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HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:~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:Mechanical PROPOSED INPROVEMENT LQCATIGN:__ Address:57Do..~~~ Legal Description:--=r:n dill n -:R'l\llf i=?.5-\t?Je..s -Un~.t-01·134<l.Q {og '3'70-~4\~j aSl0-lo3\fj 3493 -lf3lJ PropertyTaxID#:3lfOa -(003-OQDC1 -OOO-rr Site Plan Name:_ Project Name:_ Setbacks Front _ Lot No.3~of 3S- Block No.LP Back:Right Side:Left Side:_ CONS"fR,UCnON j~FORMATION:o Windows/Doors DRoof Total Sq.Ft of Construction:_ ~~D.Q_Cost of Construction:$--"hX1....•.•...•'-"~"'-""'_ S'f£!;of First Floor: Utilities:USewer D Septic Building Height:_ OWNER/LESSEE: Name ~E.~4'{>?DC;:" Address:6'100..1:)~AA..1:::n<. City:t:t)M '1e..rt-e...- Zip Code:~~'l.Fax:_ Phone No.-n d-~AoO-bO-"19) E-Mail:_ Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name:e.\r'~ Company;;Athld.O-\-a..~Ale..()f'~Su..(<e..(1 Address:taQ\~.~Q\JelllA,e. City:~::=VI.wre.-State:~ Zip Code:3ll'tfb'2-Fax:77d-4lo5~4q~S- Phone No.l'1d -4(0 S-\\oW E-Mail:ad"~=perm~s@.hot\\.l!l.l\.CDh\.... St te or Coun;.y license:CRf>o3C\lo{g4 -if.!'6~6 State:fL If value of construction is $2500 or more,a RECORDED Notice of Commencement is required. SUPPlEMENTAL CONSTRUGION LIEN LAW INFORMATION; ,;....'" c ,.";,<;: 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: 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.Lucie countx makes no representation that is granting a permit will authorize the germit holder to build the subject structurewhichisinconlictwithanyapplicableHomeOwnersAssociationrules,bylaws or an covenants that may restrict or prohibit suchstructure,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 commencing work or recording vour Notice of Commencement. 'v~s~/2ak~IVJC;;b1~~j//td~ '~gr(ature of Owner/Agent/Lessee I/Signature of Contractor/License Holder STATE OF FLORI~'f Lutt'v STATE OF FLORI~~'.LllC;C;COUNTY OF "-lUG COUNTY OF (}an-t The for~g instrument was aCknowled~efore me The forgoing instrument was acknowledged before me this~3 ay of Rbn.~.(~,20 l by this~3i!ktay of Rbr-\..IO.r~,2011"1 Iby &mLtfJi T ~i!rhtl/j(C5amile!Tc hil rlv;M./ (Name of person acknowledging)"-(Name of person acknowledging)<, /r£?;a1;~\\III"'Jf'1.L,L>Y?a~LAj-'""AY,.//1'-'.,"\\\1 II I//IIJ. (Signature of Notary ~;"~~!i§f Fro1~(Signature of Nota7c-Stat~~~~:'i!l9j ••~%1;,., ~'l.\)\":'."''5 ~~"~'i-P1RES ',,00 Personally Known §j':&iR'profl~":e({~~cation Personally Known oRi#~~~~Cfentifici\j~ Type of Identificatio~~c%d 4"f1 i·~:~§---Type of Identification produc~~f¥i ~!<'0'2\:'5; ~d-\<?J ~~-#c/l:."(J:;~~~~~~~s ~§:}!:;:~•-t'J;-<'~'Commission No.~~",~,,~.'1li)Commission No.'~.,u-f./>(~~~•••~~~••••••••••«'Siit'~.•••'4'~~~./"Cr§'/11111/NOTl\~~\\\'-:~.,..•·..•...•:::.·'fPv~ "·'III/.J'!.9.Tf:r:;,\'~ Revised 07/15/2014 Itl/lllfll\\\\\\ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Certificate of Product Ratings A.~!!ICERTIFIED® www.ahridirectory.org 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:9171509 Date:2/23/2017 .Product:Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number:24ABC648A*031* Indoor Unit Model Number:FX4DN(B,F)049L Manufacturer:CARRIER AIR CONDITIONING Trade/Brand name:CARRIER AIR CONDITIONING Region:Southeast and North (AL,AR,DC,DE,FL,GA,HI,KY,LA,MD,MS,NC,OK,SC,TN,TX,VA AK,CO,CT,10,IL,lA,IN,KS,MA,ME,MI,MN,MO,MT,NO,NE,NH,NJ, NY,OH,OR,PA,RI,SO,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:COMFORT 16 AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240-2008 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): EER Rating (Cooling): SEER Rating (Cooling): lEER Rating (Cooling): 46500 13.00 16.00 •Ratings followed by an asterisk n 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.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. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org.click on "Verify Certificate"link and enter the AHRI Certified Reference Number and the date on which the certificate was issued,---------------1 which is listed above,and the Certificate No.,which is listed at bottom right.,--0=------- AIR-CONDITIONING.HEATING. &REFRIGERATION INSTITUTE we rna ke life better" ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.:131323381269526591 .