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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLI ABLE41 FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ' 1 ED <- r_ti_ Permit Number: Pianningand Develaprnen#Services Building Permit Application Building and Code Regulation Division 2300 Virginia Avenue, Fart fierce FL 34982 Prone: (772) 452-1553 Fax: (772) 462-1578 Commercial -.--.--� Residential PERMIT APPLICATION FOR: TQ Select from dropbox, click her PROFUSED INPROVEMENT i_4CATi0N ` _ e Address: Legal Des crl tion: t L Property Tax ID #; Site Plan Mame: Project Name; Setbacks Front___-___. Sack: —mss Right Side; . Loft Side; D17TAli`:�r1 -�-- CONSTRUCTION -IN FORMATION: � rrorme un er t �s pe t.gCZ:Gas HVACGas Piping Tank ahutterspp y.�j UElectric 1:1 Plumbing �j S L�JSArinklers 11 Generator Tota! Sq. Ft of Construction; Cost of Construction; $ rl— 0 S Ft. of First Floor; Utilities:Sewer G.Jseptic OWNER/LESSEE: Name.'CONTRACTOR: Address' r� �" `fid_ Name. C� City: r' company: -I ff'c, , Zip Code 5ta# AddrAs Phone No, Fax: City.1 L. E -Mail: E Zip Code -`41 G Fill in fee simple Title 1 -Folder on next Phone No, from the Owner listed above) Page If different E -Mail: lfvalue af construction Is $2500 or more, a RECO State or County License:' RDEp NatPce of Cantmencement is required. Windows/Doors Roof Building Height: C' SUPPLEMENTAL CONSTRUCTIQN LEEN LAW INFORMATION.: SIGNER/ENGINEER: Not Applicable ,, z Name: MORTGAGE COMPANY: Not Applicable Address: Na me: City: Address: State: Zip: Phone: City: State: The rgoinginstrµmentwas cknowled a before thisc, g Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Name: .Not Applicable Address: Name: City: Address: Zip: Phone: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. which is inoconflict with any applicable Home Owners Associate permit r es, bylaws or andpcovenants that may restrict orPrstructure h bits ch 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, consul co enci r or recor e ur Notice of Commencem n attorney before _ Signature of Owner/ Lessee/Agent ,, z w z„ STATE OF FLORIDA 3 X COUNTY OF A -9 It -- A242 The rgoinginstrµmentwas cknowled a before thisc, g v a da of ( ignature of N tary Public- State of Florida) ,+J%• ��.�`" 5Z (Name f person acknowledging } „ -; (Signature of Notary Public- State of Florida ) Personally Known' OR Produced Identification Type of Identification Produced Commission No.`�� <,1 7 (Seal} Revised 07/15/2014 Signature of Contitar/License STATE OF FLOR COUNTY OF ,, z :r o The or ping ins ment was acknowledged before thiday m �' of 20X y_�� A242 / iy I �✓� 'C ` (Name of,Arson acknowledging) ( ignature of N tary Public- State of Florida) ,+J%• ��.�`" Personally Known L ''_ OR Produced Identification Type of Identification Produced Commission No. LE C�i d� (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW DATE REVIEW REVIEW COMPLETE INITIALS Property Card Site Address: 3415 IRONWOOD AVE See/Town/Range: 25/36S/40E Map ID: 34/25S Zoning: PUD Ownership Daniel M Haggerty Linda M Haggerty 3415 Ironwood Ave Port St Lucie, FL 34952 Property Identification Legal Description SAVANNA CLUB PLAT THREE BLK 40 LOT 2 (OR 2499-1409) Current Values Just/Market Value: $84,400 Assessed Value: $68,92$ Exemptions: $43,926 Taxable Value: $25,000 Taxes for this parcel: SLC Tax Collector's Office 19 Download TRIM for this parcel: Download PDF p Page X of 1 Total Areas Finished/Under Air 1,402 (SF).- Gross SF):Gross Area (SF): 2,374 Land Size (acres): 0.13 Land Size (SF): 5,447 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.Paslc.org/RF,Card/ 8/24/2016 >� ■Q� CERTIFIED° www,ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 8215494 Date: 8/24/2010 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: PA4ZNA048000 —** Manufacturer: PAYNE HEATING AND COOLING Trade/Brand name: PAYNE HEATING AND COOLING Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, !A, 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, wl, 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: R410A AC SPP Manufacturer responsible for the rating of this system combination is PAYNE HEATING AND COOLING 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 (Stuh): 47000 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied w1h a WAS, which indicates an involuntary rerate DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes the product(s) listed on this Certificate. AHRI no responsibility for, 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 directory at www.ahridirectory.org. models and configurations listed in the 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;AP entered into a computer database; or otherwise utilized, in any form or manner or by any personal and confidential reference. means, except for the user's individual, CERTIFICATE VERIFICATION RPR -CONDITIONING, HEATING, The informatiorrfor the model cited on this certificate can be verified at www.ahvidirector or click on "Verify Certificate' link and enter the AHRI Certified Reference Number & REFRIGERATION INSTITUTE and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. vE make life better 02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFIrATF gun • 13116545174924319