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Building Permit Afpplication
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date. I t hi Permit Number: hauls,l��iuVnJ+,+u�I�Jd qi-„u,ua��11�b�� - • • . 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 V Site Plan Name: IProject Name: I Setbacks Front Lot 1140.1 A I ll I U Block No. l $ h ri 7 Additional work to bMGasTank rtormed under this LkNHVAC C 0 -Electric 0 Plumbing C Total Sq. Ft of Construction: Cost of Construction: $-A2 1 2-'95 a 0 u Sprinklers Inapply: Shutters 0 Generator E]Windows/Doors 0 Roof �J 5 Ft. of First Floor: Utilities:USewer Septic Building Height: Name Cie Address:.ka 00 �( , City: _ trt 1 1(State: V -L, Zip Code: 3 t -(Q $' Z Fax: Phone No. -1.12 - $jZ- 22 ILA E-Mail.- Fill -Mail:Fill in fee simple Title Holder on neK-t page ( if different from the Owner listed above) Roof pitch C3NTR�4() Name; � Ct�� Company: -GyiW1.0 'r-” { PIJ��I ir1G i 1 jf' Address: UIR HW .11 City:y State: F L Zip Code: '2-j LA P t4 U Fax: TT Z- 4141 8-7 L-2- 1 Phone No. "7-7L-- 'xAUk - 'g,T11 E -Mail: 1 VYLI- State or County Lice se: J�-Nnd 1 X(.1 ! If value of construction is $2500 or more, a RECORDED Notice of Lommencement is required. FEE SIMPLE TITLE HOLDER: 4— Not Applicable BONDING COMPANY: XLNot 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 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 your Notice of Commencement. r afore of Owner/Lesseeractor as Agent for Owner STATE OF FLORIDA COUNTY OF S-� - L U LI The fprgoing instrument was acknowledged before me this day of , 20 LTby s r- �_l MR (Name of person acknowledging) E — (Signature of Notary Public- State of Florida ) Personally Known_ OR Produced Identification— Type dentification—Type of Identificat ? �:ir + •,s; CHRISTINE CULPEPPER Commission No. I AK"F 1-OMM15f 4GG061780 s" .•.40 0�• EXPIRES: January 11, 2021 Revised 07/15/2014 REVIEWS FRONT ZONING COUNTER REVIEW DATE COMPLETE INITIALS Si ure �ofContrctor/License Halder STATE OF FLORIDA — COUNTY OF ,S ,._ – UUU r_— The for oing instrument was acknowledged before me this i�� day of f a/1 .20 n_ by . J N6 t5 F__ G �_l RES (Name of person acknowledging) 0. NJ Y�_ (Signature of Notary Public- tate of Florida ) Personally Known ><_ OR Produced Identification Type of Identificatio 1 ' •<�i::. CHRISTIfJE CUtPEPPER '; ' GG 064780 Commission No. MYCOMMI Q0.: EXPIRES' January 11, 20Zi -� ;oF d �•' Bor�dad 7tsry Noiery PutiHe undeev+aita,s SUPERVISOR PLANS I VEGETATION SEA TURTLE REVIEW REVIEW REVIEW REVIEW MANGROVE REVIEW 1 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, 9198746 Date: 2/2812017 Product: Split System: Air -Cooled Condensing Unit, Coil with Slower Outdoor Unit Model Number_ CA16NA030'0*`A* Indoor Unit Model Number: FX4DN(B,17)0371- Manufacturer: CARRIER AIR CONDITIONING TradelBrand name: CARRIER AIF;; CONDITIONING Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, ICY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, Ip, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, 80, 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 regions► for which they meet the regional efficiency requirement. Series name: 16 SEER AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 2101240.2006 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 (Stuh): 29400 EER Rating (Cooling): 13.00 - SEER Rating (Cooling): 16,00 IEER Rating (Cooling)- ' Ratings followed by an aalel (`) indicate a voluntary month of previously published data, unless accompanied with a WAS, which indicates an involuntary rera DISCLAIMER AHRI does not endorse the Product(s) listed on this Certificate and makes no representations• warranties or guarantees as to, and asstlme5 no responsibility for, the product's) listed on this Cartnica[e. AHRI expressly disclaims aft liability fordamages Of any land arising out of the use or,performanoa of the producl(s}, or the unauthorized alteration of data listed an this Certificate. Certified ratings are valid only for models and configurations listed In the - directory at www.ahridirectory.org. —_ TERMS AND CONDITIONS cto ��� - Thn d—Certtial l te refer d e contents are proprietary products if Al This t, In whol shaif Doty be used for individual personal and — anhd dal reference purposes. The contents vt this Cernnr�te may not, in whole or in pan, he reproduced; copletl. disseminated; �■ W" Ki note ed. into a computer all or otherwise "bitted. in any form or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONOHIURING, HEATING, _ CERTIFICATE VERIFICATION & REFRIGERATION WSTISUFE _ Theinformation for the model cited an i tis calcan be verified at www.ahridirectory.eig, click on "Verity Certificate- link ,; Iii!• hover'•• and enter the AHRI Certified Reference Number and the date on which the certificate was issued, '" °'` which is fisted above, and the certfrcate NO.. which is nsted at bottom right. r- - - - ------ ---- ©2614 Air -Conditioning, heating, and Refrigeration institute CERTIFICATE NO.: 13132770 M 2842307 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2005 and Dec 31, 2016. certificate of Product Ratings AHRI Certified Reference Number: 9198293 Date: 2/28/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA16NA024*0—A* Indoor Unit Model Number: FX4DNF025L 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, 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: 16 SEER 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 (I3tuh): 24600 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Raling (Cooling): ' Ratings followed by an asterisk (') indicate a vtdenlwy rerate of previously published data. unless auompanied with a WAS. which indicates an involunlairy cerate DISCLAIMER AHRI does not endorse the pmdua(s) fisted on this Certificate and makes no mprosentations, warranties or guarantees as to. and assumes no responaftfdity for, the product(s) listed on this Certificate. AHRI expressly disclaims all ilabillty, 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 fisted in the difectory at www.ahrfd"rrectory.org. - TERMS AND CONDITIONSto Ute! _ _ This Certfficete and its contents are proprietary products of AHRI. This Certificate snail 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 to a computer data Case; or otherwise udllze-d, in any form or manner or by any means, excepttor me user's Individual,gnu 7i personal and confidential reference. AIR-CONDITIONING, HEATING, _- CERTIFICATE VERIFICATION a If fNIGERATION INSTITUTE The infonnatton forthe model cited on this certificate can be verified at www.a]lridirectory.org, click on 'Verity CertfficaW link and emarthe AHRI Certified Reference Number and file date on which the ceniffcate was imail, � which la Hated .trove. and the Certttloete N.,. which is osted at D.U.- right. "" --- - - 02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131327705529438307 .I 1 1111 IIII I I