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Receipt# Permit # Planning & Development Services ` l Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing 01' VAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: -7 31 �� �� l� 'Z ZL4� - 2. Parcel ID Number: 3 VI9 0��� Us Only Section Township Range J Map Page Zoning Land Use Initials E 3. Complete Description of Project or WYork: .���f i vt S�/iT _ 4. Owners Information 5. Contractors Information Name: 114: a, l FL Reg/Cert #: ��©. ��Ag� U Address: 23 f Sa1G zL County Cert#: City: p o� f f f State: Business Name: C p� Zip: .3 y-3 Phone: ��o? — �3% 31 Phone: Fax: g ex/ 6. Value of Construction: $ z9 C� 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 regulating truction and zoriing. PRINT OWNER OR CONTRACTOR NNAAME �(({ SIGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF �I JYU via C J ACKNOWLEDGED BEFORE ME THIS % DAY OF 1 m I Z . BY t WHO IS PERSONALLY KNOWN TO ME __/OR WHO HAS PRODUCED _ AS IDE CATION. 113 SI NAT OF NOTARY TYPE OR PRINT NAME OF COMMISSION NUMBER KARLA V� AA7 Notary Public - Sla&ffllklorida 1Y Comm. Expires Nov 29. 2015 Commission # EE 149694 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 S7500.00 Revised 04/26/2010 NOTICE TO OWNER: FAILU� TO ORD A NOTICE OF COMAENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR YORO ME TO YOUR PROPERTY. IF YOU INTEND T1 ITAIN FINANCING, UR I NDEa%.,A AN ATTORNEY BEFORE RECORDING YOUI LICE OF COMMENCEMENT. W4WITHENT. EXEMI I': A/C -HEAT REPLACEMENT WTTH CONTRACT UNDER $5,000. INSTRUCTIONS Please complete all informat )n 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 per4 nit. 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 of 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 MVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for new system or full replacement This applicaion can be submitted to St. Lucid County Building and Zoning, 2300 Virginia Avenue, Fort Pierce, FL 34982.11 permit applications must be ed out completely before submission. No applications will be P acce tedJr processing after 4:30 P.M. F assistance in completing this application, please call (772) 462-1553, urvig regular office hours (8:00 A#M - 5:00 PM), Monday through Friday. NOTE: E e envy a ectric 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. Certificatel'-o"A Product Ratings AHRI Certified Reference Number: 3412355 Date: 2/9/2012 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM30 Indoor Unit Model Number: RHLL-HM3617+RCSL-H*3617 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 210/240-2008 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): 29200 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 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.ahridirect".org, Air -Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on �� ■® IL/ and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2012 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129732921944224829 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: 3412355 Date: 2/9/2012 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM30 Indoor Unit Model Number: RHLL-HM3617+RCSL-H*3617 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 210/240-2008 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): 29200 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 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 00 -E and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2012 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129732921944224829 Property Appraiser - St.Lucie County, FL Page 1 of 1 PROPERTY RECORD CARD Kenrick Rampersad Jr Record: 1 of 2 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification CIE CO Site Address: 731 SE SOLAZ AV ParcellD: 3419-545-0051-000-1 Sec/Town/Range: Map ID: 28 :36S :40E 34/28S Account #: 43091 Land Use: SF Res yew �G< Zoning: RS-4 City/Cnty: St Lucie County � Au, Ownership and Mailing Legal Description Owner: Ken rick Rampersad Jr Deborah Rampersad RIVER PARK -UNIT 6- BLK 58 LOT 13(MAP 34/28S) (OR 1046-2917) Address: 731 SE Solaz Ave Port St Lucie FL 34983-8415 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 39500 Land Value: 6700 Acres 0.19 7/13/1996 47000 00 WD 1046 / 2917 Assessed: 39500 Building Value: 32800 2/12/1993 100 01 QC 0828 / 1252 Ag.Credit: 0 Finished Area: 1353 SgFt 11/1/1990 0 01 QC 0715 / 2650 Exempt: 25000 5/1/1978 26000 00 CV 0287 / 0945 Taxable: 14500 4/1/1972 16500 00 CV 0201 / 2225 Taxes: 294.99 BUILDING INFORMATION Exterior Features View: RoofCover: SA - Asph Shingle ExtType: HD+ - HD+ YearBIL 1963 Grade: D+ - D+ EffYrBlt: 1963 StoryHght: 0010 - 1 Story No.Units: 1 Interior Features BedRooms: 2 Electric: MX - MAXIMUM FullBath 3 HeatType: FHA - FrcdHotAir 1/28ath. 0 HeatFuel: ELEC - Electric %A/C: 0 %Heated: 100 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual Cond. YrBlt. No. Land Use 3CHT -3CHT S 2 1 AV AV 1977 1 0100-SF Res 3CHT -3CHT S 1 1 AV AV 1977 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 RoofStruct: HP - Hip Frame: PrimeWall: BS - CB Stucco SecWall: PrmintWall: PF - PF AvgHUFI: STD Prm.Flors: CU - Carpet %Sprinkled: 0 Type Measure Depth 260 -Front Ft 75 110 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=341954500510001 2/10/2012