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Date: Fee Due: �, V. 6t Recei t# ,Permit # (7 St. Lucie County Building &Zoning 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 SCq� Tel. 462-1533 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing E2/HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork requiredfor specialty permits 1. Location/Site Address: ,SaLs np eo,"c F—,PTf PL,, cp T 2. Parcel ID Number: Office Use Only Section Townshi Range I Map Page I Zoning Land Use - I 3. Description ofProjector Work Activity: 041C ^% l �G� rIL� l Tip Sb24 i I Ooo /+ TAwI� �o�y �I F� . U—) (I ��o sEEl2 4. Owners Inform tion 5. Contractors Information ' Name: FL Reg/Cert #: O—��39W 4 Address: W-7 &r ,co,. County Cert#: City: G&r ecetep State: aQAuQ� Business Name: �� dyu4Q Zip: �t'a5 I Phone: %2�3�0 57UGPhone(7?Z 46-r-1666Fax , 6. Value of Construction: $ OWNER'S AFFIDAVIT: I certify that R11 of the information_.con.tainecLin-this..application_is-cor rct-and-that-all-wor-k-will-be-dotte- in compliance with all applicable laws regulating construction and zoning. &MU&11- T LrAccon PRINT QUALIFIERS/OWNERS NAME SIGNATURE OF UALIFIER/OWNER STATE OF FLORIDA, COUNTY OF 5 n L .c: ACKNOWLEDGED BEFORE ME THIS aRDAY OF 2dv--- 20L BY / WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PR Q 1111////f1/ E 96 AS IDENTIFICATION ���\\ P•'•'•f C �4 t- SIGNATURE OF O TITLE: NOTARY PUBLIC TYPE OR PRINT NAME OF NOTARY COMMISSION NUMBER •yCpMMls%, '9 : * . �� Hoary �y -i • ADD `• � A Cq : Xi FOA St. Lucie County Specialty Pcrmit Application rev. 8/25/05 dmg Property Appraiser - St.Lucie County, FL Page 1 of 1 PROPERTY RECORD CARD Betty L Fox Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification CpG2 Site Address: 6607 SALERNO RD ParcellD: 1301-612-0047-000-7 \,UCIE Sec/Town/Range: 01 :34S :39E Account #: 2813 y� Map ID: 13/01S Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie CountyA'400�k Ownership and Mailing Legal Description Owner: Betty L Fox Donnie B Walton LAKEWOOD PARK -UNIT 10- BLK 120 LOT 21 (MAP 13/01 S) (OR Address: 6607 Salerno Rd 3295-2068) Fort Pierce FL 34951-1573 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 47500 Land Value: 8800 Acres: 0.24 5/20/2011 45000 0001 WD 3295 / 2068 Assessed: 47500 Building Value: 38700 7/19/2005 100 01 QC 2312 / 1735 Ag.Credit: 0 Finished Area: 1172 SgFt 12/28/1992 58200 00 WD 0823 / 0463 Exempt: 9/24/1992 7500 00 WD 0809 / 0723 Taxable: 4/1 /1981 4000 00 CV 0354 / 0082 Taxes: 987.27 3/1/1980 2500 00 CV 0327 / 1451 BUILDING INFORMATION Exterior Features View: - RoofCover: SA - Asph Shingle RoofStruct: GA - Gable ExtType: HD -HD YearBlt: 1992 Frame: Grade: D - D EffYrBlt: 1992 PrimeWall: WS - Wood/Sheath StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/Fl: STD 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. YrBlt. No. Land Use Type Measure Depth 3CNT - 3CNT S 1 1 AV AV 1992 1 01 00-SF Res BI -Front Ft 80 131 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 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?prclid=130161200470007 7/28/2011 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: 4385350 Date: 7/28/2011 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR5024E1 Indoor Unit Model Number: *AM7AOA24H21 Manufacturer: TRANE Trade/Brand name: XR15 Manufacturer responsible for the rating of this system combination is TRANE 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): 21400 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 J21�_ * l/ 07•0,F(o� Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerale. 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 mww.alindirectory.org, Air -Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on A. an `' 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.: 129563526131916830