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Home My WebLink AboutBUILDING PERMIT APPLICATIONMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: )_Iif I j 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 K PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: -1 L15LJ Cbar(!CS�h y�AYI QoYj SE___ L\ACa_P� ___�yptgL Legal Description: e t✓Y n\ J�ht �h(a�e— _� tft�� -}{1� nA rlA- Property Tax ID #:3321 ist) I - 00;W _ Site Plan Name: I-ot No.S110 Project Name: Setbacks Front Back: Right Side: lns�al\at-ioY� o� t.tk� for l�k_e, 2 Tp Ile SES v� i}►� 5 `UJd e4t'_.t:�ll'� c. 1/\2ak Left Side: tart C)r pv/ C 4i4nvHL L.J Gas Tank UGas Piping U Shutters Electric El Plumbing Sprinklers Generator Total Sq. Ft of Construction: 5Ft. of First Floor: _ Cost of Construction: $ 51 q �p 2- . C)o Utilities:Sewer ❑Septic Address: -1105 Cj Y I Stip" WA.N4 City:%QFF _ Y5 L State: Zip Code: �y q R \ r Fax: Phone No.11, 2- N Lo$ - qq E -Mail:_ N IN Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name L1Windows/Doors 11 Roof Building Height: Roof pitch Company: LAY t iM Cs Address: City: State: F -L Zip Code: 3L4qt1_l,1 --- Fax: Phone No. T7Z - 010 1 - tTAJ E -Mail: State or County -License: is $2500 or more, a RECORDED Notice of Commencement Is required _ — SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: �C Not Applicable Name: _ Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable 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 vour Notice of Commencement. G_A= s !Lessee/Contractor as Agent for Owner Si ure of Contractor/License Holder STATE OF FLORIDA I STATE OF FLORIDA — 000NTYOF ST- 11ULI E COUNTY OF S'1 - I�ULk t_— The = The f rgping instrument was acknowledged before me this ay of MAY C," , 20 r1by J NAIAES r- G �-I tA--ES (Name of person acknowleyddggiinng ) (SignL� re of Notary Public- State lorida ) Personally Known Type of Identifica Commission No. Revised 07/15/2014 OR Produced Identification The forgping instrument was acknowledged before me this � ay of �QX( �It , 20 L -I_ by j�cti�cS r fit? I ItiIF� (Name of personacknowledging) (Signature of Notary Public- State of Florida ) Personally Known Type of Identificai YCOMMISMA413G061780 I' Commission No. EXPIRES: January 11, 2021 t OR Produced Identification CHRISTINE CULPEPPER MY COMMI�6" F GG 081780 EXPIRES: January 11, 2021 Bonded TNu Notary Pudk Uflderwilars REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS This combination qualifies for a F Efficiency Tax Credit when pla between Feb 17. 2009 and _ yO O,� k tl,w' &se Tk �ke rodw' k�§ IAS.. .. ..•,mmv., AHRI Certified Reference Number: 9198293 Date: 3/8/2011 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA16NA024*0—A- Indoor Unit Model Number: FX40NF025L 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, NO, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, Will, 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 t, 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 2101240-2008 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): 24600 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Coaling): Raln,en ronwod by a„an m.av i'I �nmmm a .dumary renal,. arn,a.mr,�r:nd,usneb na:a, cies=nrompanen win, a was. which sudeman an "1s 14, hal 11 h, DISCLAIMER -- aMRI poet not C•,IUolfe tl,¢ plotluctl5f Iktefl on 11,15 C.nitilieale and maMee no repletnmations, warou"rz or AM CERTIAW www.ehridirectary. brg This combination qualifies for a F Efficiency Tax Credit when pla between Feb 17. 2009 and _ yO O,� k tl,w' &se Tk �ke rodw' k�§ IAS.. .. ..•,mmv., AHRI Certified Reference Number: 9198293 Date: 3/8/2011 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA16NA024*0—A- Indoor Unit Model Number: FX40NF025L 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, NO, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, Will, 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 t, 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 2101240-2008 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): 24600 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Coaling): Raln,en ronwod by a„an m.av i'I �nmmm a .dumary renal,. arn,a.mr,�r:nd,usneb na:a, cies=nrompanen win, a was. which sudeman an "1s 14, hal 11 h, DISCLAIMER -- aMRI poet not C•,IUolfe tl,¢ plotluctl5f Iktefl on 11,15 C.nitilieale and maMee no repletnmations, warou"rz or guarantees as to mrrl ass r,mrn the pmudces) Wert on this Certificate. Aide aspirin, disclaims all liability for damages of any k,,a idmng flit of the nn rrrnnnslMllty /nr, use o, ped imphers pl4rn ka, of obarred ted on nnn cruificaM. Certified retrain are valid only for models and conpgamhows Ilitetl in the of the P edumlu. or Or dllc[natMnxtl Cry at www.ahrid he, toly,of, TERMS AND CONDITIONS Thrs Ceftfiuilo and Its contents am proprietary products Of ANRI,T11,1,1lbhall cule sonly be used It lndluitlual, personal and i1-1 onfltlenratio re Pu,posos. no contemn of this OrnlOcate may hat. In whole of In part, be rapmduced: caplr'd: disseminated: entered Into a computer dalahark: Of otherwise utilized, In any farm or manner of by any means, e,mepl ln! the user s Individual, ®® pursnnal and eanflaenhfl reference. eTIFICATE VERIFICATION fm.CCh rum,1, iff-sfill The i Thnfmmalion far the model Ound an this cifHaemi can be vemiad at www.ahridlreRn,�.n•p. [IicM on'YeriF3 Ce: niticnte.'IinM n • n eceh:us par, Lvstiturt and enter the AHRI Certified Reference Number and the date As which the certificate was issued, which is listed abw, o, and the CeAflcale No., which le listen at bottom right - - 6,)2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: Q1334456160504793