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HomeMy WebLinkAboutBuilding Permit ApplicationINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1_ 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of fine WRCfPOSQ IiVIPRCfVEVfNT LC3�#TIQ,, Address: JLI Z'[ F -L- 3WaS� 1 Legal Description: aolkwevyt or I Property Tax ID #: &41)4-1 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $1 rji 0 0 Utilities: $e1iL'efSeptic Building Height: Name Q YV 1 h CZ) Qi V-\APY's Name:�� �IfUIF S �- ice' �1.rf1/� ES �I Address: 51-!Z-1 IY Hca S S Company:C1X'-"VYt City: el y cc State: L Address: N IAS Zip Code: 3uq Sri t Fax:�` City: T-+- _ ,� Y c e State: 1=1 Phone No.71 Z - IA R q - t>o Zip Code:,7,ll.ol. 10 Fax MZ-1AkA 6�2Z E -Mail: Phone No. -772-- L4U i - 8i 1 S I Fill in fee simple Title Holder on neXt page { if different E-Mail:CIaLQaa_ from the Owner listed above Y1/1 1 State or County License: '�fl�Q4l$,p� 1 i If value of construttlon is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Name: Address: City: Zip: Phone: Not Applicable State MORTGAGE COMPANY: Name: Address: City: Zip: Phone: FEE SIMPLE TITLE HOLDER: X, Not Applicable BONDING COMPANY: 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 Not Applicable State: XNot Applicable 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. ature ofOwner/LesseeJContractor as Agent for Owner STATE OF CORIDA S,_ U �L COUNTYOF 1 The forgoing instr In ent wa{ acknowledg d before me this 19day ofNOV Yl 20 1 by J MAE-� r- G -1 iU' s (Name of person acknowledging) L--- (Signature of Notary Public- State of Florida i Personally Known OR Produced Identification _ Type of Identificat Z:!.;"•• CHRISTINE CULPEPPER Commission No. '� �`: COMMI8GG061780 PQ: EXPIRES: January 11, 2021 ` ••�r��� BoniaA T7!un wfliAfY CdCr I InrIMulFde 7 Revised 07/15/2014 REVIEWS FRONT ZONING COUNTER REVIEW DATE COMPLETE INITIALS Si ure �ofContractor/License Holder STATE OF FLORIDA,-, COUNTY OF S 1 - uu�Lk The for oing instrument wa acknowledged before me this day of M(XY- �ln . 20 n by . I pV vAtc" F-- G '�-1 okE'� (Name of person acknowledging ) 0 NJ PU py-- (Signature of Notary Public- State of Florida } Personally Known >< _ OR Produced Identification Type of Identificatior ZiadkwW r _ ;rti:?�'•• CHRISTINE CULPEPPER Commission No. A My COMMIOWM P GO 061780 "sm:•ft-'4y EXPIRES: January 11, 2021 '• For Ft° '� Banded Thru Notary Pubk Underwriters SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW N Certificate of Product Ratings AHRI Certified Reference Number: 9199279 Date: 2/2$!2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA16NA036*0**A* Indoor Unit Model Number: FV4CNF002L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, L4, 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 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 (6tuh): 33400 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 IEER Rating (Cooling): ' Ratings followed by an asterisk {')'indicata a voluntary mrale of previously published data, unless nccompen'ied with a WAS, which indicates an involuntary Berate. 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 Cerilricate. AHRI expressly discialms 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.ahridirectmy.org. TERMS AND CONDITIONS it "IMP This Certificate and its contents are proprietary products of AHRI. This CertiNcate shall only he used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced: copied: disseminated: sou 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-CONDMOMIG, nEATWOG _ CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at ,. ww,ahridireetory.org, click on "Vetrfy Certificate' link v,c r,I.Yc ir,F tiro n;;" and 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 lir-Conditioning, Heating, and Refrigeration Institute CERTRCATE NO.: 'f 3132772892i?54fi307