HomeMy WebLinkAboutBuilding Permit ApplicationALL APP IC BL NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 32oy s 2;rd'
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Legal Description: l'�eC f WODd
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i Property Tax ID#: 2LAZ.c6-10()q -()02" -_ham -5 Lot No. ZZ
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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tib 1 W.5 C E� W ��n g KvJ 21�ctric 1�eS�+
HVAC Li Gas Tank
Electric D Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ y , q $ g oO
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nit -cieappy:
Piping _Shutters ❑ Windows/Doors
nklers Generator 0 Roof Roof pitch
5 Ft. of First Floor:
Utilities: USewer Septic Building Height:
Name (-)n,65 Mb --,k Name:Sj0.WLtC F. ar,%vV\r.S
Address:!,2-QL4 S 22�rd ST. Company:GY\ cs. "ec)ci ncV
City: F' -. I7I e 4(Le- State: T- I.. Address:.Ah54 N 11C i-1\M\l j
Zip Code: 2,401T Z. Fax: W is City: Fk .'Pt r.Yc.e_ State: \-L
Phone No. -7 12 - Wo 1- 205'- L4 _ _ _ _ Zip Code: 4 U Fax: -7-17.- LA W\ - t`rl z,7-
E-Mail:
ZE-Mail: N A Phone No. 112 - LJto 1- 1? -1 11
Pill in fee simple T@le Holder on nett page ( if different E -Mail: KCL\i 0.1 r i vvnf .5 (ll C t^.r_1 rn
from the owner listed above) State or County License:1ZA rll> \Y, 0-1 \
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL'`CONSTRUCTION LIEN LAW' 'IN€OFCIvIATION: '"
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: )C Not Applicable
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State: _
Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
State:
[Not Applicable
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 de 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 Commencement.
,04a �-er `
a ure of Owner/Lessee Contractor as Agent for Owner
STATE OF
COUNTY OFORIDASN LULIE
The forgoing instrument was acknowledged before me
this day of N�) V I 1 . 20 Xaby
J WES F- G'P MTS
(Name of person acknowledging
LCr�-
(Signature of Notary Public- State of Florida)
Personally Known OR Produced Identification
Type of Identificat' n_ Pr ,��ad
Commission No. '.fnti�' WN CHRISTINE EPPER
COMMIS MGG 081780 I
}, pY}+' EXPIRES: Jarwary 11.2021
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
Si ure of Contractor/License Holder
STACOUTE OF NTYOFORIDASIT-
LULkt
The forgoing instrument was acknowledged before me
this day of rTy 1 20 � by
1pvmtS F GSI ku
(Name of person acknowledging
le
acknowledging )
0 NJ v
(Signature of Notary Public- tatSrida )
Personally Known _< OR Produced Identification
Type of Identificatio .:
CHRISTINE6ULPdW1k
Commission No. ' • •'= WCOMMI�B�111)GG081780
,0.g EXPIRES: Jarwaly 11, 2021
"'•,;oiita ' BaMed TNU NMmy Pudk Uad&wlNer3
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
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CERTIFIED
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a Certificate
iica a °.........Product Ratings ,
AHRI Certified Reference Number: 7490506 Date: 4/3/2017
i
Product: Single -Package Air -Conditioner, Air -Cooled
Model Number: 50ZPC042--30"
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, 10, IL, IA, IN, KS, KY, LA, MA, MD, ME,
MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, ON, OK, OR, PA, RI, SC, SO, TN, TX,
UT, VA, 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:
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 An -Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party testing:
Cooling Capacity (Btuh)'. 41000
EER Rating (Coating). 11.50
SEER Rating (Cooling): 14.50
IEER Rating (Cooling):
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DISCLAIMER
AHPt d— not emlwse Ne real listed on lbb Certificate,aid makes no apmsenlabons wananlbs or guarantees as to. amassumes no msponslblllly for -
c Ne me wells) listed on this Cenlflcale. AHRI uselessly Maclaine; all liability for damages of any kind arising out of the use or performance of the pulawar(s), or the
a uneulhemed alteration at data listed an this Certificate. Certified ratlngs are valid onlyfor models and con figurations listed Inthe
'beery a www,ah.imlecwry.nrtl.
TERMS AND CONDITIONS
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3 t)2014 AhLondit oning, Heating, and Refrigeration institute CERTIFICATE NO.: 131357023156210544