance S Freedman (TR) Record: 1 of 1 «Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 9121 Pumpkin Ridge Rd ParcellD: 3322-505-0076-000-1Cl+�� " SecJTown/Range: 22:36S:39E Account #: 153317 Map ID: 33/22N Use Type: SF Res Zoning:Cit PUD /Cnt : Y Y Saint Lucie County Ownership and Mailing Legal Description Owner: Constance S Freedman JR) MAIDSTONE (PB 43-11) LOT 67 (OR 2157-528: 3088-2189) Address: 653 Hermitage Cir Palm Beach Gardens FL 33410 Sales Information Assessment 2013 Total Land and Building Date Price Code Deed Book/Page 2013 Final: 180200 Land Value: 33600 Acres: 0.18 4/30/2009 100 0111 QC 3088 / 2189 Assessed: 180200 Building Value: 146600 2/3/2005 378200 00 SP 2157 / 0528 Ag.Credit: 0 Finished Area: 2024 SgFt 4/21/1998 21320600 02 WD 1140 / 1945 Exempt: Taxable: Taxes: 3649.48 BUILDING INFORMATION Exterior Features View: - RoofCover: TC - Clay Tile ExtType: HB+ - HB+ YearBlt: 2005 Grade: B+ - B+ EffYrBlt: 2005 StoryHght: 0010 -1 Story No.Units: 1 Interior Features BedRooms: 3 Electric: MX - MAXIMUM FuliBath: 2 HeatType: FHA - FrodHotAir 1/28ath: 0 HeatFuel: ELEC - Electric %A/C: 100 %Heated: 100 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBit. No. Use Type DWBP - Drive-BrkPav Y 1 869 AV AV 2005 1 0100-SF Res SWAV - RES POOL AVG Y 1 392 AV AV 2005 PA01 - POOL DK-AVG Y 1 723 AV AV 2005 ENC2 - POOL ENC-AVG Y 1 1115 AV AV 2005 RoofStruct: HP - Hip Frame: - PrimeWall: BS - CB Stucco SecWall: - PrmintWall: DW - Drywall AvgHt/FI: STD Prm. Flors: CT - Tile -Ceramic %Sprinkled: 0 Type Measure Depth 550 Site 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/Pre.asp?prchd=332250500760001 1/7/2014