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HomeMy WebLinkAboutSUBMITTED PAPERSlie: Fee Due: Receipt# Permit # Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing Mli AC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty per»uts 1. Location/Site Address: 6-33 2. Parcel ID Number: I L[ I J) - SDQ - d a &a) - 0 DO - q Office Use Only Secti Township Range Map P ge Zoning Land Use Initials ` I. Complete Description of project or Work: I l�Ai e, e- 15,4 4. Owners Information Contractors Information Name: Ge-,da-c� 0 b ekv Reg/Cert #: Address: �3- � X l�-�� PI��county Cert#: p��0��t City: l,�4L State: 1:1— Business Name: � � Air � Zip: ` / Phone: /i-7a, / hone: -7-7* Fax: -7701 - T) q-5187 ��^-•q� 43 t 6. Value of Construction: $ ��� • lib OWN AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in c liance with all applicable lawsFSIGN struction and z�ng. PRINT NER OR CONTRACTOR NAME OWNER OR CONTRACTOR S E OF FLORIDA, COUNTY OF L.U�i'e A 1 ACKNOWLEDGED BEFORE ME THIS 3 0fn DAY OF M�-201 Z BY J C(y^eS &CLnr y����a�10N°1j^_°�� c HO IS PERSONALLY WN TO ME OR WHO HAS PRODUCED 3� EEC 1 1+'s t �9 A ION. SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY ............ COMMISSION NUMBER `� V YJ °°$°s 110,,``,` 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 Property Appraiser - St.Lucie Cc `l, FL l Page 1 of 1 Duane Gerlach Record: 1 of 1 Property Identification Site Address: 5331 LOGGERHEAD PL Sec/Town/Range: 10 :34S :40E Map ID: 14/10S Zoning: PROPERTY RECORD CARD «Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print ��UCIE'�QG� ParcellD: 1410-502-0263-000-4 Account* 6859 Land Use: MobHome-Coop City/Cnty: St Lucie County Ownership and Mailing Owner: Duane Gerlach Bobette Gerlach Address: 4309 Turtle Bay Springfield IL 62711 Legal Description OCEAN RESORTS COOPERATIVE SITE 263 (UNRE COPY OF STOCK TRANSFEROF 11/15/96 IN FILE) (OR 2868-2917) Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 125000 Land Value: 62000 Acres: 34.14 8/14/2007 287000 01 QC 2868 / 2917 Assessed: 125000 Building Value: 63000 10/11/2006 100 01 MS 2716 / 2981 Ag.Credit: 0 Finished Area: 1522 SgFt 11/15/1996 0 01 MS 9999 / 9999 Exempt: 8/16/1993 0 9999 / 9999 Taxable: Taxes: 2543.21 BUILDING INFORMATION IV Exterior Features View: - RoofCover: - RoofStruct: - ExtType: MHH - MHH YearBlt: 1997 Frame: - Grade: PKMA - PKMA EffYrBit: 1997 PrimeWall: - StoryHght: 0010 - 1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 0 Electric: - PrmintWali: - FullBath: 0 HeatType: FHA - FrcdHotAir AvgHt/Fl: STD 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. Land Use Type Measure Depth DEK1 - TRV DECK S 1 112 AV AV 1997 1 0205-MobHome-Coop 136 -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/pasle/prc.asp?prclid=141050202630004 6/7/2012 ERTI hrj,directory.arg 711 bb -df - - _--- -e-. ft-Ific de... r AHRI Certified Reference Number:.1076041 Date: 5/12/2012 Product: Year -Round Single -Package Air -Conditioner, Air -Cooled Model Number: RSNM-A036JK Manufacturer: RHEEM MANUFACTURING COMPANY _ --Trade/Brand name; -RHEEM-RSNM-SERIES - - - ------ -- - - - - Manufacturer- responsible for the rating of this system combination is. RHEEM MANUFACTURING COMPANY Rated -as follows -in accordance m ithAHRI-Standard-210/240=2008-for-UnitaryAir�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 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 atwww.ahridirectoryorg. 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 Certicate 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.ahridirectoryorg, "IMP, Air -Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date onow no ®' and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2012 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129813080207244439