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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLIC418LEANFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: lip Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 1300 Virginia Avenue, Fort Pierce FL 34981 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 4�,{�hlSl�t�,�1`r�l���:ki�n7%rtf';i•�YK�ii:�-�Si'k.14'l7 irA1p7i �n ni iY(�H�o lfsr ,S�iJ taL"'tJ`IT ,.. ... ... Address: Legal Description:L0.' e5111 OYC \� \ ��a �l�' F I\A?(�J (-)v f DCA a.S,e �Loia ';0t')'2) -- Property Tax lD#:13Z-1--7C)N OOZB--0on-0 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: �r\S�c�\1cttior\ o� lt�e �oY \�Y-e L\ TON TYO.1(�e. A/L SySteev,, . Ila SE.C� w�-W\ 10 Kw e-1ec_�t�c_ hcA+ R!25 �j � � "�' J�� ��i, ,��' v�x.l'�h;9n'En}`3`i'nt'f� I ona war c ere�jer arroeMrler ffils permit - cI c� �� appy. ,HVAC L i Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors Electric ElPlumbing ❑Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch Total Sq. Ft of Construction: ScFt. of First Floor: Cost of Construction:$ (i 1100 OO Utilities. nSewer❑Septic Building Height: Name, QV\Y\ nroC.,K- Address:'�915() Tv.i1v-� LD- e.' TQY. 4-11Cy City: F4- ."Wi F"( C -r-* State: f-- 1 - Zip Code: 2)1-4 Q 1�1 Fax: H A Phone No. -1-12-' 32_7� - lo 5 b�1 E -Mail: 1.) f:k Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: _J_0yV1.P -N F . (,v-Ivv\G,S Company:G\;LV\CS. XAe0C?6nC k cwck �\( Address: _3hIi4 t4 Im 14\&IA City: FIt. ?i P.YC.e_ State:FL Zip Code: 3t-lol'-4 Lf Fax: -11 7_- Lk W\ - W1 Z.2_ Phone No. 11i7 - LI to 1- 1.1 11 E-Mail:\��aA L O.Q Y 1 Yv\e5 rA c -CD -(x()1 r.rl Y>-% State or County License: \Z A Tlt-) \R (Yl \ If value of construction is $2500 or more, a RECORDED Notice of 1:ommencement Is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Q Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: X, Not Applicable BONDING COMPANY: XLNot 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. a ure of Owner/Le/�trr actor as Agent for Owner STATE OF COUNTYOFORIDA ST- LULI I✓ The forgoing instrument was acknowledged before me this � day of Pcp r i 1 . 20 0 -by J PrlIAESE 1 r- GTI Mks (Name of person acknowledging gii (Signature of Notary Pu�bh'c- Statlorida ) Personally Known 2Q OR Produced Identification _ Type of Ide t*fi UrlPr i,,, 14 Commission No. ^�,W�M" fi@ CHRISTINE�PPER COMMIS�6� 4 GG 081780 11 .- p" EXPIRES: January 11, 2021 Revised 07/15/2014 REVIEWS FRONT COUNTER DATE COMPLETE INITIALS Si ure of Contractor/License Holder STATE OF COUNTY OF FLORIDA 1�U��t7— The forgoing instrument was acknowledged before me this7dayof AQri I .20 ELby IVkfM�S F G�i�L�S (Name of person acknowledging ) (Signature of Notary Pleublic- tats�rida ) Personally Known _>LJ OR Produced Identification Type of Identificatio _ _ - Zi.CHRI$TIf1E CULPO'P:'1 IIf Commission No. _ MYCOMMI>) WPGG081780 i; EXPIRES: January 11, 2021 . di lSR"� Baded Tluu Nolery RHk Undervnilers ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW 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: 8676081 Date: 413/2017 Product: Split System: Air -Cooled Condensing Unit. Coil with Blower Outdoor Unit Model Number: 4TTR6049J1 Indoor Unit Model Number: TEM"OC48S41+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, OH, 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: 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 Heal Pump Equipment and subject to verification of rating accuracy by AHRlwsponsored, independent, third party testing: Cooling Capacity (Btuh): 46500 EER Rating (Cooling): 13.50 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): kal+esIdlawWbyanasUnsh(')Indi=M.v nanr WNPmvi yWbnsheddale, uNeasaccgnpwiatlwiiha WAS. wnkllMdeaMb an imglunUn rarate. It DISCLAIMER - AHRldoesnotendorseONproduces) ksI on this Certificate and makes an mpresemaWna warranlles or leasameesas to, wM assumes no responsibllty fpr. - the prWuct(s)listed enthis COrt MW. AHRI ex preachy disclaims all liability for damages of any kind irking out of the use or performance Of the Products). or the _ unauthorized allemtbn of data I II An this Certificate. certified ratings are valid only for models and configurations listed in the = alrectory at www.atirlditectory.org. TERMS AND C ■ .tea ' and 1 .—O This Canifium antlaa conte,.are Prpp ,Iof AXemear saa11 pnry0euuafor lndi,refind:di A - fohnI his Certificate not I- -I disseminated; .I. cOn[wrU of this Cera aneheynts lnwWarbyan 1. paoom, rodtim Vista '■�� - comuterfptaMmn. entec.nffred into a thpled; entered l andoOmputial aavlre utilized, In webfmor manner or try airy meere, axuplfwlne users individualpearsong , an -_ reference. ma. AISMATIINa,HFATINa, CERTIFICATE CERTIFICATE VERIFICATION _ AsR ®eEGRIen1ATIDX INSIRVIE 1.1 the oriel lnterandon for momOd on NU Om,M did pn'Vmity eprtifieat<'Onx Rele and and enter Ann. seamier and which the rsrllagle wea UnuM, onwhdatheww.ehdate was "''" :e he (enol^ abe and Certificate No., letedteen which R listed anuve, and ttw CadlWnle No. which U IUlvd at .diem right - 02014 Aly -Conditioning, Heating, and Refrigeration institute CERTIFICATE N0.: 131357922761956946 '_