HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLIC 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 X
PERMIT APPLICATION FOR: To Select from dropbox click arrow at the end of line M nl �Ct I
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Address Z `� jW t (� (10. 5 Tr(l\ 4 - �iC' YCe J �l. 34Qi 1 S
Legal Description: z -Z 55 361 S 3 AC S
MV, 4Nt Yy �� SE /tet �uNf_ALS G_ I.1 0� I�1E `iA O� SES
Property Tax ID It: Z�;2_7_- b00 S - POO -7 Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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tv OO O1 iorf
) olike fr�r l�Ke s �bN T�PrNC
15 srct?' W0AA Io cul eleecklrk'C' hea-+.
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ L4 I -I V5 00 Utilities: Sevver E]Septic
Name_ V041 Jr And ra} eriyte 4ru rhrr
Address:2-IC15 TNItv1 (1Q1_S _t'CC0.11
City: 1=i-- V i P rGP State: rL
Zip Code: 2LIC1I4S Fax:
Phone No. -1-l2 - 33Z -13$D
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
/Doors
0
Building Height:
Roof pitch
Name:S)(]W4t F. uy-tvvxr:�
Company: G&!'[Y4 CS,
Address:.Ahl,::iL-t N 1tc— I-4tnt\l \
City: ?t P.YC.e. State: tL
Zip Code: ?iUgL-4U Fax:-1-17_-LAk2t t`�lZ2
Phone No. l-17_ - 0 to 1 B-1 11
E -Mail;. rlrvtPS(ACaI-) Ctlm
State or County License: ZA m O-1 \
If value of construction is $2500 or more, a RECORDED Notof Co
ice mmencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
)C Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
-2( Not Applicable
BONDING COMPANY:
r
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 thepermit 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.
/ature of Owner/Lessee/ ontractor as Agent for Owner
STATE SC- 1,ULI L
The forgoing instrument Was acknowledged before me
this :5 day of p vc i 1 20 1by
J WES
(Name of person acknowledging
(SigE re of Nol�iFlorida)
Personally Known OR Produced Identification _
Type of Identificatifin PTrifivrod
�,.
Commission No. 'ACHRISTINECU�PEPPER
COMMIS�Sdil! GO 081780
py}+' EXPIRES: January 11, 2021
O•
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION I SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
Si ure of Contractor ense Holder
STATE OF
COUNTY OFORIDAS,` LUC—k
The forgoing instrument was acknowledgedbefore me
this � 1,day of { 1: . 20 � by
I V AEti F_ G U RES
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known _,�4 OR Produced Identification
Type of Identificatior ^" 4dr.' -
j.C'.✓l'.!Y4.y CHRISTINECULPOISER
Commission No. • _ mycomMi"F1313081780
1�• b; EXPIRES: January 11, 2021
Ig P
rdi WdW na Notary N&UW M M
DATE
COMPLETE
INITIALS
Certificate of Product Ratings
AHRI Certified Reference Number: 7944313
Date: 4/5/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 4TTR6061CI
Indoor Unit Model Number: TEM4A0C60S51+TDR
Manufacturer: TRANE
Trade/Brand name: TRANE
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME,
MI, MN, MO, MS, MT, NC, NO, NE, NH, NJ, NM, NV, NY, OR, 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 regions) for which they meet the regional efficiency requirement.
Series name: XR16
Manufacturer responsible for the rating of this system Combination is TRANE
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-spon pori independent, third '
party testing:
Cooling Capacity (Btuh): 56500
EER Rating (Cooling): 12.50
SEER Rating (Cooling): 15.00
IEER Rating (Cooling):
Rm,r,yr lunwnL To a„ an ooh, I') uvliwW a vo1-.,,maw cf ramsticp pub ianaa dais. unkss scwmpan'ad with a WAS,.,. mai®las an imoWnrary rxaW
DISCLAIMER
AHRI dues not enaone the peduchs) Its" on this CurOlicate and makes no representations, wananlle. of goAAA'. as m. and axumas np msponslWllry AN,
the producgs) listed an this Certificate. AHRI eayressly disclaims all liability for damages of any kind arising out of the use or prelormence of the pruductlsl, or the
rauthorivetl alteration of data Rated on this Certlnate. Certified raungz are va1W only lir models and mnngumttom listed In the
direclu" al www.al,ri4irectary.ur6.
TERMS AND CONDITIONS it "IMP ThisCertificateand ITIONenb are prvprle[ery protluciz of AHRL This Cerhfia[e sM1all only be used for indivltlual, perwnal antl V
confidential reference Far poses.Th. contents of this CeNfiale may nor, in whole or In part. he reproduced; cople0: disseminated: owu ma'am
entered Into a computer dalamsa: or otharwise u[Ilieed. In am form or manner or by any means, escepl for the user's inchadual,
pe Ronal and confidential ralerane6 AIRCONOITIONING. HEATING,
CERTIFICATE VERIFICATION A REFRIGERATION INSTITUTE
1ha, nl arrna oon for me madol idea an this canlHcato can to —Gap at wwrv.anrlYlractory.org, slice A. -s."" Certnlaate' rink
and enter the AHRI Cerlihed Reference Number and the dale on Mlich the certificate was Issued.
which is listed above. and the certificate No- much of Rated at bottom right. 137359711060500492
Cd 2014 Alt -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: