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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ff Permit Number: 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 O`POSE{D Address:' ktif��J(,l ►'i �Irf..'��I` Legal Description: P14 -L_ (11 �s : � Property Tax I #: ®'2J ��C> j P 0� a Lo j .w J� �-' Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: k&r'1 60-1- op -T-©1J iC, 5pCft ^i2ldon6tL`-I0iW.— 0'O&L IL 1 rte, A j r�, t44Y-, 0611t L_ ;ONSTRUCTIQN'INFOR MATiON: j �tiona war to e er orme un er LJHVAC Gas Tank Electric E] Plumbing Total Sq. Ft of Construction: t is permit - c e a Cost of Construction: $ _I PRI71 at app v: Gas Piping_ Shutters Sprinklers I Generator Name,, `z=-r"?r-Z ty)CT��atGLiG�, Address:_.3!1 > b A_e.J(2_ City: ) e"V C ' State: Zip Code ;a± / ? _ Fax: Phone E -Mail: SFt. of First Floor: _ Utilities:iSewer 0Septic Fill in fee simple Title Holder on next page ( if different from the Owner listed above) QWindows/Doors Roof = Roof pitch Building Height: Name: -b fY- . Comp an : v �� Y � Address: �7'� !h,0.rrQdit _0 PLOll i City: ,T :S -t- State: V - L - Zip Code: _ Fax: - -Qi3i Phone No. -7-7 Cj E -Mail: v'. r'kC..Se'�Q I CL ` yre{I L .[ I State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. �r� qq,,,, '1 .�44PW ZONING DESIGNER/ENGINEER: _ _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: 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 5t. 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 commencin r recordiLrr.gyout4r Notice of Commencement------- - Signature ommencement. --- Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder STATE OF COUNTY OF FLORIDA,-,--,, I-Inct , L (' ,i. COUNTY OF ORIDA � , _ � - The for4oing instrument was acknowledged before me The forgoing instrument was acknowledged before me this da of Y 20 by this � day ofi -- — - 20 1-4 by ft_, (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida } 'i Ig ature of Notary Public- State of Florida ) Personally Known OR Produced Identification Personally Known � OR Produced Identification Type of Identification Produced Type of Identification Produced 4"" °, l.i�l ARIE BOIICHAR Commission No.►"Y° Commission No. 3= .} DAMA&IJbUCMARD " t*' MY COMMISSION #FF125526 MY COMMISSION #FF125526 1 (407) 398.0153 FloridallotaryServiae.com i Mfl ase -0153 Revised 07/1512014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW iREVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Energy �' 1 Efficiency Tax Credit when placed in service r between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratinas AHRI Certified Reference Number: 7940891 Date: 2/13/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1624AJ1 Indoor Unit Model Number: RHIT2417STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD 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. 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): 24000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): * Ratirigs followed by an asterisk (*) indicate a voluntary cerate 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.ahrid!rectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be for individual, used 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 utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. Alli -CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.oeg, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life i eYtcr^^ which is listed above, and the Certificate No., which is listed at bottom right. ©2014 Air -Conditioning, Heating, and Refrigeration Institute [C�RTIFICATE NO.: 131314777683537,