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HomeMy WebLinkAboutbackofALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCENTED Date: Permit Number: 5 : s Planning and Development Services Building Permit Application Building and Code Regulation Division 2300 Virginia Avenue, FortPlerce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click here PROPOSED INPROVEMENT LOCATION. Address: , Legal Description: - Property Tax ID #: 3 i a —G 6'_ Site Plan Name: Lot No.�� Project Name: Block No. Setbacks Front Back: Right Side: __ _ _ Left Side; DETAILED DESCRIPTION OF WORK: ' I V 4- 011 CONSTRUCTION INFORMATION: tion ar to e e Orme un er t Es permit— c ec a appy; HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors DElectric EJ PlumbingSprinklers Generator Roof Total Sq. Ft of Construction: Sq, Ft, of First Floor: Cost of Construction: $ ,3 L) Utilities: Sewer" Septic Building Height; OWNER/LESSEE; +CONTRACTOR: Name_. AddressName: , SLC, City:- C % � m � a�'-,°i �� C1 CI, to ! i1 State:i�s. 0Zip Code; Is Fa S City: Phone No. ._ �.� LLi State:EL Zip Code; Fax. E -Mail: Phone No.. " Fill in fee simple Title Holder on next page [ If different -Mail: -ail: i' 1MG from the Owner listed above) State or County License: If value of construction is $2500 or more, a RECORDED N of Commencement is req,' d, i`'',M( Signature of Owner/ Lessee/Agent ���4iPP..1:��NT�I CC},N�TRUG'�"iCa�'I�i•�NLA1�I�I�1F��1`�fAT� �� N' _ STATE Of FLORIDA 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 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 is in Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such which conflict with any applicable 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 tine first inspection. If you intend to obtain financing, consu h4ender- attorney before rr nr rarnr 1 inim Kin#irP of f nmmPnrann Signature of Owner/ Lessee/Agent n _ STATE Of FLORIDA 47 CV Q �* COUNTY OF this �9 day of se()� (nb , 20 a The forgoing instr�,m"�f , Jas acknowledged before mm nj .9 i;#his day of �r e -r 20 Lby REVIEW REVIEW REVIEW (Namepf person of Noiary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No.rP (Seal) Revised 07/15/201.4 Signature of er STATE OF FLORIDA ='• COUNTY OF SUPERVISOR The forgoing instrument was acknowledged before m this �9 day of se()� (nb , 20 a COUNTER REVIEW REVIEW (Name of person acknowledging) re of N'6tar'y Public- State of Florida ) Personally Known V OR Produced Identification Type of Identification Produced Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Michelle Franklin, CFA-- Saint Lucie County Property Appraiser --Alt rights reserved, Site Address: Parcel ID: Account #: Map JD: Use Type: Zoning: citylCaunty_ Ownership Jedith Backof 5913 Spring Lakc I'er Fort Piene, FL 34951 Legal Description PORTOFINO SHORES -PHASE THREE- (PR 43-00) LOT 326 (OR 2954-1398) current Values lustlMarkct Value: Assessed Value: Exemptions: Taxable Valm: Taxes for this parcel: SLC Tare Collectot's Office Q Download TRIM for this petrels Download PDF 0 Total Areas Finished/Under Air (SF): Gross Area (SF): Land Size (acres): Land Size (SF): $12a,nao $75,252 550,000 $25,252 1,377 1,874 0.14 6,098 Property identification J913 Spring Lake TNR 1312-503-0099-000-5 155158 13112N otoo PUD Saint Lucie Cowtty This information is believed to be correct at this time but it is subject to change and is not warranted W Copyright 2017 Saint Lucie Caunty Property Appraiser. All rights reserved. AMEN CERTIFIED° www.ahridirectory.org c-�_c�_C)r, This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Product Ratings AHRI Certified Reference Number: 9139929 Date: 9/5/2017 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: 14HPX-036-230-21 Indoor Unit Model Number: CBX27UH-036-230*+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 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): 34800 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15,20 Heating Capacity(Btuh) @ 47 F: 32800 Region IV HSPF Rating (Heating): 8.70 Heating Capacity(Btuh) @ 17 F: 20400 Platings 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(s) listed on this Certificate. AHRI expressly disclaims liability all 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; xe, 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. CERTIFICATE VERIFICATION AER -CONDITIONING, HEATING, & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better" which is listed above, and the Certificate No., which is listed at bottom right. r-` �� _ ©2014 Air -Conditioning, Heating, and Refrigeration Institute 11 CERTIFICATE NO.: 1314;x1064760211713