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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: OUNTY � r L O R 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 PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address:,$ Qf)'] Legal Descri tion• g p M✓1 �r55�--�- Residential x Property Tax Site Plan Name: y Project Name— Setbacks am+Setbacks Front v° Back: Right Side: Left Side: Lot No. .3'-t Block No. 3_�) DETAILED DESCRIPTION QF WORK: Exact change out ofItcInstalled AJ0 AjUCVt,, $ Jv j� kW(S-r'74Cr,�.rrr � �' a 4^CC430 q 028 Zcyb L' -rui+ FZ V GN -I;o 30 L_ CONSTRUCTION JNFORMA oN Additional`work to be ertorm undertha s perma it–chec app y; ,�dAC E] Gas Tank ❑Gas Piping_ -Shutters J� L_I Windows/Doors Electric 0 Plumbing Sprinklers 11 Generator nn i.� Roof Total Sq. Ft of Construction: S. Ft. of First Floor: Cost of Construction: $ utilities:12Sewer EiSeptic OWNERAESSEE: Address-: S. ;X _) City: 3, Vr State: FC Zip Code: Fax: NIA Phone No. 7 _ 9,71 – f L1.6 E -Mail: NIA Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Building Height: CONTRACTOR: Name: Zacek, OR: Company: American Residential Services Address: 2800 US Hwy 1 City: Vero Beach FL State: Zip Code: 32960 Fax; 772 794-9783 Phone No. 772 794-7221 E -Mail: bderby@ars.com State or County License %–,r a4 97 5 If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. v�-rra . 5UPPLEMLNTAL.CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Name: Name: Address: / Address: City: / State: City: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: / Zip: Phon f. BONDING COMPANY: Name: Address: ✓ City: Zip: Phone: I certify that no work or installation has commenced prior to the Issuance of a permit. x____ Not Applicable State: x 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 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. _ Signature of oer/ Lessee/Agent STATE OF FLORIDA COUNTY OF StLude The forgoing Instrument was acknowledged before me this _3_ day of 12 P2, ( , 24 acknowledged r Nnnis Zacek (Na a of person acknowle ng j (Signature of Notary Public- State of Florida ) Signature of i'ontra r/License` Holder STATE OF FLORIDA COUNTY OF sttuce The f oing instrument was acknowledged before me this day of f , 20 4_.:Z by Jannis Zacek _ (Name person acknawledgin ) 1 N �'a& Lia (Sig is ure of Notary Public- State of Florida ) Personally Known x OR Produced Identification Personally Known X OR Produced identification Type of identification Produced Type of Identification ProducedFf G Commission Nom la�� ission Nom EEZW "1 ��y/ Se*{pµdH.BABER* THoMAi� H, W"iii NOTARY PUBLIC t NOTArY PUBLIC C T= F t h } ^trrm* FF'128494 Revised 07/15/2014 ,. 01FF�28494Er:+;-.N&/'J2098 F re,- 61M013 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratings AHRI Certified Reference Number: 9474297 Date: 3/31/2017 Product: Split System: Air -Cooled Condensing Unit, Coli with Blower Outdoor Unit Model Number: 24ACC430A*030* Indoor Unit Model Number: FB4CNF030L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER 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: COMFORT 14 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): 28200 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): • Ratings followed by an astedsk (') indlcale a voluntary rerale of previously published data, unless accanpanied with a WAS, which Indicates an irwolunlary rerate. DISCLAIMER AHRI does not andorse the product(s) listed an this Certificate and makes no representations, warranties or guarantees as to, and assumes no responslbAlty for, the product(s) listed on this Cenlficate, AHRI expressly disclaims all Ilabilky for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed an this Certificate. CertMed ratings are valid only for models and configurations listed In the directory at www.ahrldirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and "I, confidential reference purposes, The contents of this Certificate may not, in whole or In pert, be reproduced; copied; disseminated; it entered Into a computer database; or otherwise utflired, In any form or manner or by any means, except for the user's Individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION a REFRIGERATION INSTITIRE The information for the model cited an this certMcate can be verHled at www.ahridirectory.org, click an 'Verify Certificate' link we mate lire bettrr" 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 Q201�4 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131a6eo5az4ot2o Michele Franklin, CFA—Saint Lucie County Property Appraiser—AA rights reserved. SheAddrat parcel ID, Aom w 0: Map ID: useTym Zoning: Citycm lty Ownership W iRiam F Tiopm 5207 Birch Or Fan Piero, rL 349C Legal Description INDIAN RIVER MATES -UNIT 07• ELK 50 LOT 34 (" AWS) (OR 3305-510) Current Values JustlMarkd Vduc fe41m Assmed Value 839,107 Fatemptiem: 133,107 Thuable Vain s25,00n Tum for this perm!: SLC Tax Cdlecmes Office O Download TRIM for Ibm petrel: DowWmd POF O Total Areas FaruhdUader Air (SF): Lon Gtme Atm (SF): 7.233 Land Sim(aaea): 0.23 LxW 5im (SF): Ilkwo Property Identiflcation 5207 RIRCII OR 7402-tae-47sLaoaO 1256m 34WS 0100 RSI Said Lucie Caumy This infarumdon is helkwd m beam. st gtie face but if ir:tlbjea b lad b now O Copyright 2017 Saint Lurie County Prnpaty AMmmm AD rights tverved,