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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: s Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: PCILLAR (I 0 5 L-ar-) v'l Pie rco Legal Description: rn G?Y-Uye— J (rj (3 LK �s u-, -F y ---I- Property Tax ID #: y f Q — (� '2) — (} , (Dq ®i6 _ �g Lot No. Site Plan Name; Block Na. Project Name: Setbacks Front Back: Right Side: Left Side: )k�G 3 -tb/Q 15 5E(fr;' l-tecL* Y:�'L) ► i s3cv w �`�-�► cc � `T�.hi �t r -1-4-ci` i -C r �1 �' � i T' � � $ �- :�-%�r���--' 11 Electric Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 319`] — Name Address: `2 l P City: Fb-t-r P i r(Lo— []Sprinklers Shutters Generator S Ft. of First Floor: _ Utilities: Sewer ❑Septic State: - Zip Code:-- Fax: Phone No. l)t - 3 LA $ $ E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Qwindows/Doors EiRoof BuMiing Height: Roof pitch CONTRACTOR Name: Company: �. ��il _ L�0 Address; 'd �i ,t?"C��i`� tip 1� will City: 'b'(T 8+ L:t (' State: T L -- Zip Code:15 19=0 Fax: 'a -J314 -35 ) l Phone No. --7-1 �� '�- -21 E -Mail: S f.6 0 71kG 5c'Ir� I Cl i►�utiL 1C State or County License: _ Cl ( l 1 2 P If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. .d } FRONT `� . r_",:. , ��' -.a�a �. r.' ',ins '�.'' .� ., ;F4. ,�'_N ° s .`" �' Mk r _ � .wn�` � ' '� * �, s.;:° � Sri, ' x ��� �.� n• ;d„ � r DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicableei Name: REVIEW Name: REVIEW Address: REVIEW Address: DATE City: state: City: State: Zip: Phone: Zip: Phone: COMPLETE FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: INITIALS 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 manes 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencingrwurk-or recordinexGur Notice of Commencement-­­- - ommencement-­- - Signature of Owner/ Lessee/Agent Signature STATE OF FLORIDA - STATE OF FLORID ,, ,-F COUNTY OF -,]I Ct S+, LL LC' :l c, COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _LO day of 20 _Llby this -aday of . rU F" Y`91 20 �� by E •� (Name of person acknowledging } (Name of person acknowledging) /J (Signature of Notary Public- State of Florida } -I ig ature of Notary Public- State of Florida } Personally Known OR Produced Identification Personally Known l'�' OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. $' fir._. LINP"ARIE BOUCHARq ICommission No. " "" °"_. uNDA MAI tJbUCHARD MY CQMMISSiON #FF125526 MY COMMISSION #FF12552i6 Revised 07/ 15/2014 l {4o7p 398.0153 FforidalVataryseNice.cnm I (407) 398-0153 REVIEWS FRONT ZONING SUPERVISOR PLAINS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 7512115 Date: 2/13/2017 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: RP1536AJ1 Indoor Unit Model Number: RHIT3617STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, 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): 35600 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 Heating Capacity(Btuh) @ 47 F: 33800 Region IV HSPF Rating (Heating): 9.00 Heating Capacity(Btuh) @ 17 F: 22200 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 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.ahridlrectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and s 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 urp make life and enter 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. ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: �sts�a77s2�t5s74ts