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HomeMy WebLinkAboutBuilding Permit Application1 ALL APPLIC BL (INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I -I Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line MtC_�1CzY)ico� .4,Ri1R1L1C!ti1't,'�I"�,FQ'1%'MUYZ. tla �,if37s�HYe.�'i)>'74 Nrt���i.�i��` , t 4 k n Address: 2-'12JA t U -A V 0.J OCe_ Legal Description: Sr�}}� Cur A e P\o za �1D Unit IST �1 C�x,ol 32 Property Tax ID q: I Li Z$ ' 7 D Z - C)G 1pLL- -Do(,).- I Site Plan Name: Project Name: Setbacks Fn 3A49H LIP - D ne 0K- Lo I Lot No.S I -r 3_2 Block No. _?b Back: Right Side: Left Side: A IT a1�.,. 0 , t. u� Icvv'wYi vi f .<Rx ,. ! "..t ih tr,.�.. ,•aYU� _. , �nsto \\off �r� c -A l 1 kt FOx' 6 k -e- 2_,5 TUN Carr i ea- ,vsalex� , 1IQ SEES w � g Kw C_ V eCOJ_ HVAC Gas Tank ❑Gas Piping U Shutters U Windows/Doors 11 Electric Plumbing ❑Sprinklers 11 Generator 11 Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ -3 � LD 50 . D O Utilities:nSewer Septic Building Height: Name KC_ Grt me -S . Lt.C. Address:Z'JZ-ot N X"diar\ 01JP_l' D( - City: F -V P_ State: FL_ Zip Code: '�>JtALf to Fax: Phone No. E -Mail: Fill in fee simple Title Holder on newt page (if different from the Owner listed above) State or County License: tZA hl7 k% D-1 \ if value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. Company: Gt ;MCs. "e0aiY_9 (I" N'( Address:.at%'." -t hl 11C t1vU�l j City: F{ . -P1 r.rC.e. State:\L Zip Code: 31-Iol'i V Fax: -f-f 7_- LA Lal - rlt"l L2_ Phone No. 117_ - '-Ito 1- 1?1 11 E -Mail: Ya\lkO ay -k l C_ IL3(X r) I —C_rlrtn State or County License: tZA hl7 k% D-1 \ if value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. DESIGNER/ENGINEER: Not Applicable Name: Address: City: State: _ Zip: Phone: MORTGAGE COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: FEE SIMPLE TITLE HOLDER: 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 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 your Notice of Commencement. � �. ` dl a ure of Owner/LesseeContractor as Agent for Owner STATE OF FLORIDA COUNTY OF ST- LULU= The forgoing instrument was acknowledged before me this' day of Fk VrI 1 . 20 nby Si ure of Contractor/License STATE OF COUNTY OFORIDAs,I The forgoing instrument was acknowledged before me this —5- day of " ' ( r f \ . 20 _a by �Prl(�ES r- G(M��S IV�6'��S GRII�IF�S (Name of person acknowledging (Name of person acknowledging ) (Signature of Notary Public- State of Florida) (Signature of Notary P861ic-tats�rida I Personally Known OR Produced Identification _ Type of Identificat' CHRISTINEEPPER Commission No. R ? COMMIS�IiM(G0081780 EXPIRES: January 11, 2021 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW Personally Known�_ OR Produced Identification Type of Identificatiora3rr .I, _ I CHRISTINECULP&PA Commission No. ''+n '= WCOMMI><S"?GG061780 I 'w EXPIRES: January 1L 2021 Nt` Bonded Tiw NdsyRNlle�k UMavn u..S �. DATE COMPLETE INITIALS ■ This combination qualifies for a Federal Energy - Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 919 752 Dat _ - 8 e: 4/5/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA16NA030a0**Aa Indoor Unit Model Number: FV4CNF002L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING 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, til, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SO, 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: 16 SEER AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210.1240-2008 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): 28600 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling) - Ratings IoloweJ I an care." (').Arida If vdulXary rI of pravrously pu SOO-C a -W. uMoss-or—lanetl-110 -As of it fro'Iralea an.f-Itrlary mTe DISCLAIMER AHRI donor enoase the pmtlud(s) listed an tXb Cauldealu antl make¢ no representations. aremeaks or guarantees as to, and assume. no msponara ty an, We products) listed on this Certificate_ "NRI expressly disclaims all liability Car damages of any Nlnd.dairy{ Out Of the use or performance 0f the prOducl(si, orthe amhorned alterarion of data listed on this Certificate. Gert of ratings are mild only for models and conte, ,tons n.lae in the directory at wwnand0imclury.mg. TERMS AND CONDITIONS A ■ ■IM, This nfiddealltand . amforsesare s. h.Contetary tsof thuselis CartifAHRmay LTM not. In Whole ate parnly G¢Usepoducedcsrpld far rpersowland y entered 0cornlcepmatabae; o UndesOf t1115nd,in any form or manner or or In mayou repmetfortheusedlsseminall, � Person laal te database; orotherwise utllvsd, In airy loan or manneratby ady means, exceptfar the user's individual, CERTIFICATE VERIFICATION TION failne.. AIfl CONDITItlXING ldOT INc.E CERTIFICATEEVor the model Cited BREFRIGEaanox lNSTnure The kforented Me AHRI ComodellltedcelNu rber cade and(canle Indeonwhicathe Uft idle WAS ail Click on'Verity Gerflllca[e'IInM .. enter Ne Aibud, and the Reference Number fifth 1, H dale at b ll..IIhe cenHkare was iswed. ' wMcn is listed.nave, and me Centticale NO., wMCN IS I6letl at Cenom nalL ©2014 Air -Conditioning, Healing, and Refrigeration Institute CERTIFICATE NO,: 131358710454300436