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HomeMy WebLinkAboutpermit applicationMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: jTu/ II I f 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 MechQhica kPtl:u IJ�IPRCIV�II1V14L0AiTIJy r -): y � t ftii�ri i _ Address.701 �( Cif EjD�nn :RL� PYCr EL 5t4clSS2 Legal Description: T l S _ \ Property Tax ID #: () ('n \ — oo u _, Lot Site Plan Name: No. Block No. Project Name: Setbacks Front Back: Right Side: Left Side: [nS+0A\0Li1on o � 1l y U Yl l I\ y S E�'1= w 1A -1-N MVAC L.1 Gas Tank Electric El Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 3 by \eke 3 5 rON C0.rrtea- 4 C�JC g IGV� e\ec'r�l c� hea_+ Piping UShutters ❑Windows/Doors nklers 0 Generator Roof = Roof pitch SFt. of First Floor: Litilities:nSewer 0Septic Building Height: Name9e.IDYC\ MC i1rw`"EA I Address:2-b-1 C- V)r-I\I \�>64tyy\ pL #>!i 1 City: _k—} -P i P `C C P State: Zip Code: S N of R Z Fax: Phone No.217 - to \o-1- CI5 $ 3 Fill in fee simple Title Holder on nett page (if different from the Owner listed above) Name Company: Crr� lylCs: 1�Pn Fi✓�n n.;i Address:,: h59 N lAC 1 \\nN City: FII . 71 P r State: fl Zip Code: 3L4!a Li V Fax: 2-7 7 - y W\ - %I 7,2 Phone No. ]-T 7- - LA Ly l- Bi I t E-Mail:�n`�pryYtrn (ac.ear) I-CnYin State or County License: KL L)L--) m o1 \ is $2500 or more, a RECORDED Notice of Commencement Is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: FRONT DESIGN ER/ENGIN EER: Name: Not Applicable MORTGAGE COMPANY: Name: ZQ Not Applicable Address: ="•o: Address: COUNTER City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: 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, 1 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 commencine work or recordine vour Notice of CnmmPnrPmPnt IM STATE OF COUNTY OFORIDASN- 1111LIE The f ri�pp�.t instrument wad acknowledged before me this ay mairu1 20 Clby i ►SAES; F. G11 KF (Name of person acknowledging) EL�- (Signature of Notary Public- State of Florida ) Known)CI _ OR Produced Identification Type of Commission No. Revised 07/15/2014 CHRISTINE CULPEPPER X COMMISftU GG 081780 EXPIRES: January 11, 2021 0 s SS ^. � ure of Contractor/License Holder STATE OF F COUNTY OFORIDAS,T-- LUL« The foping instrument was acknowledged before me this JLliay of IMan YC ) 20 J-1— by INAE�_F C�-IiLu (Name of person acknowledging) C. &-XPy--- (Signature of Notary Public- State of Florida ) Personally Known_,_ OR Produced Identification Type of Identificatio^^--� • _ - - - - - REVIEWS FRONT CHRISTINE CULPEPPER Commission No. �:it'"'Pp4d:-s MYCOMMI>)S"FGG081780 SEA TURTLE ="•o: EXPIRES: January 11, 2021 COUNTER .pF;i V Bonded ThWNslay PuI*UW&mt rs REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 004 MR Ell 1111ka CERTIFIED Certificate of Product Ratings AHRI Certified Reference Number: 7490506 Date: 3/3/2017 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: 50ZPC042-30fe Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, It MN, MO, MS, MT, NC, ND, NE, NH NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, Tit, V UT, VA, VT, WA, W, 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: Manufacturer responsible for the rating of this system combination Is CARRIER AIR CONOITIONING 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 (Btuh). 41000 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.50 IEER Rating (Cooling): aaleva fdlawd br an aawndw (•) ilwinte a wdunwn mmw avntwatny ptblidwe aaw. twee �r,anee Com, a was. wnid, wtlbin.n kwdunlan rNale. DISCLAIMER AHRI don has andante the produch(.$) Ihmd on this Certificate and meNm no mumbenbtlons, warfalltbs or guemrean as to. antl amumn no restican blllty far, the product(s) toned on this Candidate. AHRI expressly dldclalms all liabllltytor damages of any kind adding out of the use or performan ar day piodud(st. or the aamotlmd ouamtbn of data Ibted on this CeMncate. Conned rahngs arc wand only for models and confqumuons nsted In the d,ectory at wwwolbridirect ,yo'g. TERMS AND CONDITIONS This Confidence and he eoatenb nm pmpri dZy pmducb of AHRI. This CenMcate shall only be used for Individual, poRonal and —` found ... a[ rate. el o ndenua[rate.el purposes. Tho canbnb of this Cerlmcaie may not, in whole or In pert, to reproduced: copied: momminavid: /� Kemp, entered into a computer database, or otherwise Utilized, In arty form or manner or Iry airy where. emept for the tsars Individual. Demand and aanfiddrial rafaMne9. slWabNDITIRsnam. iftenr , CERTIFICATE VERIFICATION & REFRMERATIml INSTITUTErtl The information for the model cited on tons ceaute can he wedned at wwwor,idroctory.o,g, dick on 'verity Certificate' Hn•` ..... k i!vl„ and enter the AHRI credited Reference Number and the date on whlGl the surfaces, was Issued. welch b listed above, and the Certificate No., which Is liable at befttam right. ...... - - -- — --- -------_.... ©2014 Air-Conditloning. Heating, and Refrigeration Institute CERTIFICATE NO.: 131330229579243806