HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D: Permit Number-,
Building Permit Application
Planning chi' Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax-, (772) 462-1578 Commercial Residenfial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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I X 11, IN
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Address.- 51n N'�Q.,,., Lck-kiK, il 3YCj
Leg aIlDescrIption: EC,)c+QCj,(-)20 k-% or
Property Tax ID #: COO - Lot No.--,.
Site Plan Name: Block No.
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'ect Name:
Setbacks Front Back: Right Side, Left Side:
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ACC11 na wor to e rfdr_m_ed ujn--de—r tt-Fis permit - cfi-e-cFa I a'pp y:
NO -ON" T[n Windows/Doors
M1 I
LNHVAC Gas Tank Gas Piping Shutters
UElectric Plumbing Sprinklers Generator Roof Roof pitch
'Total Sq. Ft of Construction: Sc,. Ft. of First Floor:
Cost of Construction.- $ 5%0? oc-)
Utilities: Sewer Se 1 Building Hefght�,
—j _ tip I
Nam 14,1
Address:
...5,
city: e)oaf` e State-.)P&
Zip Code, Fax
Phone No. —42"Jrl
E-mail:
Fill In fee simple Title Holder on next page j if different
from the Ocaner 'listed above)
CON
Marne,,
Company:- m ,,.,.
Address, 532- IOU) Leo _eL, I I I
city: 0State:
1.��11 93q
ZIP Code: 3q Fax,-*17Q ___3sll
Phone Noe :nz_� � -7 1 --,6W
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* X -Mail: L*(A 0 ()%cr
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State or County License: C4C i%1.`T(&a3
If value of construction is $7.500 or more, a RECORDED Notice of Commencement is required.
<n; TR MR, P 0, v N,. LAW
itSIG NERANGI EER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address'."
Address:
c-0ity:
State.
City:
-State:
cm�RM�tii
2.1p** Phone,—
Zip: Phone:
FEE SIMPLE TITLE HOLDER.
Not Applicable
BONDING COMPANY:
.Not Applicabie
Name:
Name:
Address'.
Address:
0
Cit7y$
Phone:
ZIP: Phone,,
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St, Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Which Is In conwict 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, 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
POST E JOB SITE BEFORE THE FIRST INSPECTION. IF YSVIWNRI�D TO OBTANANCT IN FIING, CONSULE
WITH R LEND , R OR AN ATTORNEY BEFORE RECORDING YOOR NOTICE OF COMMENCEMENT."
Signature of OWner/ Lessee/ Contractor as Agent for Owner
STATE OF FLORIDA roc-4- i.
COUNTY OF
The, forgoing Instrument was acknowledged before me
this d6y of 201r-i by
Signature of Contra ctor/License Holder
STATE OF FLORIDA r)
COUNTY OF
The forgoing instrument was acknowledged before me
this day of �rrbezr , 2, 0 b y
V
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known X_ OR Produced Identification
Type of Identification Type of Identification
Produced Produced-
0404%0*110*0bf APOS41W
(Signa
Notary Public State of Florida
ft iar
loom Jennifer I Agui
mi f _4LA&Z_
Commirssion GUG 3,,7JSe4
T Expires 0512912023
,ol ON!
R E V I E'Vd` S FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
UATT
COMPLETED
" P
7q
L AL Ak All
Notary Public State of Florida
Jennifer I Aguiar
N(Seal)
*gAy Commiselan 00 339871
Expires 05/29/2023
SUPERVISOR I PLANS I VEGETATION SEATURTLE MRANGROVE
REVIEW REVIEW REVIEW REVIEWEVIEW
01A
AHRI Certified Reference Number: 201294088 Date: 11-08-2019 Model Status: Active
Old AHRI Reference Number: 7943535
AHRI Type: RCU-A-CB
Outdoor Unit Brand Name: RUUD
Outdoor Unit Model Number (Condenser or Single Package): RA1648AJI
Indoor Unit Model Number (Evaporator and/or Air Handler): RHIT4821STAKI
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MID, ME, MI, MN, MO, MS7
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TUX, UT, VA, VT, WA, WV, W1, 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.
The manufacturer of this RUUD product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 45000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being
marketed but are not yet being produced. "Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
da gting that acre --by WAS indicate in involuntaare-rate. The neWOUblished ratin@ is shown al2nw with the r)revious i.e. WAS ratina.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no vesponsibility for,
the product(s) listed on this Certificate. AHRI expressly disci aims 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--:-,
TERMS AND CORID1 i GHS
This Certificate and its contents are proprietary products of AHRL This Certificate shall only be used for in6viduefl, 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 utilised, in any form or nnanner or by any rneans, wwept for theuser's individual,
personaQ and confidential reference, AIR-CONDITIONING, HEATING,
C CE R 4 l F EC, d E. V/ 'E; R F l C A, 7 l 00 H & REFRIGERATION INSTITUTE
The information for the rnodleO cited on this certificate can be verified at cMk on "Verify Oink we makre life betterm
end enter the AHM Certified Reference Number and the date onwhich the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right.
@2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132177025852841912
Michelle FrankHn, CFA--Sa'Mi Lk_x�e CoL)in',TyProper,i�yAppra�'ser--,A�� r�ghts reserved.
P v oc) p e i r tr y7 Wendf"kation
Site Address:
Parcel ID:
Account #:
Map 1D:
Use Type:
Zoning.
City/County:
Ownership
Robin Myers
5723 Place Lake DR
Fort Pierce, FL 34951-3136
Legal Description
PORTOFINO SHORES -PHASE THREE- (PB 43-40) LOT 278 (OR
3865-2681)
Jus t/M arket Value:
$184,300
Assessed Value:
$163,133
Exemptions:
$5000
Taxable Value:
$113,133
Property taxes are subject to change upon
change of ownership.
• Past taxes are not a reliable projeeflon of futuire
taxes.
• The sale of a property will prompt the remoT,%R of
all exempal® ns, assessment caps, and specRW
classifications.
Taxes for this parcel: SLC Tax Collector's Office U
Download TRIM for this parcel: Download PDF U
5723 Place Lake DR
1312-503-0074-000-4
155133
13/12N
0100
Planned Un
Saint Lucie County
Total Areas
Finished/Under Air (SF): 29103
Gross Sketched Area (SF)': 3,027
Land Size (acres): 0.16
Land Size (SF): 6,970
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
(0 Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.