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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICOMLMNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 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 MCC i'wyIlCG1 low >,74'y, �llel r`1;,?"a!;1-11t%I�tii•�r ��',III�IY,��!1 �"i��F �trk`l;��A R11 �I,e1 ��,liY4 fall -... s'f �y IwN::;� 1,.. — Address: (=L 234QLIQ > Legal Description: Ocean I- w -bol LY CA060Yl/N11'1 \CLW\ A — Uhl lots i n,Y\A i,lv\div C' are lv\ (.nYv\yv\Cn el�rn_ cn�s Property Tax ID tt: (4 I t ' 10 S - nbzct - c>pn -Q Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: _ Sy s}e rv\ )�n sEU- Kv� e.\eC�r t c V-NcCa . HVAC L=J Gas Tank Electric E] Plumbing Total Sq. Ft of Construction: Cost of Construction: $ t { , I'o Z • O(..) Fmlpgl M'01 a�.t AR1, �I l lq,;3ii nit -clec all that apply: Piping Q Shutters ❑ Windows/Doors nklers 11 Generator Roof Roof pitch 5 Ft. of First Floor: Utilities:�'I�ISewer y 'Septic Building Height: I,.�07�`N[ `f IAk /k }ai4n 5 f 'I .�li7.. Tfie 0 r n:?�f It f Name AS(XA Lf-V\l Name ("vie -Z F . G Cylpnt-_S Address: ?;LI -1 Ne\Aj Company:GtY mc5_. h4fc)ciiv_ Cid RJ'( City:FhYV muciPYAC)-IP State:Address:_3h',:�l-t N lAC VA\&L\l \ Zip Code: (') I Fax: City: 'Pi P.YC.C. State: FL Phone No. 3nS - Ll 1 o"I -no, O Zip Code: 314q Li t1 Fax: -7-7 7,- y W1 -"LZ_ E -Mail: Phone No. l"17 - roto 1 - Bi 1 t Fill in fee simple Title Holder on next page ( if different E -Mail: .V-�ky I CA r' V -k Y -JL5 ( F _ CDQ r) t - C r-, yh from the Owner listed above) State or County License: \ZA' r -It-) m D-1 \ If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X_ Not Applicable MORTGAGE COMPANY: �L Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: 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 Comme ncement. � ,k7tature of Owner/Lessee% ontractor as Agent for Owner STATE OF COUNTYOFORIDAS� The forgoing instrument was acknowledged before me this _5L day of r� l 20 )]..by i WE,& r- GTA W_'s (Name of person acknowledging) L I - (Signature of Notary Public- State of Florida) Personally Known OR Produced Identification _ Type of Identificat' n or !Hiirnri $1 �F: CHRISTINE CULPEPPER Commission No. • ° COMMIS&IS14GG061780 EXPIRES: January 11, 2021 Revised 07/15/2014 REVIEWS FRONT I ZONING COUNTER REVIEW DATE COMPLETE INITIALS Si ure of Contractor/License Holder STATE OF COUNTY OFORIDAST_ UuCk E The forgoing instrument was acknowledged before me this _5_ day of. Av �{t I .20 Ll_ by . fV MFS F GURIEI (Name of person acknowledging) ur (Signatreo�fry�N\(ootta�ryy�' Public- tate of srida) Personally Known _' [ OR Produced Identification Type of Identificatio .: ..: i mov CHRISTINE CULPEPPER Commission No.MYCOMMI¢$�I}'GG081780 EXPIRES: January 11, 2021 onW Thio Notary Wi t Unde�wi Ws _IK_ SUPERVISOR I PLANS VEGETATION I SEA TURTLE MANGROVE REVIEW I REVIEW I REVIEW REVIEW REVIEW This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Doc 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 9198752 Date: 4/5/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA16NA030.0"A' 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, 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, 2016, 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 2101240.2008 for Unitarryy Air -Conditioning and Air-SourceHeat 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 (Coding): 16.00 IEER Rating (Cooling): RaaM aerated! by An stood,(')iMeela a vduncryamaMofpnvbu9y WblobW data .untesnoceuneanwdwitha WAS, wnich,di lesen involuntaryrnmly DISCLAIMER ANPo goes not Prod—b are poral Ilsled on ta.0-birrato and makes no npnsenlelbm, anther. or guaranines as an. and a<vumes rw responalMllly to, the pmduels) land an tis CArlilicnle. AHRI erp aasly dbclelmt all Inhafty fardomngraOf ap Mand wh ing aua of the uta m performance of the produR61, or the rwulbnrrsee a1le,ali0n W date Rafted an lhb CerHtkaae. Cedherd rMinga are valid aMy for medals And config,wliyar listed in the tliredory at wwx.aM1ddirtctory.org. TERMS AND CONDITIONS /� ■ -IM, m4Gentialree add frencesraditandU araboyalecoprletatyfdodr Caraf AHRLTRIn CertMytesllell onlybcrefroato, lndwppalpe,enerniand l V confidentialreferenceWdabo.Tllaronlebna ad,ar Mbed, a any may by r.iwMM or In .. An .M. febreforn.. alydhrinslo � No ad emfrcd l an o computer ealabase; or MRervAq ullllied, In Wiry IOrm or mnnn¢r by M1y airy maani ¢rcep[ for the ua¢I91ndMdual, personalaneE rM Intlel balbTION co. AIR-FRRIVA NIN6.Hmbi CERTIFICATE VERIhe ora del b R REFRMEAATNIN MSfI}DiF The inter th i AHRIble rhemOdNcded on Ifte Ch,NuMmrandtcantheta vvdiMat wwn.anndi,anda libeed dkk an Nerlry Cartlfieaae'NnM Ien4r lnr hH!c' analenter the AHRI . ad In. Nu a.. analthedate onwelch the certl6cete waz/awed, " wncnbnmedaoo.a. ane me ee.mmaa. No.. wnlenbrmeaxr,mn.n ep,t. r_— ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: /31358710451300436