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HomeMy WebLinkAboutBUILDING PERMIT ALL APPLIC LE IN MUST B COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �> � l Permit Number: Planning and Development Services Building Permit Application Building and Cade Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial __ Residential PERMIT APPLICATION FOR: To Select from dropbox, click here P RID,POSED�NPR VEWN LocATIVN Address: Legal Description: r 1 Property Tax ID#: Lot No. , Site Plan Name: Project Name: Block No. Setbacks Front— Back:—Right Side:—Left Side;. DETAILED DESCRIPTION OF.WORK: � - i• lc CONSTRUCTION 1NF0kMATI0[V it o or to e e orme un er is permit—c ec a app y; HVAC Gas Tank ❑Gas. Piping 'Shutters Windows/Doors UElectric Plumbing [:]Sprinklers Generator Roof Total Sq. Ft of Construction: 5 . Ft,of First Floor: Cost of Construction: titllitie $_ ` " . �� s; LjSeweeESeptic Building Height: OWNER%LESSEE: CONTRACTC}R: ., ; Nam Name: 112 Address _ v" A om ay llr G. City: )A A ��d��vo s r, � � ti� State: 0 Zip Cod City. O � Phone N F ,• " ;;, � ,� i Stater . zip Code. Fax: E-Mail: Phone No � r-�L - � — 17- Fill in fee simple Title Holder on next page(If different -Mail: 1' mc_ from the Owner listed above) # ['` State or County License: if value of construction is$2500 or more,a RECORDED N ' of Comr mcerment is requi d, 11mcmd\f�on m i fianc o�Cc� �~,es . ... -•_ DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address; City: State: City; State: Zip: Phone: Zip: Phone: 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 priorto 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,wails,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 ei -e� n attorney before co end r c or recar i ur Notice of Commencem Signature of Owner/LesseefAgent m Signature of Contr or/License Holder +a STATE OF FLORIDA STATE OF FLOW COUNTY OF 5 1� 4- a COUNTY OFEA- € ' The forgoing instrument was acknowledged before 9 C The forgoing instrument was acknowledged before m this h day of i, _ 26 l y this_day of _ _ Zfl by 2 �. �„ L✓"k `��1t 111YYlYj Don I crl cd a ff (Name fperson acknowled ing) (Name off rsonacknowledging 1ti1iYYYp��s (Signature of Notary Public-State of Florida) ( gnature of tary Public-State of Florida} 'y- Personally Known Ll__�^OR Produced Identification Personally Known V OR Produced Identification Type of Identification ProducedType of Identification Produced Commission No.__ ,�� _7 (Seal) Commission No. `j�7, _ (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW ©ATE COMPLETE INITIALS CERTIFIEDAt "CDR Ono smal www.ah rid ire ctory.i Certificate of Product Ratings AHRI Certified Reference Number: 9140481 Date: 6/7/2017 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 14HPX-060-230-21 Indoor Unit Model Number: CBX32MV-060*+TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: LENNOX Series name: MERIT 14HPX SERIES Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC. 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): 59000 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.50 Heating Capacity(Btuh) @ 47 F: 57000 Region IV HSPF Rating (Heating): 8.50 Heating Capacity(Btuh)@ 17 F: 37200 Ratings followed by an asterisk(*)indicate a voluntary rerate of previously published data,finless accompanied with 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 no responsibility far, 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.ahridlrectory.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-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we mike life betters" 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. @201 �2RTIFICATE4 Air-Conditioning, Heating,and Refrigeration Institute NO.: 131413333427607389 Michelle Franklin,CFA--Saint Lucie County Property Appraiser—All rights reserved. Property Identification Sitc Address: 2023 NW Laurel Oak LN Parcel ID: 4425-605-0048-000-2 Amt ut#: 119217 Map ID' 44126N Use Type: 0100 Zoning: PUD City/County: Saint Lucic C—ty Ownership at Dmnthy K Bcusquct(TR) Paul A Bousquet(TR) - .. Z023 NW Laarel Oak L. •:'.: bs, Palm City,FL 34990 Legal Description !� HARBOUR RIDGE-PLAT(LAUREL OAKVILLAGB UNI"1 15(MA.P 44126N)(OR 2537-315) M Current Values IustMarket value: $207100 Assessed Value: $207,139 Exemptions: 550,000 Taxable Value. $157,139 Taxes for this parcel:SLC Tax Collec—'s Office p Download TRIM for this parcel:DoW nload PDF 0 - Total Areas Finished,Under Air(SF): 2,445 Grass Area(SF): 3,411 Land Size(acres): 0.26 Land Size(SF): 11,476 This infotination is believed to be correct at this tune but it is subject to change and is not warranted. 0 Copyright 2017 Samt Lucie County Property Appraiser.All rights reserved.