HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC BLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 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 line
Mecham«
'PROPOSED IMPROVEMENT LOCATION: r .
Address: tL4 213 TAI I
Legal Description:
Property Tax ID q:DL-5b[7-n311l-Df-3Q-q
Lot No. _
Site Plan Name:
Project Name: Block No.
Setbacks Front Back: Right Side: Left Side:
1ypIItED DESCRIPTION OF, WORK:
Ins aJi,\&+i1)n o�- l%Y-c %Y-
ILA
orW S ee)r' !> Y -W Pt" hta.. , e �
UCTION INFORMATION:
Additlona wor to e e orme un ert ispermrt-cI Iec a I I latappy:
HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
L (Electric Plumbing EiSprinklers E Generator Roof
Roof pitch
Total Sq. Ft of Construction: ScFt. of First Floor:
Cost of Construction: $ Zj I q $oj . D O Utilities:Sewer ❑Septic Building Height:
City: e V t f State:
Zip Code: �Acl5 1 Fax:
Phone No.,312- 42q • 5 "
E -Mail: M R
Fill in fee simple Title Holder on nest page ( if differem
from the Owner listed above)
::�wniinm%_ium;
--------------
Name:_0WntC
Company: yAco hnn stn(% prtt
Address: 3t)5 1 N 11C MNNA
City: F} . E t f yc r
State:F=l_
Zip Code: _LIq Li Fax: -Il 7 - y__ WQ _%7 LZ
Phone No. ]'j 7_ - t_l, 0 1 -BTI 1
E -Mail: LM11 r1
State or County License: g -L L)L-, T
of construction is $2500 or more, a RECORDED Notice of Commencement is
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
�" Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Al Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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 recordine vour Notice of Commencement.
IY7•� s
_essee/Contractor as Agent for OwnerSi ure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF SL LULI1.=- COUNTY OF 57- - L.UO t=
The forgging instrument s acknowledged before me
this a of 20 b
i MAES; r- G �-1
(NaLLJ�Y?r—
me ofperson acknowledging )
(Signature of Notary Public- State )
Personally Known
Type of Identificat
Commission No.
Revised 07/15/2014
OR Produced Identification
GG 061780
11, 2021
The for ping instrument was acknowledged before me
this ay of M it I\ , 20 t_1 by
I MES. F C u tliIF
(Name of person acknowledging )
_ C tPL
(Signature of Notary Public-Stattrida )
Personally Known _> OR Produced Identification
Type of Identification�s�cod
CHRISTINE CULPEPPER
Commission No. MYCOMMI�S"FGG061780
EXPIRES: January 11, 2021
• ;;ori;q"••�, Balled R. Wmy Publk UMMiniler,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Cera5cate of Pre uct
AHRI Certified Reference Number: 9968428 Date. 3/8/2017
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: 4TWR4036G1
Indoor Unit Model Number: TEM4AOC36S41+TDR
Manufacturer: TRANE
Trade/Brand name: TRANE
Series name: XR14
Manufacturer responsible for the rating of this system combination is TRANE
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):
36600
EER Rating (Cooling):
11.50
SEER Rating (Cooling):
14.00
Heating Capacity(Btuh) @ 47 F:
34200
Region IV HSPF Rating (Heating): 8.50
Heating Capacily(Btuh) @ 17 F: 22600
Fyle,ys wnn.ed by m oco,nx rl nmaor,." 1oms.m,.1 P'I hr'ih:ned maa. nmo 11 Flo—liwm-was _nrh.nein, an ,. v,, a nnl n,y, ale
DISCu1MER
AHRI noro, nor en.crs.to. arod.1,)iron on ens Cernrom. and mal. no momyrodans, --mon, or from ...... as to, and arram- no,nslansho or.
rhe r=rotlII //sled on this Cefflpcate. AHRI formal, drool»Imo all liability lot damages of any kind ansingma of the use or pedmm
monce of the nroalaosl. the
uthori[ed alle,alion of data LSted on this Certificate Certified rano, are valid only lot model[ and canlisnran, listed in he
,
directory at rvwa.n nZ rennrpo e
TERMS AND CONDITIONS
TMs Certificate and its cantent, are ptoptletary Myducts of AHRI. This Certificate shall only M used for indivldoal, personal and
Ift LAIMPd
ontimmal minrence mam"Oes. Too content. of loi, Celli@am mey nor. In rilm.i, In yart dneyraducnd: rnpiod. dlssem Band;
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entered Into arnmput.,database; or otherwise Miffed. In any form or manner or by any means. swept for to. users Intlividuat
O� SW IS
P. somal and confidential reference
cal onsmanlolo, lolThrh
CERTIFICATE VERIFICATION
k RErm'rRaTmn lh".TnbTF
Tom or.,_ation for the model Cited on 'too let lihrra Can be verified al.r �.nh,ItiirnC'ery.ote", clock an'Yerl, Cerhicart nosh
and enter the AIZ certifted Reference Number and the date on which the certificate was issued,
I. alma am.e...'a In. coni son.. _non I,."Wo et b>nom neer. -
en2014 Air-conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
131334581119307033