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HomeMy WebLinkAboutSUBMITTED PAPERSPlanning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 St L UCi (772)462-1553 C COUnty SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing VAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty pernuts 1. Location/Site Address: 'qW 2. Parcel ID Number: Township Range Map Page Zoning Land Use Initials Office Use Section Only 3. 4. Owners InformaticA �-/�y Z Ff. Contractors Information l + r r(� Name: r+ FL Reg/Cert #: Address: (� �1�Q W4fk-,7r ZO ( County Cert#: City: ; V r� `—= jctate: Business Name: Sow'LA '_ Q, cr1 C_D, �j� Zip:g 5 a Phone q�2— p�3 i4I'gC)q'9Phone "I zf7 -1d0 Fa 6. Value of Construction: $ D3 b o OWNER'S AFFIDAVIT: I certify that all of the information contained i t is p icationR<rrect and that all work will be done in compliance with all applicable laws regulat' p ti d zo ing. PRINT OWNER OR CONTRACTOR NAME TTT`TO+ R STATE OF FLORIDA, COUNTY OF kpi ACKNOWLEDGED BEFORE ME THIS I a DAY OF�- 20_ 1 �BY C iJ cha 1 t,I laud ` ,i on WHO IS PERSONALLY KNOWN TO ME-OOR WHO HAS PRODUCED BRANDI R. McLOUGHLIN dGMfUR I CA I NOTARY PUBLIC ^ GL*w'; STA;�,RF FLORIDA O OT TT �(� TYPE OR PRINT NAME OF NOTARYComm# DD935088 COMMISSION NUMBER,j_,)�3S O OAS Expires 10/21/2013 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 0 NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. CIF 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 he 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. . f i This combination qualifies for Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. AHRI Certified Reference Number: 3412307 Date: 1/1,2/2011 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM24 Indoor Unit Model Number: RHLL-HM2417+RCSL-H*2417 Manufacturer: RHEEM MANUFACTURING COMPANY Trade/Brand name: RHEEM 14AJM SERIES 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): 24400 EER..Rating.(Cooling) _ .1.3.50 SEER Rating (Cooling): 16.50 , a * 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 atwww.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, "IMFAir-Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on ON ®1 and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. 02010 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129393221269777714 ♦ ,k f This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service ou.WNUGERTIPbetween Feb 17, 2009 and Dec 31, 2011. certificate of Product Ratings AHRI Certified Reference Number: 3412307 Date: 1/12/2011 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM24 Indoor Unit Model Number: RHLL-HM2417+RCSL-H*2417 Manufacturer: RHEEM MANUFACTURING COMPANY Trade/Brand name: RHEEM 14AJM SERIES 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): 24400 EER..Rating (Cooling):, _. _13,50...... _ . _...... SEER Rating (Cooling:): 16.50 _ . �. 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 wwwahridirectory.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 AOWU ON a1 and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. 02010 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129393221269777714 Property Appraiser - St.Lucie County- FJ, Page 1 of 1 PROPERTY RECORD CARD John A Beyrer Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ,��UCIECO Site Address: 26 LAKE VISTA TR 201 ParcellD: 3422-500-0358-000-4 G2� ' Sec/Town/Range: 22 :36S :40E Map ID: 34/22N Account #: 110447 Land Use: Condo Zoning: City/Cnty: St Lucie County �! Ownership and Mailing Legal Description Owner: John A Beyrer Inez M Beyrer VISTA ST LUCIE BLDG 26 UNIT 201 (OR 951-1181) Address: 365 Lakeview Ave Rockville Ctr NY 11570-3015 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 41500 Land Value: 0 Acres: 0.02 4/13/1995 53000 00 WD 0951 / 1181 Assessed: 41500 Building Value: 41500 12/1/1985 50100 00 CV 0487 / 0093 Ag.Credit: 0 Finished Area: 1170 SgFt Exempt: Taxable: Taxes: 862.55 BUILDING INFORMATION No Imago Available Exterior Features 0010 View: - RoofCover: RoofStruct: Base ExtType: X162 - VistStLucB1 YearBlt: 19B5 Frame: Grade: XV2A - VistaStLuceA EffYrBlt: 1985 PrimeWall: BS - CB Stucco StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 2 Electric: PrmintWall: FUIIBath: 0 HeatType: AvgHt/FI: STD 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 Qua]. Cond. YrBlt. No. Land Use Type Measure Depth 1 0400-Condo N -Unit 0 0 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.pasle.org/prc.asp?prclid=342250003580004 1/13/2011