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HomeMy WebLinkAboutSUBMITTED PAPERS�q c Date: —In IFee Due Permit # Planning & Development Services _ Building & Code Regulations Division SCANNED 2300 Virginia Ave. BY LOR 11,111, ID A- Fort Pierce, FL 34982 'St. Lucie Count w (772)462-1553 y SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing &AC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 food instructions and additional paperwork required for specialty pernritc 1. Location/Site Address: L'"iV�� Pau ro-fi S rl 2. Parcel ID Number: 301 0-5D 3 — 0,45 -4 — QQQ — O Office Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: 15a6 0 pitw A tau. 15PSL�)(DR-0� 4. Owners I formation 5. Contractors information Name: A 11 1br U (lau FL Reg/Cert #: Address: (QQ2J_) (7() fi S C n County Cert#: onwiewen City: ��� � L , State: FLI Business Name: J1JLu 9ffl(i, r / CE- Zip: �J' l �7 0 a Phone: 2 ' 0, i 6. Value of Construction: $ 06W OWNER'S AFFIDAVIT: I certify that all of the information conta e iT i lication is correct and that all work will be done in compliance with all applicable laws regul i nt nd zoning. PRINT OWNER OR CONTRACTOR NAKE STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS S DAY OF PERSONALLY KNOWN TO ME SL OR WHO HAS PRODUCED AS Fr ATI N. BRANDI R. McLOUGHLIN *_;�Expirr;,s NOT4fiy)PUBLIC E OF N AR 2 �j(/ TYPE OR PRINT NAME OF NOTA—STATE OF FLORIDA COMMISSION NUMBER 'NbgS900 O Cam# DD935088 10,r21/2012 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 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 $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, 2011. Certificate of Product Rating AHRI Certified Reference Number: 3705103 Date: 1/5/2011 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: 15PJL36 Indoor Unit Model Number: RHLL-HM3617+RCSL-H*3617 Manufacturer: RHEEM MANUFACTURING COMPANY Trade/Brand name: RHEEM 15PJL SERIES 0 Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY 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): 35400 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 Heating Capacity(Btuh) @ 47 F: 34600 Region IV HSPF Rating (Heating): 8.50 Heating Capacity(Btuh) @ 17 F: 22200 ' Ratings followed by an asterisk (') indicate a voluntary relate of previously published data, unless accompanied with a WAS, which indicates an involuntary relate 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 vnw .ahridirectoty.ory, w 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. ©2010 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129387291843520666 r 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: 3705103 Date: 1/5/2011 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: 15PJL36 Indoor Unit Model Number: RHLL-HM3617+RCSL-H"3617 Manufacturer: RHEEM MANUFACTURING COMPANY Trade/Brand name: RHEEM 15PJL SERIES Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY Rated as follows in accordance with AHRI Standard 2101240-2006 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): 35400 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 Heating Capacity(Btuh) @ 47 F: 34600 Region IV HSPF Rating (Heating): 8.50 Heating Capacity(Btuh) @ 17 F: 22200 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 products) 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 akeration 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, 00 ,' 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.: 129387291843520666 o� � 50 �p��ed Property Appraiser - St.Lucie Court,-- FL Page 1 of 1 Karen A Brunault Record: 1 of 1 Property Identification PROPERTY RECORD CARD «Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print 4 V\ACIE CO Site Address: 367 PAUROTIS LN ParcellD: 3410-503-0257-000-8 oy� Sec/Town/Range: 10 :36S :40E Account #: y_a 133376 Map ID 34/10B Land Use SF Res Zoning. PUD City/Cnty St Lucie County LOA Ownership and Mailing Legal Description Owner. Karen A Brunault PALM GROVE S/D BLK J LOT 5 (0.13AC) (OR 1137-887) Address: 367 Paurotis Ln Fort Pierce FL 34982-3941 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 84300 Land Value: 20000 Acres: 0.13 4/6/1998 92000 00 WD 1137 / 0887 Assessed: 84300 Building Value: 64300 2/17/1998 100 01 QC 1127 / 1653 Ag.Credit 0 Finished Area: 1450 SgFt 12/27/1996 93200 00 WD 1053 / 0654 Exempt: 50500 Taxable: 33800 Taxes: 906.94 BUILDING INFORMATION 34]@ 030?57@@08 Exterior Features 3100 View: RoofCover: SD - Dim Shingle RoofStruct: HP - Hip Lakefront -SM ExtType HC - HC YearBlt. 1996 Frame: Grade: C - C EffYrBlt: 1996 PrimeWall: BS - CB Stucco StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features Bed Rooms: 2 Electric MX - MAXIMUM PrmintWall: DW - Drywall FullBath 2 HeatType FHA - FrcdHotAir AvgHt/FI V26ath. 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 t and Use Type Measure Denth 1 0100-SF Res LFI -Site 1 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=341050302570008 1 /6/2011