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Planning & Development Services SCANNED Building &. Code Regulation's Division 2300 Virginia Ave- st. �U 3Y Fort Pierce, FL 34982 CI@ L'Oun$y • ' (772)462-1553 SPECIALTY PERMIT APPLICATION Electrical C] Plumbing b lv AC ❑Tence ❑ Shed ❑ Demolition ❑ Gas ❑Siding Seepage 2 for instructions and; additional paperwork required for specially permits 1. Location/Site Address: 2. Parcel IDlVumber: 0�1:0?oq UU — dO 0 3 — 000 —1 3. C 4. Owners.InfZzLdl6L� 5. Contractors Information Name: FL Reg/Cent #: Address: 2 - 1Q� C � County CerW: City:{- (pi)ek State: Business Name: Uw3g 4 (eq r. • Zip: SR y Phone: (Z Z 'l' -G--Vt Phone• (7� fd i t 4r Faz( 6. Value of Construction: $ 5 f �U a OWNER'S AFFIDAVIT: I certitjy $flat all 01ame Julul111eaivu wiiaua... ,._ �•� rr---- --- -• co m liance 'th all applicable laws re la construction d zoning SIG ATURE OF OWNER OR CONTRACTOR PRINT OWNER OR CONTRACT RNAME STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS 4th DAY OF Feb • 2011 BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. Anne E. Cabs] S NATURE.OF NOT Y TYPE OR PRINT NAME OF NOTARY COMMISSIONNUMBER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT: MAY RESULT IMPROVEMENTS TO YOUR PROPERTY. IF YOE INTEND,`TO OBTAIN' FIT LENDER OR AN ATTORNEY BEFORE 2ECORDING,YOUR NOTICE OF COMMI EXEMPT: AIC=HEAT REPLACEMENT WITH CONTRACT UNDER 57500:00 * : 96l866CD roc za ifl'��J ?lS,: TR P�if�T1�B6a91�"�-� FOIi� c''rnivcrt7,T WTrH YOUR Revised 04/26/2010 Property Appraiser - St.Lucie County, FL Page 1 of 1 PROPERTY RECORD CARD Shirley E Corbin (TR) Record: 1 of 1 «Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: ORANGE AV ParcelID: 2309-800-0003-000-1 Sec/Town/Range: 09 :35S :39E Account #: 143580 I �� Map ID: 23/09S Land Use: GRZNG SLD CP City/Cnty: St Lucie County j Zoning: AG-1 f —' - -- - Ownership and Mailing Legal Description Owner: Shirley E Corbin (IR) CORBIN ACRES LOT 3 (2.407 AC) (OR 345-493: 887-2483: 1171- Address: 11239 Orange Ave 1113, 1115: 1237-673: 3132-2816, 2819) Fort Pierce FL 34945-2019 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 9360 Land Value: 9360 Acres: 2.41 9/29/2009 100 0311 WD 3132 / 2816 Assessed: 660 .-Building Value: 0 7/15/1999 100 02 WD 1237 / 0673 Ag.Credit: 8700 'Finished Area: 0 SgFt Exempt: Taxable: Taxes: 13.7 BUILDING INFORMATION No Sketch No Image Available v-ailable Exterior Features View: - RoofCover: RoofStruct: - ExtType: - YearBlt: Frame: - Grade: - EffYrBlt: PrimeWall: - StoryHght: - No.Units: SecWall: - Interior Features BedRooms: 0 Electric: PrmintWall: FullBath: 0 HeatType: - AvgHt/FI: 1/2Bath: 0 HeatFuel: - Prm.Flors: - %A/C: 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth 1 6000-GRZNG SLD CP 515 -Market 2.4 Acres 2 RE01-RANCHETTE N -Class Acres 2.4 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/pre.asp?prclid=230980000030001 2/4/2011 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. AHRI Certified Reference Number: 4151206 Date: 2/4/2011 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: 4TWR5030E1 Indoor Unit Model Number: GAM5AOB3OM21 Manufacturer: TRANE Trade/Brand name: XR15 WEATHERTRON Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 210/240-2006 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): 31400 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 15.75 Heating Capacity(Btuh) @ 47 F: 29800 Region IV HSPF Rating (Heating): 9.00 Heating Capacity(Btuh) @ 17 F: 17800 - 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), orthe unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at 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 ' link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2010 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129413109983740918