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
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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
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STATE OF FLORIDA
3 X
COUNTY OF A
-9 It --
A242
The rgoinginstrµmentwas cknowled a before
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da of
( ignature of N tary Public- State of Florida)
,+J%• ��.�`"
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(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
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The or ping ins ment was acknowledged before
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(Name of,Arson acknowledging)
( ignature of N tary Public- State of Florida)
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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.
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02014 Air -Conditioning, Heating, and Refrigeration Institute
CERTIFIrATF gun •
13116545174924319