HomeMy WebLinkAboutSUBMITTED PAPERSPlanning & Development Services
Building & Code Regulations Division acqiv'
2300 Virginia Ave.
Fort Pierce, n 34982 St 4
(772)462-1553
SPECIALTY PERMIT APPLICATION
0 Electrical
0 Plumbing
El-H-"VAC
0 Fence
0 Shed
I
0 Demolition
13 Gas
13 Siding
brspgcia1&pennftV
Seepage 2for Instrucdons and addhionalpiVerwork requiredf
1. Location/Site Address:
2. Parcel ED Number:
Section
[nj
Townswill
2M%V
--A IT..
Q
I 11nitimb
office Use
only
3. Complete Description of Project or Work:
5-K
4. owners Information 5. Contractors Information
Name: FL ReglCert 0:
V
e)�-
Address: �31D I I 'E County Cert#:-
city: PfRA'Te— State: Business Name: P(t� Qfar OQnhne�;-
170 Phone: 01 Fax: -
Zip: Phone: -naa- 9-7q ---T
'), 4 L-I
6. Value of Construction: S - c
OWRI AFFIDAVIT. tab " li
I certify tha all of the information con ied in , app cation is correct and
compliance with all applicable laws regulating co S *on and . ing.
'sni+k I ROR
OWNER OR CONTRACTOR NAME
STATE OF FLORIDA, COUNTY OF ltl;c �
ACKNOWLEDGED BEFORE AM TMS DAY OF 20-L--, By
WHO IS PERSONALLY KNOWN TO UE J,./ OR WHO HAS PRODUCED
LT--1
AS IDENTINCATION. 114(iiiYS l'AfilAS
y
III . , pu
NJ 'Y 1j4W@ffi HCLTxffl% S e p 15, 2 013
L 0 F �O�T=' 7 Commission # DD 924860
,,OF F W
Cob,SOSIONNUTMER .. 11 Bonded Through National Notary Assn.,
NoTicETOOWNER, FAILURE To RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TMCE FOR
E"BOW"MS To YOUR PROpF
'RTy EF YOU INTEND To OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMINCEMENT.
EXEMpT.
. AIC-HEAT REPLACEMENT WITH CONTRACT UNDER $5,000.
*�,"'___'�JULT IN YOUR PAYING TWICE FOR
NOTICE TO OWNER. FAf TO&ORD A NOnCE-OF COMbIENCE I � '�� FINANCING, CONSULT WITH
IFF YOU 141 � -,'I
'-MENIF9 TO YOUR PROPERTY. T, �
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING NOTICE OF COMMENCEMENT
EXEWT: AIC.IjEAT REpLAcEmENT. WnH CONTRACT UNDEk $5,000.
INSTRUCTIONS
Please complete all- information in the space provided. All information must be printed (use.black or blue ink
only) or typw.' This permit application is to be used only for those activities that are not otherwise included
1' perniit. This application may not be used for any activity that includes structural
under a primary building
alteration. -The information to be provided with this application includes:
1. Location/Site Address
2. Parcel ED Number
3. Description of Project or 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 v�hicli 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 ement 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 subtnitted figures are not consistent with
shnilar types of construction.
0 Gas Attach 2 piping schematics with tank sizelocation, and BTU of each appliance
1:1 Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications
13 Fence Attach 2 plot plans showing location of fence height of fence and type of fence
[3 Siding Attach 2 copies of manufactures specifications
(3 HVAC Attach 2 residential energy studiesq 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 assistwce 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 be performed after 3:00 PH without
special arrangemen , &-and addidonal fee paid.
Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261.
This combination qualifies for a Federal Ene�gyj
Efficiency Tax Credit when placed in service�
between Feb 17, 2009 and Dec 31, 20�71
,I M f
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......... . .
------- ---
AHRI Certifidd Reference Number: 3805983 Date: 7/6/2011
Product: Split System: Air -Cooled Condensing Unit,- Coil with Blower
Outdoor Unif'Model Number: 14AJM36
Indoor Unit Model Number: RHLL-HM3821+RCSL-H*3821
Manufacturer: RHEEM MANUFACTURING COMPANY
Trade/Brand name: RHEEM 14AJM SERIES
Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY
Rated as follows in accordance with AHRI 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:
Cooling Capacity (Btuh): 37600
EER.Rating (Cooling):, 13.90
SEER'Rating (Cooling): 16.00
* 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 endonse the product(s) listed on this Certifilcate, 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 ofthe use or performance ofthe 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 vvvvw.ahhdJrsc:W7y.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and conficlential reference purposes.
The contents ofthis 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 ineans. except for the user's individual, personal and confidential reference.
CERTIFICATE VERIFICATION gqg�"` 1"
The information for the model cited an this certificate can be verified at v,,vj.ahridlmaWryorE, 'W"
Air -Conditioning, Heailng,
click on "Verify Certificate?' link and enter the AHRI Certified Reference Number and the date on 011" M " "
which the certificate was issued, which is listed above, and the Certificate No., which is listed below. A 0 Q im and Refrigeration Institute
@2011 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129544561875118680
This combination qualifies for a Federal Energyl
Efficiency Tax Credit when placed in service!,
between Feb 17, 2009 and Dec 31, 2011.4"
4
Vi.
1A rp,
612,� Ll
'A.0 akxo 5 5 N rt
r�l e 'Fgi cailte &
AHRI Certifidd Reference Number: 3805983 Date: 7/6/2011
Product: Split System: Air -Cooled Condensing Unit; Coil with Blower
Outdoor Unif'Model Number: 14A-JM36
Indoor Unit Model Number: RHLL-HM3821+RCSL-H*3821
Manufacturer: RHEEM MANUFACTURING COMPANY
Trade/Brand name: RHEEM 14AJM SERIES
Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY
Rated as follows in accordance with AHRI 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:
Cooling Capacity (Btuh): 37600
EER Rating (Cooling): 13.00
SEER'Rating (Cooling): 16.00
* 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 ofthe use or performance of the produc4s), 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.ahndireroy.org.
TERMS AND CONDITIONS
This Certificate and its conitLnts are proprietary products ofAHRI. This Certificate shall only be used for inclMdual, personal and confidential reference purposes.
The contents ofthis Certificate may not in whole or in part be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any
form ormanner or by any means.. except forthe user's individual, personal and confidential reference.
CERTIFICATE VERIFICATION FUM &Ml
The information for the model cited on this certificate can be verified at
click on "VerWy Certificate" link and enter the AHRI Certified Reference Number and the date on Ait-Condit oning, Heating,
which the certificate was issued, which is listed above, and the Certificate No., which is listed below.
@2011 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129544561875118680
Property Appraiser - St.Lucie Count,,,`71
Page 1 of 1
PROPERTY RECORD CARD
Derrick L Pope Record: I of 1
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Taxes Exemptions Permits Home Print
Property Identification
"v\3ClE 0
9
Site Address: 5611 Eastwood Dr
ParcelID:
1301-613-0398-000-5 \�( _ -,-,
Sec/Town/Range: 12:34S :39E
Map I D: 13/12N
Account #: 3477
Land Use: SF Res
Zoning: RS-4
City/Cnty:
St Lucie County
Ownership and Mailing
Legal Description
Owner: Derrick L Pope
LAKEWOOD PARK -UNIT
11- BLK 154 LOTS 10 AND 11 (MAP 13/12N)
Address: 5611 Eastwood Dr
(OR 1272-1228)
Fort Pierce FL 34951
Sales Information
Assessment 2010 Final
Total Land and Building
Date Price Code Deed
Book/Page
2010 Final: 105200
Land Value: 15400 Acres: 0.51
12/17/1999 8000 02 WD
1272/1228
Assessed: 105200
Building Value: 89800
6/10/1998 0 01 PB
1152/0281
Ag.Credit: 0
Finished Area: 1201 SqFt
8/16/1982 0 01 WI
0607/2022
Exempt: 50000
3/13/1981 0 01 WI
0607/2017
Taxable: 55200
4/22/1966 0 02 WD
0151/0141
Taxes: 1351.71
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
SD - Dim Shingle
RoofStruct:
HP - Hip
ExtType: HC - HC
YearBlt:
2000
Frame:
Grade: C-C
EffYrBIt:
2000
PrimeWall:
BS - CB Studco
StoryHght: 0010-1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms: 0
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath: 2
HeatType:
FHA - FrcdHotAir
AvgHt1FI:
1/2Bath: 0
HeatFuel:
ELEC - Electric
Prm.Flors:
CU - Carpet
%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
DWC - Driv-Concret Y
1
720
AV
AV
2000
1 0100-SF Res
BI -Front Ft
180 122.78
SWAV - RES POOL AVG Y
1
450
AV
AV
2008
SPA - SPA -HOT TUB Y
1
49
AV
AV
2008
PA02 - POOL DK-GOOD Y
1
461
AV
AV
2008
ENC2 - POOL ENC-AVG Y
1
960
AV
AV
2008
PHTR - POOL HEATER Y
1
1
AV
AV
2008
FNV6 - VINYLFENCE6' Y
1
25
AV
AV
2008
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.paslc.org/prc.asp?prelid=130161303980005 7/11/2011
-11 �A - \0 50
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34�82
(772) 462-1553 fax (772) 462_
��C �EZ
, �Vi�6
PERMIT RENEWAL RE UEST OCT 2 4 2017
Permitting DL-paltment
PERMITNUMBER: 1107-0114 ADDRESS: 5611 EASTWOOD St. Lucie CO u 11 tY, F'L
GRETA B SMITH am requesting that the above permit be renewed. I
understand that I must schedule and pass all required inspections for the permit to be finaled. Further, I
understand that this is a ONE TIME RENEWAL and the permit shall expire should I not receive a
passing inspection during any six month period during the renewal period.
Justification
-=:!�4,," �t� 10-24-2017
OWNE0qDR OR CONTIIZ-A�R MATURE DATE
GRETA B SMITH
Print Name,
STATE OF FLORIDA
COUNTY OF ST LCUIE COUNTY
ACKNOWLEDGED BEFORE ME THIS 24
BY DIMITRIUS DANIELS
HAS PROVIDED
STATE OF
SIGNA
FOR OFFICE USE ONLY:
DAY OF OCT
2017
WHO IS PERSONALLY KNOWN TO ME, X OR
ST LUCIE COUNTY
Number of Open Inspections:
Total Inspections:
(Divide open by total to get % of open inspections)
Percentage:
Original permit fee: x % open = $ Renewal fee
AS IDENTIFICATION.
# S
-alt4v %.3 - -
Example: [15 dividled by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014