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DuL,. Permit # 75IO Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 i2c�y—o39g ,S��Neb St ,40ie- ,o(1 SPECIALTY PERMIT APPLICATION �ly' ❑ Electrical ❑ Plumbing 0HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: ,311 9 l rw h w o a d (n . R) J�- C w It y Y f S .Z 2. Parcel ID Number: 3YA S - 7 0 -� - 0 0 91 - 0 o u - C7' Office Use Only Section Township Range Map P ge Zoning Land Use Initials Pa B Ea 3. Complete Description of Project or Work: 1n 1 �•, // Y �o-, / y lcv Da cK as v� . •� [lia n Sp o v+ I�KW 4. Owners Information 5. Contractors Information Name: 6e-"n I C.e-, l�c c1i t FL Reg/Cert #: C.4 C 0 S- 6 �'7 L/ Address: County Cert#: City: State: F L Business Name: Zip: _3'�5�2 Phone: 27.2 • Y) • 71-7y Phone: 222•Y6/•i3A3 Fax: 77.2 . y6 /•l (.3/ 6. Value of Construction: $ 7 i' • 0 0 OWNER'S AFFIDAVIT: compliance with all applicable laws Z�/iy txro7 8/,dJt4 ) PRfNT OWNER OR CONTRACTOR NAME in and STATE OF FLORIDA, COUNTY OF J> C -c ; c— U b /J / ACKNOWLEDGED BEFORE ME THIS DAY OF Aria l , 2012 . BY WHO IS PERSONALLY KNOWN TOME %,-'OR WHO HAS PRODUCED AS IDENTIFICATION. n / fins. /Jc / �r&• p�.e`'o 64RISTINE WALTON SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY * * MMISSION # DD 884458 COMMISSION NUMBER _7)17 ?J' Y ysT EXPIRES; May 14, 2013 F�°�°P Bonded Thtu Budget Notary Ser kes 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 04/26/2610 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. Certificate of Product Ratings AHRI Certified Reference Number: 4385083 Date: 4/27/2012 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: GPC1448H41A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rated. as follows in accordance with AHRI Standard 210/24062008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 46500 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.50 _ 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 at www.ahridirectory.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; entered into a computer database; or otherwise utilized, in any forth or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The information forthe model cited on this certificate can be verified at wwwahridirectory.org, As "IM' Air -Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on A..o rI 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.: rroperty Appraiser - Nt.Lucie county, rL rage i of i Bernice Kochel (TR) Record: 1 of 1 Property Identification Site Address: 3119 Crabwood Ln Sec/Town/Range: 25 :36S :40E Map ID: 34/25S Zoning: PUD Ownership and Mailing Owner: -Bemire:. octiel (TR) Address: 3119 Crabwood Ln Port St Lucie FL 34952 PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print ParcellD: 3425-702-0099-000-9 ICIEC�G2 Account* 115296 Land Use: Mob Homes :. City/Cnty: St Lu�County L _1 Legal Description SAVANNA CLUB -PLAT TWO- BLK 12 LOT 12 (OR 1712-2605; 2265- 2711) Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 60800 Land Value: 14000 Acres: 0.12 5/11/2005 100 01 WD 2265 / 2711 Assessed: 60800 Building Value: 46800 4/30/2003 100000 00 WD 1712 / 2605 Ag.Credit: 0 Finished Area: 1527 SgFt 4/30/1990 83600 00 WD 0689 / 2136 Exempt: 60800 1/1/1988 100 01 CV 0582 / 0338 Taxable: 0 Taxes: 366.88 3 4 6Y� 0 io ro ID la 2i PG ] u tt BUILDING INFORMATION 1 7— Exterior Features View: - RoofCover: - RoofStruct: - ExtType: MHA - MHA YearBlt: 1990 Frame: - Grade: SAVC - SAVC EffYrBlt: 1990 PrimeWall: - StoryHght: 0010 -1 Story No.Units: 1 SecWali: - Interior Features BedRooms: 0 Electric: - PrmintWall: - FuIlBath: 0 HeatType: FHA - FrcdHotAir AvgHUFI: 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. YrBlt. No. Land Use Type Measure Depth CNC2 - CONCRETE LOW Y 1 640 AV AV 1990 1 0200-Mob Homes 154 -Flat 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. hitp://www.paslc.org/prc.asp?prclid=342570200990009 4/27/2012