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Building Permit Application
ALL APPLIC BLE INFO PUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: s Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential L PERMIT APPLICATION FOR: To Select from dropbox, click here PROPOSED INPROVEMEN LOCATION I Address: Q� CA i1 "1 n_� P\ Legal Description: M()t H -'e' (— o'J c\'V` ij L� -- Property Tax ID #: 32�—_4 0 1-- Lot Nut-� Site Plan Name. Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WO�R,�-•Kc On C"o ll CONSTRU,CIPWINFORMATION, Additions rkto be ertormed underthis permit -check all apply: HVAC Gas Tank []Gas Piping Shutters OElectric Plumbing Sprinklers Generator Windows/Doors Roof Total Sq. Ft of Construction: Cost of Constructlon: $tip( -:C/ ( 0 utilities: 5 Ft. of First Floor: Sewer 0 Septic Building Height: OWNER/LESSEE: Name An'K Addre;Tvi� �D City: } -� Zip Code: Phone No X61 �« � . Jrt1f1< R v stat �2 -0C, E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: -7- ACTO-- R::j N a m lu) ] Comp a n v City �i L_ Stater . Zip Code:'�4,�5'1 fax{_T__1z4_4(S'r7_ Phone No.:+-4�A' gg �.. E-Mai1:IL� i"1( -W\ 0-N,(\ Mi aiC"!�(�i fIC4 'icizU Pn' C' State or County License: t. `t .0 9 If value of construction is $2500 or more, a RECORDED Notice of commencement is required. FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: —Not Applicable Name: Name: Address: Address: City: _ City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is In conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before a first ins ection. If you intend to obtain financing, consu n attorney before co enci rc or recon ur Notice of Commencem _ Signature of Owner/ Lessee/Agent m_ STATE OF FLORIDA o COUNTY OF �� •� . i )r C 4 E� Therfgr e� ing instent was acknowledged before n J ,9 x -S thi day of 20 by a79 v u m iName f person acknnollwleld ing) 11 A' ,± (f (Signature of Notary Public- State of Florida ) Personally Known Produced Identification Type of Identification Produced Signature of Contr or/License Ho er STATE OF FLORID/ COUNTY OFg. �} r The orgoing instrument was acknowledged before m this day of,:�u (V 20 ,0by c -ten ;-a :S Don-.�.- cc, r0a01 &M (Name of� rson acknowledging) (Signature of N tary Public- State of Florida) �li,yig����```� Personally Known Produced Identification Type of Identification Produced Commission No.FF— -- '7 ate! [J (Seal) Commission No. � q7 �� (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS certificate of Product Ratings AHRI Certified Reference Number: 7517119 Date: 6/30/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX140421K* Indoor Unit Model Number: AVPTC48D14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR Region: Southeast and North (AL, AR, DC, DE, FL, GA, Hl, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. Series name: GSX14 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. 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): 38000 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 IEER Rating (Cooling): ' 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($) 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. AIR-CONDITION6NG, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information forthe model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make lilt better°'" 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 at bottom right 9)2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131117931252114305 Property Card Page 1 of 1 Property Identification Site Address: 2989 BENT PINE DR Sec/Town/Range: 27/34 S/39E Map ID: 13/275 Zoning: PUD ownership Nancy Moore Marjorie Meyer 364 South Manning Blvd Albany, NY 12208 Legal Description MONTE CARLO COUNTRY CLUB -UNIT THREE- THAT PART OF LOT 73 -LESS W 55 FT- AND ALL LOTS 74 THRU 85 (TOWNHOUSES AT WHIPPOORWILL RUN UNIT 903) MPDAF: FROM SW COR SEC 27-34-39 RUN N 0 DEG 55 MIN 02 SEC E ALG W LI SD SEC 967.70 FT, TH S 88 DEG 51 MIN 16 SEC E 39.96 FT TO POS: TIT CONT S 88 DEG51 MIN 16 SEC E 56.25 FT, TH N OIDEG 08 MIN 44 SEC E 19.83 FT, TH N 88 DEG 51 MIN 16 SEC W 56.25 FT, TH S 01 DEG 08 MIN 44 SEC W 19.83 FT TO POS (OR 3056-286) Current Values Just/Market Value: Assessed Value: Exemptions: Taxable Value: Taxes for this parcel $47,300 $39,160 $0 $39,160 SLC Tax Collector's Office 12 Parcel ID: 1327-701-0043-120-9 Account #: 5364 Use Type: 0100 Jurisdiction: Saint Lucie County Tota[Areas Finished/Under Air 1,629 (SF): Gross Area (SF): 2,340 Land Size (acres): 0.03 Land Size (SF): 1,293.27 This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2016 Saint Lucie County Property Appraiser. All rights reserved. http://www.pasle.org/RECard/ 6/30/2016