Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE:(NEO.iViUST'BE:COMPLETED:FOR�P.PLICA,JON TOZE-ACCEPTED:. . _ Date: Permit Number:� = Building Permit Application Planning;and Pevefopment5ervices Building and.Code Regulation Division. 2300-Virginio Avenue,,F.ortY.ieree ifL 34982 Phone:(772)462-1553 Fax.(772),462=1578 CO't�lrrte"rclal Restdenlat i ERfllt'iT APPUcALTIONI FOR: To Select from dropbox, click arrb.w at ttte end of line t?�QPOSEQ ICPROVEMEN.TLOCATIQN - LegaPDescription: Property Tax ID#: 3L+(C � -7D - Q0�7 l�0 ' Z Lot No: Site Plan[dame: M(n("ln� C^ Block IVo� Project-Name: G. j"ti I ti Ill l f G, 1ek �t�� Setbacks Front Back: .Right Side: Left Side:, V9I G C-e-_ 2 S -00 e rw x7177 s CC�NSTRUCTtON (IV'FORMATtQN . �1'TON Additiorlal-WOTKTO be pertorme un er t ispermit-c ec v at I that at app y: HVAC _Gas Tank _.GasPip'in&. _Shutters Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Roof pitch . Total Sq.Ft of Construction- Sq.Ft.of.First F oor': Cost of Construction:$ I 'I 3 S. utilities: _Sewer _Septtc %Building Height: (3WNER/LESSEE CONI'RACTOR; x A Name:NameOSn. wP Zh.r A( es r xu CMZ L State: Address:Address: �`��l L IN City: . -1-�✓��ie �� 7i e r(A t, city. State: Zip Cotte:3Li 'Fax: ` 0 Phone No. 3 Q ZIa Z,t Zip Code: ?7 0 Fax: E-Mail: Phone No. 7??;1 12 3 -L) Fill in fee simple Title Holder on next page(If different E-Mail: it �tib e (AC 0( Co fromtheOwnerlisted .above). Statenor!Countys ipense C l81-1 to if lue.of construction is$2500 or more,a RECORDED Notice of Commencement is required DESIGNER/ENGINEER: ot Applicable MORTGAGE COMPANY. '-Not Applicable Name: Name: Address: Address: City: State: City: State: Zip:, Phone: Zip: Phone: FEE SIMPLE TITLEHOLDER: 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 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 r'�estrictions.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 our Notice of Commencement. Signature of Owner/Lessee/Contractor asf6 rel S Agent for Owner Signature of Cantractar/{.icense Holder STATE OF FLORIDA STATE OF FLORIDA,, COUNTY tIl' Sl t_ ti�� ' COUNTY OF }'..Lc _ The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this) r"Ylay of I A C,-C11 201 by this illy of �`✓1,W(t 20 11 by (Name of person acknowledging) (Name o�n acknowledging) L 1-0 (Signature of Notary Public-State of Florida) (Signature of No Public-State of Florida) Personally KnownOR Produced Identification Personally Known OR Produced Identification Type of Iden tifica on Produced Type of Identification Produced Commission No. ZLMISIO RREN D.CHISHOLM Commission No. SN#FF99435itAREND:CHISHOLM ESMAY 18,2020 r°tom��o MY COMMISSION#�F9943 oug s e nsurance EXPIRES-MAY t8 202 Revised 0Z/1S/Z014 ° Bonded through 1stSbutelnsura e REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW i REVIEW REVIEW; REVIEW REVIEW DATE COMPLETE + INITIALS + ' i � i ueniticate, of Product mating s, AHRI Certified Reference Number: 7482002 Date: 3/16/2017 Product: Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number: 4TTR4030L1 Indoor Unit Model Number:TEM4AOB3OS31+TDR Manufacturer:TRANE Trade/Brand name:TRANE 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, 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 XR14 Manufactureriresponsiblefor theYr`ating of�this systemcombnatfonas TRANE r' Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Alr`Gonditiomng antl Air Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI sponsored, Independent„third party testing: - = I, I q, r _ I3 Cooling Capacity(Btuh) 28600 # EER�Ratrng(Coollrg) � 12.00 IEER Rating (Cooling): Ratings followed by an asterisk(')indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary cerate. 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)fisted on this Certificate.AHRI expressly disclaims 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^:wwmahridirectory,.org• TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and confidentialreference purposes.The contents of this Certificate may not,in.whole.orin,part,be reproduced;copied;disseminated; 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-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified atm.wmahridirectory4org,click on WarifyiCertifleate"link we make life better" 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 r` ©=4 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NOil 131341515682925365