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HomeMy WebLinkAboutSUBMITTED PAPERSPlanning & Development Services Building & Code Regulations Division COUNTY 2300 Virginia Ave. a ► Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing HVAC ❑ Fence ❑ Shed ❑ Demolition 6Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 71( L bl:k=�7 -1� bi S Ln 2. Parcel ID Number: �JAa�A ` -101 'LIL-�Uo'OLO�A, 3. Com Office UseJW�F= o Ali Description of Project or Work: R-v 1 1_X" 11 4- 1011 4. Owners Information 5. Contractors Information Name: (� S�� 1 FL Reg/Cert #: 11�( Address: ���(� ��\T�����. n County Cert#: City: "'Vo`c k S� . VUL e State: V k Business Name: QAC & (Dq o�G Sexy �C42 - S Zip: Phone: , -s ' -dPhone: �LA'1yI-S` O Fax: 6. Value of Construction: $ ( C 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 regulati construction and zoning. PRINT OWNER OR kONTRACTOR NAME`( SIG ATU E OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF`G�� ACKNOWLEDGED BEFORE ME THIS 1\ _ DAY OF J�� �, 20�, BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. l�,,c, i _NOTARY PUBLIC -STATE ©F FLORIDA LAJA� i� &01�ff " OI. P_ Jcc� mmisa Lynn Scott SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY c Commi�%� # DD795513 �,•,�,•� Expires: JUNE 08, 2012 COMMISSION NUMBER BONDED THRU ATLANTIC BONDING CO., INC. 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 County, FL http://www.pasic.org/prc.asp?prclid=342470100')60004 Patrick H Gladwell Record: 1 of 1 Property Identification Site Address: 7860 White Ibis Ln Sec/Town/Range: 24:36S:40E Map ID: 34/24N Zoning: PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes ParcellD: 3424-701-0036-000-4 Account #: 152175 Land Use: Mob Homes City/Cnty: St Lucie County Exemptions Permits Home Print 1 Ownership and Mailing Legal Description Owner: Patrick H Gladwell Shirley A Gladwell EAGLE'S RETREAT AT SAVANNA CLUB (PB 42-24) BLK 55 LOT 1(OR Address: 7860 White Ibis Ln 1886-727) Port St Lucie FL 34952 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 111900 Land Value: 18000 Acres: 0.21 1/20/2004 01 LE 1886 / 0727 Assessed: 111900 Building Value: 93900 9/30/1997 4000000 02 WD 1106 / 1324 Ag.Credit: 0 Finished Area: 1840 SgFt Exempt: 50000 Taxable: 61900 Taxes: 1490.98 BUILDING INFORMATION ivgg� 1 �q im"i a 0 c+ew� n 'n Exterior Features View: RoofCover: - RoofStruct: ExtType: MHA- MHA YearBlt: 2004 Frame: Grade: SAVL - SAVL EffYrBli: 2004 PrimeWall: StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 2 Electric: Prm6itWall: FUIIBath: 0 HeatType: FHA- FrcdHotAir AvgFt/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 City. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth CNC2 - CONCRETE LOW Y 1 478 AV AV 2004 1 0200-Mob Homes N -Flat 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT 0 SUBJECT TO CHANGE AND IS NOT WARRANTED 1 of 1 7/20/201 1 9:14 AM This combination qualifies for a Federal Energy A "IMP s Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. www.ahridirectory,org LW Aoft ertifieate of Produ - 7`� �_147 Y P_ZJ 7 AHRI Certified Reference Number: 1076069 Date: 7/20/2011 Product: Year -Round Single -Package Air -Conditioner, Air -Cooled Model Number: RSPM-A048JK Manufacturer: RHEEM MANUFACTURING COMPANY Trade/Brand name: RHEEM RSPM 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): 47000 EER Rating (Cooling): 12.60 SEER Rating (Cooling): 14.00 ' 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 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 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 on it and Refrigeration Institute 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.: 129556415214476928