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HomeMy WebLinkAboutSUBMITTED PAPERS.a Date: Fee Due: Pe. .... t # C?V0NTY F R I D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 SCANNED (772)462-1553 By St. Lucie SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing 014VAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for rps7lructions and additional paperwork required for specialty permits C � �F3� A. � � Q� n. 11 n, 1. Location/Site Address: C 2. Parcel ID Number: 3414 — SO I 6715— 15-6 - T y' 3. Com 4 of"lice L'S'? Only Section Township Range Map Page Zoning Land Use Initials -7. S 140 1-7 Sc"c`YL Owners Information / 5. Contractors Information Name: 4�� i � l i;o5 �ax; En -2L_aCf L' S!3 Address: 76 3 )/ St L�c� 6�c� la2 � (w- City: ST (.�-�CIG State: Zip: V7 9 a Phone: % 7d -SW 6. Value of Construction: $ oo' Cvj a y FL Reg/Cert #: C tq(-05�i /&y County Cert#:� Business Na 7 Phone: �-406`V4PW Fax: 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 regulatin construction and zoning. t� &221rtt PRINT OWNER OR CONTRACTOR NAME �. SIGNATURE OF O R OR CONTRACTOR STATE OF FLORIDA, COUNTY OF �31 . '-tt r ACKNOWLEDGED BEFORE ME THIS oi3 DAY OF IVO V2 6,1 - 20. 10 BY G(dra, WHO IS PERSONALLY KNOWN TO ME X OR WHO HAS PRODUCED AS IDENTIFICATION. NOTARY PLBLIC•STATE OF FLORIDA 0-hp a4l MQm6n ""' (QhL*yl Morgan SIG14AYJRE OF NQTARY TYPE OBI PRINT NAME OF NOTARY Commission # DD997935 �+7 `Expires: JUKE 28 2013 COMMISSIONNUMBER JiDW 35 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 FAj- AE O RECORD A NOTICE OF FOR NOTICE TO OWNER: PAPPR VVEMEC¢ NTS TO YOUR PROPERTY. IFYOU INTEND TO OBTAIN FINANCINNCEM MAY RESULT IN YOUR G, CONSULT TWICEING WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. INSTRUCTIONS Please complete all information in the space provided. All information must be printed (use black or blue ink only) or typed. This permit application is to be used only for those activities that are not otherwise included under a primary building permit. This application may not be used for any activity that includes structural alteration. The information to be provided with this application includes: 1. Location/Site Address 2. Parcel ID 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 which 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 current 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 submitted figures are not consistent with similar types of construction. ❑ Gas Attach 2 piping schematics with tank size,location, and BTU of each appliance ❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications ❑ Fence Attach 2 plot plans showing location of fence height of fence and type of fence ❑ Siding Attach 2 copies of manufactures specifications ❑ HVAC Attach 2 residential energy studies, 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 assistance 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 PM without special arrangements and additional fee paid. Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261. This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. Certificate of Product Ratings AHRI Certified Reference Number: 3636993 Date: 11/19/2010 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ACB760A**30 Indoor Unit Model Number: FV4CN6006 Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: COMFORT 17 PURON AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING 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): 59500 EER Rating (Cooling): 13.40 SEER Rating (Cooling): 17.00 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 A. ON ,' and Refrigeration Institute 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.: 129346545189558033 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. Certificate of Product Ratings AHRI Certified Reference Number: 3636993 Date: 11/19/2010 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ACB760A**30 Indoor Unit Model Number: FV4CNB006 Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: COMFORT 17 PURON AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING 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: 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 atteration 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.ah rid irecto ry.org, Air -Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on SOU No ,' and Refrigeration Institute 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.: 129346545189558033 A • CONTRACT 6781 W. Sunrise Boulevard, Plantation, Florida 33313 Phone: (954) 566-4644 • Fax: (954) 667-1290 0 www.aycair.com N 14— QrYrt- M rY lawn A" Est. 1973 with over 150,000 Installations — PURCHASER We hereby slillit gwMc8U011>s NAME ADDRESS9tg,35o1Lndoor TEquipmentIrrstallation Alr Qual ty ❑ Qtber — _-- -- — .- - CITY/STATE/ZIP PO (a E-MAIL _ Ah Near will lumish as parts, labor end equlWesaffy to fadlitale the Service dledted above In accordance with theamditloeandKxkKicelctrilisted ibi i� �7 / r cadract. Does not irxAda electrkN upgrade iiie unless Staled. HOME PHONE / !2— -5 2�C( yCELLPHONE ❑ Duct Cleaning & Sanitizing #_ Vents # Duct Systems ❑ High Quality Air Filter X Location ❑ UV Light ❑ High Quality Air Cleaner Location ❑ Modify/New Supply Duct(s) O New Supply Gril ize: _ x — Qty. ❑ Modify/New Return Duct(s) ❑ Seal Up Lea n Ducts # ❑ New Return Air Grill, Size: — x Qty. _ ❑ Modificati of: ❑Supply Plenum ReturnAir Plenum ZI Split System ❑ Package Unit eat Pump Straight Cool ❑ Horizontal Application ❑ Other _ 2 Q'�lectric Heat r],5—i - Heat Recovery Unit JTOf Systems I ❑ Attic ,21 Vertical Application MAKE Gael CAACE`] MODEL 6 0 SEEN 13 �-vQO o ,0 Air�iandler Breaker Wire Size rY'Existing ❑ Replace 1 ❑ New Breaker BrandGiitv�4� ✓ thn Condenser Breaker Wire Size ;,,/use Existing ❑ Replace _ ❑ New Breaker Brand 741 UC Electrical Disconnect Box Col Electrkmi Y0I❑ toCoda In -line Float Switch ❑ Auxiliary Float Safety Switch j(Type of Thermostat - Specify Type �d4e 1Weather Resistant Vibration, Isolation Pads VJ 1 Year 1 Visit Maintenance Agreement ❑ 5 Year Extended Warranty ❑ 10 Year Extended Warranty ;3 Condensate Drain Hook -Up O Primary D Secondary D Refrigerant Copper Suction Line with Insulation, Size: ❑ New Condensate Pump ❑ Auxiliary Drain Pan ❑ Length of Run ❑ Refrigerant Copper Liquid Line, Size: ❑ New or Existing Copper ❑ Refrigerant Line Cover �D Liability and Workmen's Comp for Our Work Performed with D Smoke Detector-Existing/New Existing Codes ❑ Straps ❑ Crane / Genie Lift Mounting Hardware of Stand for Air Handler ❑ Extend Slab ❑ New Slab Hurricane Code Strapping ❑ Labor Needed ft or 1 Year Warranty by All Year Cooling on work performed, and M ufacturer's Warranties manufacturer's warranty on equipment unless otherwise stated mpressor _�O Years ,�� abor i Years below Eap. ndenser 1 0 Years ^yT Parts I n _ Years Labor provided by seller in this period is Monday through Sunday. r Coil L Years Uniti UINT2 Ill Subtotal $ 585 $ $ Permit $ O U $ $- — Utility Rebate $_ 2,WfR- $ $ Man. Rebate $ $ $ Misc Credits 0 $ $ Total Investment $ Balance Due $ $ $ TERMS: Any financing mud be arranged prlor to sfartMtp any work Balance Dua to Tectnidan Upon Com Job AN Aiff Coothg AW SOWture Gs10 License # CAC058159, 94C , U16711, 08E0004 ftw I r Date / 2903 SEE REVERSE FOR TERMS AND CONDITIONS OFFICE USE ONLY: DATE FILED: REVISION FEE: ,�C;o • C6NTY f iL9O R I D A PERMIT # RECEIPT # YO ` r PLANNING & DEVELOPME BUILDING & CODE REGULA 2300 VLRGINIA AVE FORT PIERCE, FL 3498 (772)462-1553 APPLICATION FOR BUILDING PROJECT INFORM ION LOCATIO1. ADDRESSN/SITE .1c)) j v it 3. 4. nF.TAH.ED DESCRIPTION OF PROJECT CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: C BUSINESS NAME: _ QUALIFIERS NAME: _ ADDRESS: T CITY: PHONE (DAYTIME): �� OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE: ST. LUCIE COUNTY CERT. #: f / V te STATE: _ ZIP: FAX: -7�5 G -I %T) STATE: 5. ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC: 9/23109 Revised 04/26/2010 STATE: FAX: FAX: KAIA ZIP: Property Appraiser - St.Lucie Count yL Page 1 of 1 PROPERTY RECORD CARD Joseph Phillips Record: 1 of 5 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �UCIE CO Site Address: 7643 SILVER OAK DR Parcel ID: ,� 3414-501-0715-150-9 Sec/Town/Range: 23 :36S :40E Account #: 40729 Map ID: Land Use: < 10U Zoning: RM-5 RM-5 City/Cnty: St L St Lucie County Ownership and Mailing Legal Description Owner: Joseph Phillips Jeanne M Phillips ST LUCIE GARDENS 23 36 40 BLK 3 S 1/2 OF LOT 15-LESS E 400 Address: 7643 Silver Oak Dr FT OFN 150 FT- (MAP 34/23S) (3.24 AC)(OR Port St Lucie FL 34982-2880 More... Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 381200 Land Value: 67400 Acres: 2.41 10/8/2010 0115 PB 3239 / 2401 Assessed: 381200 Building Value: 313800 9/14/2010 100 0111 PR 3232 / 1687 Ag.Credit: 0 Finished Area: 6391 SgFt 6/27/1991 0 01 WD 0744 / 1844 Exempt: 2/10/1989 60000 00 WD 0625 / 0608 Taxable: 2/10/1989 60000 00 WD 0625 / 0608 Taxes: 7922.94 BUILDING INFORMATION W w NM) un (ma) �1 eu Exterior Features View: RoofCover: SD - Dim Shingle RoofStruct: GA - Gable ExtType: HC - HC YearBlt: 1990 Frame: Grade: C - C EffYrBlt: 1990 PrimeWail: WS - Wood/Sheath StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWali: DW - Drywall FullBath: 1 HeatType: FHA - FrcdHotAir AvgHt/FI: 1/213ath: 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 DWC - Driv-Concret Y 1 720 AV AV 1990 1 0800-M-F < 10U 554 -Acres 3.24 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=341450107151509 11/15/2010 Property Appraiser - St.Lucie County_ F1, Page 1 of 1 PROPERTY RECORD CARD Joseph Phillips Record: 1 of 5 j� i -<.r Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �,�/ Site Address: 7643 SILVER OAK DR ParcellD: 3414-501 0715-150-9 �UCIEC�G2 R Sec/Town/Range: 23 :36S :40E Account #: 40729 � Map ID: 34/23S �n Land Use: M-F < 10U �. Zoning: RM-5 n V City/Cnty: St Lucie County �'•L--!. Ownership and Mailing 1D Legal Description Owner Joseph Phillips Jeanne M Phillips ST LUCIE GARDENS 23 36 40 BLK 3 S 1/2 OF LOT 15-LESS E 400 Address: 7643 Silver Oak Dr FT OFN 150 FT- (MAP 34/23S) (3.24 AC)(OR Port St Lucie FL 34982-2880 More... Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 381200 Land Value: 67400 Acres: 2.41 10/8/2010 0115 PB 3239 / 2401 Assessed 381200 Building Value: 313800 9/14/2010 100 0111 PR 3232 / 1687 Ag.Credit 0 Finished Area: 6391 SgFt 6/27/1991 0 01 WD 0744 / 1844 Exempt: 2/10/1989 60000 00 WD 0625 / 0608 Taxable. 2/10/1989 60000 00 WD 0625 / 0608 Taxes 7922.94 E era a � w BUILDING INFORMATION k ' � -1) Exterior Features View. RoofCover. SD - Dim Shingle RoofStruct: GA - Gable ExtType: HC - HC YearBlt: 1990 Frame: Grade: C - C EffYrBlt 1990 PrimeWall: WS - Wood/Sheath StoryHght.. 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms. 3 Electric. MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 1 HeatType FHA - FrcdHotAir AvgHUFI: 1/213ath: 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type YIS Qty Units Qual- Cond YrBlt- No Land Use Type DWC - Driv-Concret Y 1 720 AV AV 1990 1 0800-M-F < 10U 554 -Acres 3.24 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?prclld=341450107151509 12/8/2010