HomeMy WebLinkAboutVandall- 43578)W17,, 783
ST. LUCIE COUNTY PERMIT APPLICATION
PERMIT No. `� - SEWAGE PEamlr-tom. ��� r;
APPUCATION FOR PERMIT TO CONSTRUCT
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JOB LOCATION/ADDRESS:
Qj
LEGAL DESCRIPTION` ` LREQUIRED
Yes No ..._........
ROAD IMPACT: DISTRICT ZONE FEE
S/D MAP# FLOOD ZONE ELEV
LOT BLOCK UNIT SEC TWP IiGE
TAX IDP
ZONE GMPY
LOT SIZE/ ! iMENSION5 // �j? �� n /(y ; /� X /(� x �f • `F I EST COST `2
SET BACKS: FRONT '10 ' REAR JCS! SIDE 55 SIDE � U,
SQ FT BUILDING: LIVING AREA 1 (.)S ACCESSORY 9 -Z (j 'k
ARCHITECT: NAME t E UL i_., i CA U S 1 PHONE 3 -5 , - U $ 9
ADDRESS 1C+5Z S, (%L 61V)) CITY P'j ST IA ZIP- . y5 Z
CONTRACTOR: STATE REG/CERT #- 6fL,3K3, COUNTY CERT ill
NAME ,zip G ADDRESS`G,r
CITY }�-� r c:5e STATE % ZIP PHONE 579-l�v��
NAME � ,�/U 74 �C ��-✓
ADDWS1%Gn1�� 0 l`22E� PHOI+tE
J CITY �.� •C / STATE ZIPS
'STATE OF RORIOA, COUNTY OF ST. LUCIE
®afore no, the undersigned authority, personally appeared , who upon
W*V duly sworn, deposes and says that the information contained in the foregoing application is true and correct.
>�.licent
Sworn to 4hd 1 lV� rr� 4ed .before me this �2_ day of 19�.
i, 3
SCHOOL IMPACT FEES
Required
Yes No
Notary, Public, State of F I�a at Lame Am t . P d
OTARY PUBL C STATE OF FLORIDA
My Cp(nmIsalon freer MY COMMISSION EXP SEPT 16,190ate Pd
STA4,7, E OF FLORIDA
DEPAR7VEN7 OF KIEAL'llli AND REHABILITA71 WE SERVICES
PERMIT
ONSITE SEWAGE - NSTRUCTION AND WSTALLA-710m
DISPOSA11- 5,
Authority: Chapter 381, FS
MA Chapter 1 OD-6, FAC
Permit Number
it
---
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-------- P RT I - SYSTEM CONSTRUCTION SPECIFF1 7ATINS A IND CONST----------
RUCTION APPROVAL
an k oalle)
unit gallons
ank or
, unit gallons
ter
gallons
I
tank _gallons
1equirements
Grease
Interceptor -- gallons
Dosing tank-- gallons
Minimum, Draintrench
Size
Square Feet
Square Feet
Square Feet
Square Feet
OR Minimum Absorption,
Bed Size
,�4f57 - Square Feet
mom 11=1�
Square Feet
Square Feet
ftallation must be in accord with requirements of chapter 1 OD-6, FAC.
system construction permit is valid for a period of one calendar year from date of issue.
ial installation inspection ad ap roval is required before the system is covered
tert of stub -out for to be 'e5enchmark.
/ert of stub -out for to be benchmark.
/ert of stub -out for to be benchmarkR
iert of stub -out fors to be benchmark.
I quality and quantity:
EXCAVATION POST BE CHECKED
By I1'73-0—EPARTNI ENT PRIOR TO
Cher: IF AREA OF DRAINFIELD IS SUBJECT TO
Roof -- MUST BE GUTTERED PRIOR TO
257
-n design and specifications µ tTitle
/V
c ruthorized by: Date
r
unty Public Health Unit
Completed copies of this form will be provided to the applicant, installer and the building department.
CONTROL NO. 1 17 IL
,rffi 4016, Feb 85 (Obsoletes previous editions which may not be used) Page 1 of 2
,,flbert5744-001-4016-0)
DESCRIPTION
Lot i, LUhY-ACRES, as recorded irrPlat Book
23, I -age 2, Public Record, St. Lucie County,
Florida
CLIENT: Vandall
! PROPEP I'Y ADDRESS: Lucy Lane
lone „B
7
j LOCATIONS TO BE VERIFIED BY CONTRACTOR.
SET BACKS SUBJECT TO BLDG. DEPT. APPROVAL.
I ALL ADJOINING LOTS VACANT EXCEPT AS SHOWN.
o — FOUND PCP 42391
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V
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING
FORM •00RESIDENTIAL
REVISED: 1/87 DEPARTMENT OF COMMUNITY AFFAIRS CENTRAL 4 5 6
PROJECT NAME ''�,�� .rm _ BUILDER
AND ADDRESS: i_ ' 3 t r PERMITTING CLIMATE' ❑ ❑ ❑
OFFICE: ZONE: 4 5 6
ry PERMIT _ _ JURISDICTION
OWNER: r ; v \ C ..,* / i� NO.: NO.:
NEW CONSTRUCTION
ADDITION ❑
IF MULTIFAMILY, NUMBER OF
UNITS COVERED BY
THIS SUBMITTAL:
CONDITIONED
FLOOR AREA
SO.
FT
GLASS AREA
AND TYPE
CLEAR
TINT,FILM,SOLAR SCREEN
EAVE OVERHANG
LENGTH
�•�
FT
SINGLE-
E = FT
PANE .. FT
MULTIFAMILY ATTACHED ❑
DETACHED E
CHECK IF THIS SUBMITTAL
REPRESENTS A WORST CASE
CONDITION:
LENGTHCH OVERHAN6
%
.� FT
D PANEE FT
DOUBLEPANE� FT.
NET WALL AREA AND INSULATION
MA�SONRY�
R =
FRAME
R =
STEEL STUD
R =
LOG
Rso. =
FT
❑
. [I
®
�
so.
FT�
FOT
❑
CEILING AREA AND INSULATION
FLOOR TYPE AND INSULATION
_
UNDER ATTIC
R = SGL ASSEMBLY
R =
SLAB PERIMETER
R =
RAISED. WD(ICON ❑
R =
FTT
❑❑
�—❑
FOT
❑
Z
FT
�
FOT
❑
DUCTS
COOLING SYSTEM
HEATING SYSTEM
_ HOT WATER SYSTEM
IN
UNCONDITIONED
['"CENTRAL ❑ NONE
�
❑ ELECTRIC STRIP [ TEHEAT PUMP
ELECTRIC
I ❑SOLAR
SPACE R =
❑ ROOM
❑ NATURAL GAS ❑ OTHER FUELS
❑ NATURAL GAS
I ❑ HEAT RECOVERY
❑ ®
El TERMINAL
El ROOM UNIT OR El NONE
El OTHER FUELS
❑ DEDICATED HEAT PUMP
�
IN CONDITIONED
A!R CONDITIONER
AIR
PACKAGE TERMINAL
HEAT PUMP
❑ E
SPACE R =
�.❑
SEER/EER �.�
COP/AFUE _ ®.m
EF =
SF/EF =
_
=
NUMBER OF BEDROOMS
INFILTRATION
PRACTICE USED F-3 — .3 171 Z .3 Q } X 100 =
[_J #1 ❑ #2 ❑ #3 TOTAL AS -BUILT ALPOTS TOTAL BASE CULATED ENERGY PERFORMANCE INDEEX NTS MUST NOT EXCEED 100 POINTS. CALCULATED E.P.I.
Ih accordance with Section 553.907 F.S.; I hereby certify that the plans Review of the plans and specifications covered by this calculation indicates
and specifications covered by this calculation are in compliance with the compliance with the Florida Energy Code. Before construction is completed, this
Florida Energy Code. aa�J�l o. t--� 1� "apt t,,, building will be inspected for compliance in accordance with Section 553.908 F.S.
OWNER/AGENT: ``� BUILDING OFFICIAL:
GATE: Sr 2- % 7 DATE:
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