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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLIC SLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: IIV Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: ZOZO Legal Description: \V erb\ n�­e PropertyTaxlD#: IL-IZS- UZO- no\$—hC)C1— 1 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: o� one- 15 le5 SIE W \O \<\4 2.kec-{v I c.. Lo 1- z5 Lot No. Zrj Block No. l Tow i roan e N eo�� heo`t CONSTRUCTIONINFORMATION: Additional work to be ertormeo uncier this permit— cneCK all apply: I�tiVAC f Gas Tank ❑Gas Piping_ Shutters ❑ Windows/Doors Electric ElPlumbing Sprinklers Generator Roof = Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction:$ �) IOO O Utilities:cnSewer 0Septic Building Height: OWNFIR/ ESSEE_iCONTRACTOR: pp.tt , NameiJ\\C_ P.1�2 ICP.IIP.InP.lr- lilfi(f�n1O� Name:..av,S,.S Address: ZOZO I -1v -\x 17r. Company:Gtli/y\PS \-{Pc)ckinrklo� �\r City: Fk .�� P,rcP State:Fl� Address:.Ahc:i4 N 1AC Zip Code: 3UP 4q Fax: City: F� . PYr P State: tL Phone No. L9IlA-RLalo- 1Wn Zip Code: 31-Ig4U Fax: 777-yU - Z,? - E -Mail: Phone No. '71 2, - L! to 1 - B-1 11 Fill in fee simple Title Holder on next page (if different E -Mail: Y --a j I (xf�Y 1 virtP_5 A r • OZO r) r n rn from the Owner listed above) State or County License: \ZA I>l7 k% 01 \ If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 0 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: >CNot 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 Count, 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 Comme iicement. �atureof/Lessee%ontractor as Agent for Owner STATE OF COUNTYOFORIDA ST- LUC_I L The forgoing instrument wa acknowledged before me this _'t'ylday of h 1i r �n 20 ]1by MT,s (Name of person acknowledging LI (Signature of Notary Public- State of Florida ) SI ure of Contractor/License Holder STATE OF COUNTY OFORIDAST_ I,UC.k E The forgoing instrument was acknowledged before me this Janay of 20 Aa by IK'AtS F GU RES (Name of person gacknowledging) a (Signature of Notary P Pblit- tate of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identificat n Pr urPd Type of Identificatio ".•• •lrn°7••.. CHRISTINE Commission Na. '�+F' CHRISTINE �; _ — .- COMMIS{1 GG 0611., Commission No. MY COMMI�SM F GG 061780 a+ EXPIRES: January 11, 2021 EXPIRES: January 11, 2021 °i'p••.,^..• 71in, 1L,t�.FdJ.II '•.S,or•eta Sxx1W7hio Notwy N*Und&Vn1&M , Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE 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 s between Feb 17, 2009 and Dec 31, 2016. i Certificate of Product Ratings AHRI Certified Reference Number: 8858443 Date: 3/6!2077 - - Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source - Outdoor Unit Model Number, 4TWR5061EI Indoor Unit Model Number: TEM6AOC60H51+TDR+UFIHRZ - Manufacturer: TRANE t Trade/Brand name: TRANE Series name: XR75 Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitarryy Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHR"ponsored, independent, third - party testing: - = Cooling Capacity (Blah): 59000 EER Rating (Cooling): 12.50 - SEER Rating (Cooling): 15.00 - Heating Capacity(Btuh) @ 47 F: 57000 Region IV HSPF Rating (Heating): 8.50 _ Heating Capacity(Btuh) @ 17 F: 36000 Patinas followed by an asion1l ('l mdicale, a vaunter, rerele of Link usiy lWiched cycle, less accwnp.med with aYI1S, worm i1,1aw, an lnwlunlary,wale. DISCLAIMER _ AHRI do. net endorse the prod.cla) listed M thle Can111wle and makes no zepresenotlonc. waeniks or fluamntess as la. and assumes no responsibility far, Me prodoens) listed on NR Certificate. AHRI repreasy dlsgalms all liability, for damages of airy kind arislng of of the use or performance of the pre d.ciia, or the unauthorized alteration of data trend on this Certificate. Certified mtings we valid only ler mode. end c—lateranths arke in the - - directory at www.ab,fdtrecfarygrg. TERMS AND CONDITIONS This A �® - confidential and as contents we proprietary Pmductsuf AHel. This Candidatehere crew pan, be lndivldrried: onaland _ eeneed Into reference r database o contents of Nu ed, Miany may net, In whine or In pad. ed re except eQ h. ad: dissemina[etl; I�� .■ �' armorial entered lmoawmpuhrl neek,e; ereNerwlse utluzeghany farm of manner or by any means. eseept for the user'siMisidual, &1W aefaanal end conndenllal relereriq. RScorm"IONINa. NF9Tmn. CERTIFICATE VERIFICATION a "FRIOERAnON INSTITUTE The Information far the model wood on this certificate can be verified at www.ahrhinectery.wa, click on'VnrlfY t%artifica<a'llnk TI and enter AHRI Carolled performed Number and the date on worththe certificate was backed j which is Rated above, antl the Cardfiwte No.. which is Rated or renown filet. ©2014 Air�Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131332914222580000