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HomeMy WebLinkAboutBuilding Permit ApplicationALE. APP.LIC i3LE ENFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ; E f� �t 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 COM Minrriai Address; Legal Description: Property Tax ID #:. g _ 1 �, J- 01-S Site Plan Name: Project Name: Setbacks Front Back: Right Side; Left Side; DETAILED DESCRIPTION OF WORK: 16 see -r -------------- CONSTRUCTION ]NFORMATION: rt ion or to e e Orme un ert is permit --c ec a HVAC r Gas Tanis LGas Piping 1:1Shrutte7•rs 0 Electric LJ Plumbing OSPrinklers []Generator Total Sq. Ft of Construction; S Ft. of First Floor - cost of Construction: $L I ( —` I-' Utilities: � Sewer O Septic OWNER/LESSEE: Name CONTRACTOR; �` Address: Named C? City: S Company, IfCt „� Stale Addr s Zip Code:_ Fax: Phone No, - City: I: -Mail; Zip Code: q G) Fill in fee simple Title: Holder on next page ( if differen Phone Nom� ��� ;��,�,,,, ,, from the Owner listed above) F Mail a'� State or County License: If value of construction is $25D0 or mare, a RECORDED N tied of Cammerrcemem is requred, i il �Crd CA { , co Residentia]L.� Lot No, Block No. AcG Windows/Doors Roof Building Height: C SU;PPLEIVIENTAL CONSTRUCTION LIEN LAW INFORMATION;; DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State; Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable 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 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, 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 a first inspection. If you intend to obtain financing, consulw+h4efrdn attorne y before comKenci�ror rea ur Notice of Commencem Signature of Owner/ Lessee/Agent tz: �' 'f' r`I o _ STATE OF FLORIDA SUPERVISOR COUNTY OF �_��� i 115: 1Z 4 — i The forgoing instrument was acknowledged before rrf v '2 A this day 20 ]'by ' (Name of rson acknowledging (Name pf person acknowledging) of Notary Public- State of Florida ) Personally Known �� V OR Produced Identification Type of Identification Produced Commission Noel— � � 7 (Seal) Revised 07/15/2014 ature of Contractor/License Holder STATE OF FLORID COUNTY OF -L_�' tz: �' 'f' r`I o ZONING SUPERVISOR The forgoing instrument was acknowledged before m thin. day of C 20 by o o '� a 'S DoVAk � (Name of rson acknowledging \R11}!/IlI/I REVIEW REVIEW DATE ( ignature of N tart' Public- State of Florida) Personally Known (.''+AOR Produced Identification Type of Identification Produced Commission No. —fit (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Property Identification Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership Olga M Waters (TR) 8004 Ptantation Lakes Dr Port St Lucie, FL 34986 Legal Description RESERVE PLANTATION -PHASE IIA LOT22 (MAP 33/28N) (OR 1681- 919) Current Values Just/Market Value: 5388,200 Assessed Value: $341,951 Exemptions: $50,500 Taxable Value: $291,451 Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF Q 8004 PLANTATION LAKES DR 3321-803-0028-000-2 35949 33/28N 0100 RS -2 Saint Lucie County Total Areas Finished/Under Air (SF): 3,112 Gross Area (SF): 5,758 Land Size (acres): 0.83 Land Size (SF): 35,990 This information is believed to be correct at this time but it is subject to change and is not warranted. CEJ Copyright 2016 Saint Lucie County Property Appraiser. All rights reserved. Certificate of Product Ratinas AHRI Certified Reference Number: 7626363 Date: 9/26/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14ACXS036-230A** Indoor Unit Model Number: CBX32MV-036-230*+TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: MERIT Region: Southeast and North (AL, AR, DC, DE, FL, GA, H1, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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. Series name: 14ACX 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): 34000 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.10 IEER Rating (Cooling): " Ratings 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 products) 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 This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personaland g 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 he verified at www.ahridirectory.org, click on "Verify Certificate" link we mala, life berteT' and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is Fisted above, and the Certificate No., which is listed at bottom right.— ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1311$3696246127185