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HomeMy WebLinkAboutBuilding Permit ApplicationALL AP1111A 1.E 1NF© MUST B1: COMPLETED FOR APPLICATION i0 B Date 4 E ACCEPTED s X13._, Permit Number: Planning and Development Services Building Permit Application Building and Code Regulation Division 1300 Virginia Avenue, Fart pierce FL 3.4982 Phone: (772) 462-1553 Fax: (772) 462.1578 Commercial PERMIT APPLICATION FOR:-�"--� Residential �_ To Select from dropbox, dick here PROPOSED INPROVEMENT LOCATION.- Address: OCATION:Address: Legal Description: Property Tax I D #.- Site :Site Plan Name: r Project Name, Lot No. Setbacks Front--------._ Rack: Right Side: Block N o. DETAILED DESCR[PTIpN OF WORK; Left side; CONSTRUC N [�FORMATION:�#ton ar to e orrne un ert �s permit --c ec a HVAC Gas Tank appy: Gas Piping ` Shutters Electric Plumbing Windows/Doors Total Sq. Ft of Construction;�Sprinkler5 Generator El Roof Cost of Construction: $ CQ 1 5Ft. of First Floor; Utilities:t Sewer Floor- OWNER/LESSEE: LE5SfE; septic Name 'r'-' CONTRACTOR: AddCe yr^ { i Name. C' City: 4_ l �^ Company: (L ZIP Code: State:. Addr ` Fax: s� Phone No. , ( _ City;�L- h E -Mail: Zip Code;`V, Fill in fee s€mple T€tle Holder on next Page Phone No. from the Owner listed above] p g { if different E -Mail: L If Value of construttian is $2500 ar mare, a REC State or County License: ORflED Notice of Commencement is required, Building Height: Fax: Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: � Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: �. Not Applicable Name: Address: City: State: Zip: � Phone: "�— BONDING COMPANY: —Not Applicable Name: Address: City - ZIP:. Phone: 1 certify that no worse 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 Hoare 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 ! 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 action. If you intend to obtain financing, consuf COMMencs r ar recor r ur Notice of CommencemA n attorney before _ Signature Of Owner/ Lessee/Agent i a, STATE OF FLORIDA N• COUNTY OF L 76 9 "' c The forgping instrument was acknowledged before rr thls� ay of , 20 JJ,,by -62 z . i CA Namepf person acknawledsina t of Notary Public- State of Personally Known � OR Produced identification Type of Identification Produced Commission No. � (Seal) Signature of er STATE OF r_ COUNTY OF OR Q it ^c The for orng lnstrume t was acknowledged before m . 0 this J1'day of E � 20 by � .Q i6 J�i e' -r — 1� -� `� S'26:!'ge z � ._ (Name of rson acknowledging) re of Ni5tas=y Public- State of FI d Personally Known OR Produced identification .... Type of identification Produced Commission No. X1 1 (Seal) Revised 07/15/2014 I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION COUNTER REVIEW REVIEW REVIEW DATE REVIEW COMPLETE INITIALS SEA TURTLE MANGROVE REVIEW REVIEW MEN Certificate of Product Ratinqs AHRI Certified Reference Number: 7600853 Date: 7/13/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1448AD1 Indoor Unit Model Number: RHIT4821STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with AHRI Standard 2101240-2008 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): 46500* 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(si 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 sor and of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations lisutee d 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; disseminat or the user entered into a Computer database; or otherwise utilized, in any form or manner or by any means, except for individuaed; l, personal and confidential reference. CERT1ricATE VERIFICATION AIR-CONDITIONING, HEATING, The information for the model cited on this certificate can be verified at www.ahridirector or click on "Verify Certificate" link & REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certifcate was issued, we make life better" which is listed above, and the Certificate No., which is listed at bottom right. 02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO,: t31128946705272058 Property Card Page 1 of 1 Property Identification Site Address: 7009 BROOKLINE AVE Sec/Town/Range: 01/34S/39E Map ID: 13/01N Zoning: RS -4 Ownership Arnold R Simpson 7009 Brookline Ave Fort Pierce, FL 34951 Legal Description LAKEWOOD PARK -UNIT 9- BLK 106 LOTS 23 AND 24 (MAP 13101N) (OR 2691-2566) Current Values Just/Market Value: Assessed Value: Exemptions: Taxable Value: Taxes for this parcel: $86,100 $71,721 $46,721 $25,000 SLC Tax Collector's Office 10 Parcel ID: 1301-611-0128-000-6 Account #. 2528 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air 1,830 (SF): Gross Area (SF): 3,348 Land Size (acres): 0.48 Land Size (SF): 21,000 This information is believed to be correct at this time but it is subject to change and is not warranted. C Copyright 2016 Saint Lucie County Property Appraiser. All rights reserved, http://www.paste.org/RECard/ 7113/2016