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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a- Permit Number:
LU:Q"u
U L c ` _E L 6� Building Permit Application
Planning and Development Services
\X
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: c� d (i m
r
PROPOSED IMPROVEMENT LOCH ION:
Address: 0(0 + `i v Ln!�
Property Tax ID#: ���03 ^ �D '" V�a� ��t% �- Lot No.
Site Plan Name: Block No. A
Project Name:
DETAILED DESCRIPTION OF WORK:
O L7
r [
� KW
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: _— Sq. Ft. of First Floor:
Cost of Construction: $ 5y (3 0,\ Utilities: — Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: -�, �C' 1� _
t
Addrr a❑ W �CS L n
Company: -4--�
City: b '� ��-�' �_, Stater
Address:�a a �] , WS' N1-0
City: VCSm (fan <N _ State:
Zip Code: 2)Li 9 Fax:
Phone No. E-
Zip Code: 3'?)4 �D `7 Fax:
Mail:
Phone N i- — -10
Fill in fee simple Title Holder on next page (if different
E-Mail 6
from the Owner listed above)
State or County License �]
If value of construction is 2500 or more, a RECORDED Notice of Commencement
is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement
is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: _
Address:
City: `
Zip:
Phone
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone: _
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:
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. Lucle County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with an applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners Association and review your deed for any restrictions which may appiy.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney be ore commencing work or recordin your Notice of Commencement.
Signature of Co
Builtier as applicable
STATE OF FLORIDA
COUNTY OF
Sworn to (or affir d) and subscribed before me of Physical Presence or Online Notarization
this aa day of -�2. 2[y Y`c1�Cln a►.1 �t� r
Name of person making statement.
Personally Known X OR Produced Identification
lypp entification Produced
(Signature of Notary Public- State of FloridaC-
FRANCES ELLEN 7ARICK
Commission No. (Seal)
Notary Public - State of Florida
Commission M GG 350789
on
. ` My Comm. Oct 4, 2023
r!
Bonded through National Notary Assn.
REVIEWS FRONT ZONING
SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
MANGROVE
REVIEW
Certificate of Product Ratings
AHRI Certified Reference Number: 206020176 Date : 09-08-2021 Model Status : Active
AHRI Type : SP-A (Single -Package Air -Conditioner, Air -Cooled)
Series: LX SERIES
Outdoor Unit Brand Name: YORK
Outdoor Unit Model Number (Condenser or Single Package) : PCE4A3624
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, 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, WI, 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 YORK product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, 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 : 35800
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.80
f"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.
Rat 3nos Ihot are accompanied by WAS indicate an involun[ary re -rate. The new published raIinq Is shown alonq with the previous [i,e_. WAS)ralinq._
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 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.ahridirectory.org.
TERMS AND CONDITIONS
At "12,
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;
�� `■ r
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 make life berter"
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.
©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
132756041374054699
1/4/2021
Floods Building Code Online
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Comments
Archived
Product Manufacturer
Address/Phone/Emall
Authorised signature
Technical Representative
Address/Pnong/Emall
Quality Assurance Rep►esergative
Address/Phone/Ematl
Cary
Subcategory
Compriance Method
F124239-RS
Revision
2020
Approved
BMP International Inc.
4710 26th Street N
St Petersburg, Fl. 33714
(727) 458-0544
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Structural Components
Andwrs
Evaluation Report from a Florida Registered Arthibect or a Licensed Florida
Profws!unai Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed the Frank L. Bennardo, P.E.
Evaluation Report
Fiodda D PE-0046549
Quality Assurance Entity Natlonal Accreditation and Management Institute
Quality A%urance Contract FXpiration Date IV31J2021
Validated By Troy Bishop, P.E.
Certificate of Independence
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Ce "gd By
Sections from the Code
Validation Checklist - Hardoopy Received
FL!•1239_ R5 cal i Li
Standard
AMM 01761-98
Florida IkV"d Professional Engineer or Architect
1/ear
2M
ProductAppravai Method Method 1 Option D
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Date Submitted
Date va0dated
Date Pending FBC Approval
Date Approved
siamm�, r1r of v.nduds
FL # Model, Numher or Name
10/08/2020
1ZAW020
10/26/2020
12/22/2020
14239.1 : Slotted Steel Tte-Down Clip, V and
2' ModelS
!-vans of use
Approved for Use in HWW. Yes
►IPP—ad for use Outside KVHZ-- Ye_;
Impact RaMStarrt: N/A
Design P►es--ure: NIA
Other: ThIs desisJn Pmwides ailawable caparldes For the
system. The required site-sPMIIr design pra=Ure (demand)
Shall be lata rai[udd by others far use with this design.
Description
Steel Tie -town pip System (For Use with Mechanleat Units at
Raof or Grade)
Inst tlatl4m instructions - -
FS142,19 RS I7 DWG,pdf
verir:ed By: Frank L Bennardo, P.E. 0046549
created by Indeper,dentTtdrd Party: Yes
Evaluation Reports
Created by Independent Third Party: Yes
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Produet Approval Aaaeptal
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ENGINEERING
ENGINEERING EXPRESS®
PRODUCT EVALUATION REPORT
September 15, 2020
Application Number: FL ##1d239.i.R5
F1..8 Project Number. 20-30157
Product Manufacturer. BMP International
Manufacturer Address: 4710 28th Street North
St. Petersburg, FL 33714
Product Name: Slotted Steel Tie -Down Clips,10 and 2' Modals
Product Description: Steel Tie -Down Clip System (For Use wiih Mechanical Units at Roof or Grade)
Scope of Evaluation:
This Product Evaluation Report is being issued in accordance with the requirements of the Florida
Department of Community Affairs (Florida Building Commission) Rule Chapter 61 G20-3.605, FAC., for
statewide acceptance per Method 1(d). The product noted above has been tested and/or evaluated as
summarized herein to show compliance with the Florida Building Cade Seventh Edition (2020) and is. for
We purpose tntenaed, at least equivalent to that required by the Cade. Re-evaluation of this product shall
be required fallowing pertinent Florida Building Gode modifications or revisions.
Substantiating Data:
PROD EVALUATION DOCUMENTS
FLB drawing #20-30157 titled "Mechanlcal Unit Steel Tie -Down Clip; At -Grade and Roof -Top Mounted
Applications", sheets 1-5. prepared by Engineering Express, signed & sealer] by Frank Bennardo, P.E.
an integral part of this Evaluation Report.
a LEST REPORTS
Ultimate test loading structural performance has been tested in accordance with ASTM D1761-88 test
standards per test report(s) #TEL 0197g387A and #i fEL 019703878 by Testing Evaluation Laboratories,
Inc. Signed and Sealed by Lyndon F. Schmidt, P.E
• STRUCTURAL ENGINEERING CALCULI LIONS
Structural engineering calculations have been prepared which evaluate the product based on
comparative and/or rational analysis to qualify the following design criteria:
1. Minimum Atiawable Unit Width
2- Maximum Ailawable Unit Height
3. Minimum Unit Weight
4. Maximum Allowable Unit Surface Area
5. CAP Configuration and Anchor Spacing
8. Anchor Capacity for Various Substrates
7. Maximum allowable roof-tDp heights for various insWation wind speeds
No 33% increase in allowable stress has been used in the design of this product.
160 SW 12TH AVENUE SUITE 106, DEERFIELD BEACH, FLORIDA 33442
(954) 354-0660 1 (866) 396-9999
TEAM( Q±ENGINEERINGEXPRESS.COM
ENGINEERING EXPRESS. COM
ENGINEERING
BUT International— Steel Tie Down Clips Page 2 of 2
Impact Resistance:
Not applicable to this product.
Wind Load Resistance
This product has been designed to resist wind loads as indicated in the design schedule(s) on the
Product Evaluation Document (i.e_ engineering drawing).
Installation
The product listed above shall be installed in strict compliance with the Product Evaluation Document (i.e.
engineering drawing), along with all components noted therein.
The product components shall be of the material specified in the Product Evaluation Document (i.e.
engineering drawing).
Limitations & Conditions of Use:
Use of this product shall be in strict accordance with the Product Evaluation Document (i.e. engineering
drawing) as noted herein.
All supporting host structures shall be designed to resist all superimposed loads and shall be of a material
listed in this product's respective anchor schedule. Host structure conditions which are not accounted for
in this product's respective anchor schedule shall be designed for on a site-speciEc basis by a registered
professional engineer,
All components which are permanently installed shall be protected against corrosion, contamination, and
other such damage at all times.
This product has been designed for use within and outside of the High Velocity Hurricane Zone (HVHZ).
Respectfully,
Frank Bemw&, PE
GgGWEERIme E&REsse
#PFM46549 I CerL Auth. 988S
160 SW 12T" AVENUE SUITE 106, DEERFIELD BEACH, FLORIDA 33442
(954) 354-0660 1 (866) 396-9999
TEAM@ENGINEERINGExpREss.com
ENGINEERINGEXPREss.coM
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Universal Air and Heat
5460 Reese Rd, 12
UNI ERSAL Davie, FL 33314 Shalene Albright
' ■ — AIR & HEAT— State License # License # CAC058142 1200 W Joy Ln
fuahac.com Fort Pierce, FL 34945
!rr!=flllilt1`,�
(866) 999-2665
Brand: York 410a
Size:: Depth: N/A Width: N/A Height: N/A
Size :: Depth: N/A Width: N/A Height: N/A I Electrical :: Breaker: N/A
Heater: 10 1 Electrical :: Breaker: N/A
SEER: 14
Price is valid for 7 days from the date of estimate
1 Digital Thermostat
1 Strap, Tape, Mesh, Mastic Supply & Return Connections To Ensure No Air Leaks
1 Sheet Metal Dog House Covering Supply & Return Ducts
2 Locking Caps For Freon Valves
4 Hurricane Tie Downs ( up to code )
4 Vibration Isolator Pads Under The Package Unit
Hooked Up To Property owners Existing T-stat, Electrical, stand, slab & Duct Work ( unless otherwise noted for replacement
on this invoice/estimate) ( If unit is located on the roof the Property owner will be Responsible To Hire Roofer if needed )
10 year factory parts in unit warranty
5 Year Factory Labor Warranty Provided By York Manufacture Company
Clean Up Job site & Legal Disposal Of Old HVAC Equipment
Properly Level Unit
Sealed Equipment Connections
Sub Cooled/Superheat Refrigerant Charging
* Any Electrical Upgrades Are The Property Owners Responsibility
*50% Deposit Is Due Upon Arrival Of Installation And Balance is Due as payment in full Upon Ac startup *
`Price Is Only Valid 3 Days After Original Estimate Date Due To Uncontrollable Market Adjustment Conditions*
1 Mechanical Permit fees and runner/administrative services are included.
Customer
Technician
Customer Order
220300
SUB -TOTAL
$6,355.43
INSTANT REBATE
$953.31
- UTILITY REBATE
- MANUFACTURE REBATE
- DEPOSIT
TRIP CHARGE
TOTAL AMOUNT DUE
$5,402.12
Shalene Albright Ref #: 220300 217
Customer Order
State License # Shalene Albright 220300
UNIVERSALSoutheast Florida 1200 W Joy Ln
■ — AIR & HEAT— Fort Pierce, FL 34945
•�'rf,,,`,+��,J�. Estimate
We Propose To Furnish And Install A New 3 Ton 14 SEER York 410a.
Options: Choose from one of 10 payment options.
Option #1 Cash,Check or Credit Card Price Before Rebates: $6,355.43 - Instant Rebate $953.31
Total Cost $5,402.12. Cash, Check or Credit Card
Option #2 Wells Fargo Financing Price Before Rebates: $6,355.43 - Instant Rebate $826.21
Total Cost $5,529.22. 0% Interest if paid in full within 18 months
Option #3 Synchrony Financing Price Before Rebates: $6,355.43 - Instant Rebate $381.33
Total Cost $5,974.10. 0% APR for 25 months with equal payments of about $238.96 with approved credit and terms.
Option #4 Synchrony Financing Price Before Rebates: $6,355.43 - Instant Rebate $73.09
Total Cost $6,282.34. 0% APR for 36 months with equal payments of about $174.51 with approved credit and terms.
Option #5 Synchrony Financing Price Before Rebates: $6,355.43 - Instant Rebate $63.55
Total Cost $6,291.88. 0% APR for 48 months with equal payments of about $131.08 with approved credit and terms.
Option #6 Synchrony Financing Price Before Rebates: $6,355.43
Total Cost $6,355.43. 0% APR for 60 months with equal payments of about $105.92 with approved credit and terms.
Option #7 Wells Fargo Financing Price Before Rebates: $6,355.43
Total Cost $6,355.43. 0% APR for 60 months with equal payments of about $105.92 with approved credit and terms.
Option #8 Ygrene Financing Price Before Rebates: $6,355.43 - Instant Rebate $778.54
Total Cost $5,576.89. 7.49% APR for 120 months with equal payments of about $79.27 with approved credit and terms. This
Option will be added to the yearly county property tax bill of about $951.24 per year.
Option #9 Okinus Financing Price Before Rebates: $6,355.43 - Instant Rebate $635.54
Total Cost $5,719.89. Read Okinus Credit Solutions agreement for details. Text Okinus 6444 to 484848 and you'll receive an
online application link to apply now.
Option #10 Synchrony Financing Price Before Rebates: $6,355.43 - Instant Rebate $444.88
Total Cost $5,910.55. 9.99% APR for 132 months with equal payments of about $73.97 with approved credit and terms.
Customer
Technician
Shalene Albright Ref#:220300 214
Customer Order
State License # 220300
UNIVERSAL Shalene Albright
A 1 R & HEAT— 1200 W Joy Ln
Fort Pierce, FL 34945
• MAKE ALL CHECKS PAYABLE TO UNIVERSAL AIR & HEAT
• All Services performed under the warranty policy will be provided by Universal Air & Heat during normal Business Hours, Monday to Saturday. Business hours
being 8:00 to 5:00 p.m., Monday through Friday 8:00 am to 5:00 p.m. Saturday. Warranty does not cover or include routine maintenance such as
changing/cleaning filters, breaker tripping or replacing fuses.
• It shall be at the discretion of Universal Air & Heat and its Technician to repair or replace defective parts, units or materials whenever is necessary. Any
Nuisance calls beyond the scope of this agreement will be charged at our normal service rate and/or emergency rates.
• Any alteration or deviation from the proposed specifications or conditions involving extra cost of materials or labor will only be executed upon the written order for
the same and will become an extra charge over the sum mentioned in this contract. The terms and conditions set forth in this agreement are the only agreement
between the parties, any inconsistent term or condition is not part of this agreement unless it is in writing and sighed by the customer and Universal Air & Heat.
• Title to the equipment and other materials will remain with Universal Air & Heat until all sums due us have been paid in full.
• All balances not paid within 30 days of the bill date will be subject to a monthly service charge in the amount of 1.50% of the outstanding balance. Customer is
responsible for all cost of collection, including reasonable attorney's fees in the event of non - payment. In the event that any person/customer files suit against
Universal Air & Heat if such case is found in favor of Universal Air & Heat customer will pay all cost including reasonable attorney's fees.
• Customers acknowledges and understands that the cleaning of A/C ducts and registers may present a danger to any persons or animals in the job site due to
the release of potentially dangerous airborne particles (including mold and dust). Customer is solely responsible to provide for the safety of all persons, pets and
things at the job site. Customer is solely responsible for any harm suffered by any person therein. Customer agrees to hold Universal Air & Heat harmless and
indemnify Universal Air & Heat for any damages related to the cleaning, removal or replacement of ducts, registers or other equipment. Universal warrants
existing drain line hookups for 30 days with new equipment installed or serviced. Universal Air & Heat will use nitrogen to blow out drain lines and assumes no
responsibility for water damage of any kind. Update 7/2/2016 Customer acknowledges, understands and is fully aware that new high efficiency HVAC 14 seer and
above system's will require more frequent regular maintenance to any new or existing drain line and such maintenance is not included in this contract unless
otherwise expressed in writing and agreed to by customer as well as a representative of Universal Air & Heat. Universal Air & Heat recommends flushing new or
existing drain lines once every four months in efforts to achieve optimal performance and reduce the possibility of an accidental water loss occurring. Universal Air
& Heat is not responsible for any water damage, wall painting, framing, and wall covering, equipment delay or any other inconvenience other than that of
mechanical failure. Universal Air & Heat agrees to use reasonable efforts to run duct work within existing walls, ceilings and soffits. Customer acknowledges that
the work performed may require the construction of soffits or other enclosures to conceal ductwork or other equipment and customer shall pay for all cost
associated with the construction of same.
• Universal Air & Heat has the right stop all work if payments as set forth herein are not made upon the due date. Once any equipment/materials have been
delivered at the job site, it is the residential/Commercial property owner's or the General Contractor's responsibility to care for them.
• Universal Air & Heat can and has the option to pick up any parts, equipment, units, etc., if payments as set forth herein are not made upon the due date from any
and all properties, where such equipment, air conditioning units, and parts exist.
• Any & All parts, equipment, supplies, etc., that have not been paid for shall remain the property of Universal Air & Heat until the balance is paid in full.
• Upon acceptance this proposal sets forth the entire agreement of job between both parties.
Warranty:
• We warrant new air conditioning equipment for a period of one year ( unless otherwise stated in the description above and signed by a rep from Universal Air &
heat ) from the date of installation that material and labor furnished by us will be free from defects.
• Universal Air & Heat warrants that for 30 days from the date of any repair, all products will be free from defects in materials workmanship — except the air
conditioner system compressor which is also warranted for 1 or 5 or 10 years on the part only subject to brands and models of the manufacturer. Copies of
warranties are provided upon installation of new air conditioning equipment.
• Under this warrant, Universal Air & Heat has the first option to repair the equipment or provide replacement parts.
• THE LIABILITIES SET FORTH ABOVE ARE IN LIEU OF ALL OTHER WARRANTIES AND LIABILITIES. EXPRESSED OR IMPLIED, IN LAW OR IN FACT,
INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY FOR PARTICULAR USE.
Customer Technician
Shalene Albright Ref #: 220300
218
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 1200 W JOY LN
Sec/Town/Range: 03/35 S/39E
Parcel ID: 2303-610-0021-000-2
Jurisdiction: Saint Lucie County
Ownership
Hubert W L Boren
1200 W Joy Ln
Fort Pierce. FL 34945
Legal Description
AVON MANOR S/D-UNIT 1- BLK A LOT 21 (0.19 AC) (OR 593-1388: 914-
696)
Current Values
Just/Market Value:
$34,300
Assessed Value:
$15,437
Exemptions:
S 15,437
Taxable Value:
$0
Property taxes are subject to change upon
change of ownership.
• Past taxes are not a reliable projection of future taxes.
• The sale of a property will prompt the removal of all
exemptions, assessment caps, and special classifications.
Taxes for this parcel: SLC Tax Collector's Office 12
Download TRIM for this parcel: Download PDF 12
Use Type: 0200
Account #: 12877
Map ID: 23/03N
Zoning: RMH-5 - Co
Total Areas
Finished/Under Air (SF): 720
Gross Sketched Area (SF): 1,416
Land Size (acres): 0.19
Land Size (SF): 8,276.4
Building Design Wind
Speed
Occupancy Category I II III & IV
Speed 140 150 160
Sources/links:
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
© Copyright 2022 Saint Lucie County Property Appraiser,. All rights reserved.