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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I • I f -Y, - I 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 III PERMIT APPLICATION FOR: N10,Se1eGt, o o IN1�C(,h0.n Address: 1 0_1 'i�t 3 • ocUVI Vr4 "�U LP y ern S e- CL _6e.LLn L:r'.��• -!, Name: _r=C1 1 � V�- 39915 -1 Legal Description: rip I cl au `r (�), fi �J Address: L4 SE VIYUCP Lo 0 `] Property Tax ID #: Ll t l I - to I- (D t y C) - d G Lot No. f�'6 Site Plan Name: 1 Block No. Project Name: t a bo 0 Setbacks Front Back: Right Side: Left Side: wwx MON"i _ a 'J�f�iy�if � {�°• .^'�'.• �,�°���}S! . i � i '� ��YYi'�`,, �, ���' !! pfma "o, 3 to n w i o Y w v-*,o_-tc r C 5 X 1 u o3L.n l min: i rr0._x'• o LP 5Eez / vtV,-*iC-al / 1ZLi loCk. tASv--1zi-1 i-,mLA mw : 5C0 Mo -X •. COO ccn6 w1 HVAC Electric : 4�6 Mti wart - --WU �!'Ia .-6 1 F 6LDC:-' ) 8 LJ Gas Tank LJGas Piping ❑ Plumbing OSprinklers Total Sq. Ft of Constructions Cost of Construction: $ �Ot —1 LD I tD tim appiy: _ Shutters Windows/Doors 0 Generator E]Roof Roof pitch S . Ft. of First Floor: Utilities: Sewer a Septic Building Height: Y, ;fs•4;5i j��'�r 3 t'°�} �61Y'"S1�•ii1Y]Lrr .}q`r"J `!f� qT-s!r Y S W-10, ,S 4A_y 1 �i+ x Ili. .,r- •ye.. ,11y S'" lA' �^. �• �t {s• NamelD IrtttO, L:r'.��• -!, Name: _r=C1 1 � V�- Address: (�� J S� C�&n� �� eNAS (-Company: KraUSs City:0f n5 C_ n 1 State: Address: L4 SE VIYUCP Zip Code U`" � Fax: I113 I 0�_ City:N� (i il—State• Phone No., q1 o sg o� " o� Zip Code: c�agLl Fax:-1-IV�ZLI� E -Mail: (y I CL Phone No. -1 Fill In fee supple Title Holder on next page ( if different E -Mail. % lr ` Cuy -) from the Owner listed above) State or County License: C HCA Q) 1 cb-I fbtlo If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 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 vAth 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. Lude County Amendments. The following building permit applications are exempt from undergoing a full concurijncy review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessd4, uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement' py 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 commencing work or recording our Notice of Commencement. s Si ature of Owner/Lessee/Contractor as Agent for Owner Sign ure of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF MQ&4 Lyl COUNTY OF Dcs w � The forgoing instr merit was acknowledged before me this day of ErjajAn4 20 Mby -- To h r+ Cra,,Ae, (Name of person acknowledging . �1 Lg&g� I (Signature 6V Notary Public --State of Florida) Personally Known]ZOR Produced Identification Type of Identificqticii.ft-edueed _._..,....� Commission No. Revised 07/15/2014 The forgoing instrument was acknowledged before me this LL day of200 by V"V\ &W44,C(Name of person acknowledging) (Signature of Notary Public- Sta a of Florida ) Personally Known _t// OR Produced Identification Type of Identification Produced MICHELLE THOMAS MY-COMMISAMUF100795 Com EXPIRES March 23, 2018 39"163 MI[_HE LE TH MY COMMISSION #FF100795 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE D NER/ENGINEER: Not Applicable (MORTGAGE COMPANY: Not Applicable Name. REVIEW ame: REVIEW Addres • DATE ss: City: State: City: State: Zip: ne: COMPLETE Zip: Phone. FEE SIMPLE TITLE HOLD Not Applicable BONDING COMPA Not Applicable Name: INITIALS 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 vAth 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. Lude County Amendments. The following building permit applications are exempt from undergoing a full concurijncy review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessd4, uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement' py 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 commencing work or recording our Notice of Commencement. s Si ature of Owner/Lessee/Contractor as Agent for Owner Sign ure of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF MQ&4 Lyl COUNTY OF Dcs w � The forgoing instr merit was acknowledged before me this day of ErjajAn4 20 Mby -- To h r+ Cra,,Ae, (Name of person acknowledging . �1 Lg&g� I (Signature 6V Notary Public --State of Florida) Personally Known]ZOR Produced Identification Type of Identificqticii.ft-edueed _._..,....� Commission No. Revised 07/15/2014 The forgoing instrument was acknowledged before me this LL day of200 by V"V\ &W44,C(Name of person acknowledging) (Signature of Notary Public- Sta a of Florida ) Personally Known _t// OR Produced Identification Type of Identification Produced MICHELLE THOMAS MY-COMMISAMUF100795 Com EXPIRES March 23, 2018 39"163 MI[_HE LE TH MY COMMISSION #FF100795 REVIEWS FRONT ZONING SUPERVISOR PLANS 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. AHRI Certified Reference Number: 8242079 Date: 2/7/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX160361 F* Indoor Unit Model Number: ASPT47D14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN 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: GSX16 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. 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): 35000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 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 cerate. 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 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; °' 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 %ve. make life hettcr' and enter the AHRI Certlfied 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.: 1313097116270755444