HomeMy WebLinkAboutBuilding Permit ApplicationALL APP CfBL NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
iiiiiiiiiiiiiw—'11"� 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�ni
Address: 21.0 b l Ctnk PY r<,d- --
Legal Description: Z) 1 3iA LA 0 C, I,I `/Ay t N AN Yq_ - LESS 0 5 0 t= r 0 F'P-
ZS F Y ANN 1 eCS (_PI— � V Irl 'S PrNt'� 5tr)D - 1 PT
Property Tax ID M 1L131-ZZZ- bfl0S -000-L-t Lot No.
Site Plan Name: Block No.
Project Name: — - -- -
Setbacks Front Back: Right Side: Left Side:
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AdRional WOrK TO De nerromnea uncier this perm - cnecx all appy: '
HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
i
Electric Q Plumbing ❑Sprinklers Generator Roof Roof pitch I
I Total Sq. Ft of Construction: S—FFt. of First Floor:
Cost of Construction:$ 14 82.00 Utilities: 11 SewerElseptic Building Height:
Name (i(x illlYleC C 1 J �C Name: �^IVIf C F . l� v-lvvnr.5
Address: I `tllRh 1Y111n5 �liY�1n \I S Company s�YiMCS "Coc"nq [a Ck A\w
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City: 1Il S State Address: 4 N ur, i4Yx,4 - l
Zip Code: 15L5�( Fax: City: F� . t P.YC_e State: F -L I
Phone No. 1-iip C0 e: 3yo1 Ole Fax:-7-T2.-LAUk -"7' 2_
E -Mail: Phone No. 112. - +--Ilo 1- q'1 1 I
Fill In fee simple Title Holder on next page (if different E -Mail: 14" O.GvYl nya%C (a r �(7, f-31 - C h YV1 i
from the owner listed above) State or County License: (ZA rll-, k% 01 \
ifvalue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:
Name: Name:
Address: Address:
City: State: _ City:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
Not Applicable
State:
XNot Applicable
St. Lucie Count
yY 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 icement.
/aeure of Owner/LesseeContractor as Agent for Owner
STATE OF
COUNTYOFORIDA LULI t--
The
=
The forgoing instrument was acknowledged before me
this –1 day of R -T r w ( 20 jgby
(Name
of person acknowledging
(Signature of Noth'c- Statlorida I
Personally Known _)-4— OR Produced Identification _
Type of Identificat
:Rx CHRISTINE PPER
Commission No. CommisftliIG0061780
y}+' EXPIRES: January 11, 2021
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
SOwu
re of Contractor/License
STATE
COUOFST_ LUC.ili, t7 --
The forgoing instrument was acknowledged before me
this1dayof N?Y1 k 20 13
F GV_ -1 RES
(Name of person acknowledging I
(Signature of Notary Public- tats�rida I
Personally Known _'-4 OR Produced Identification
Type of Identification "•_d..__ • -
1:.",•• CHRISTINECOLPEPPER
Commission No. ` MYCOMMIOMPGG061780 F
1-• .q: EXPIRES: January 11, 2021{[\
.,,oi(t°,.".•� Ift"TNNNoaryP&kUW MftM
_-
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
Certificate of Product Ratings
AHRI Certified Reference Number: 8002370 Date'
4!6!2017
- Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 4TTA3048D3 -
Indoor Unit Model Number: TEM4AOC4BS41+TDR
Manufacturer: TRANE
Trade/Brand name: TRANE
Region:
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: XA13 -
Manufacturer responsible for the rating of this system combination Is TRANE
Rated as follows in accordance with AHRI Standard 2101240.2008 for Unitarryy 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): 48500
EER Rating (Cooling): 11.50
SEER Rating (Cooling): 14.00
IEER Rating (Cooling):
' Raenge followaO Yy an eslenH (leraWle a vYlunNry lerBb Ol plaviau9y publl5M1e00¢b. Men 8Wlnpania l with a WAS, whch inhale r an in-swiles, many.
DIECUIMER _
AHRI do. at Worse the prod ril e) HIM 0a thl5 Cements and makes no representation, wenastles or haeranleN as to, and avumee no responsibility f a,
- the proaucys)listed on this Certificate, AHRI ¢spressty declaims all hadllty for dramesof arty Word .11.1.9 out of the ua. or pertormance of the proODU(s), ar the
c .ulhorimtl allmtam of do. listed on this UAlOcate. C.Allkd t 1m, are valid only for motlels antl cunfl9umdore listed in the _
_ dnaewry o111ww.on1ldrnctory.or9, ,
TERMS AND CONDITIONS ■ ■�� -
TM1ISGNXealc reference
parpores are coIoneran,ntents of this CLLof AHeLaynot.This rtiywholecate or i Doty bemWae Used orindividap personal antl �se�
anterad Intoreferencepurpoeds,Thecontentsof Ilan Cerd&atemay not In whole by Inport,er r¢Woduted;he,;ddlssemi0ad. ��'■-'
personal an a computer tlaGnaaq or otherwise u1111isd, In any loan or manner or by any meats, ¢seept fw me Ysel i lntllNdual. ,
personal
CERTIFICATE for We modal crow
6REER1pEnanOn ixsmnRE
Theand information for Nemada eferecetNumbei and
on wedmwwwdhcaftee,aard disk a. Carfiticata'linN
uetl 13135963067
and enter the AHflI Cenll ed Reference Number and the date on which me ceNflw[¢ we, Ks _
which a listed above and me cemnpem no which is listed at mttom right
m2014 Afr-Conditioning, Heating, and Refrigeration institute I, CERTIFICATE NO.: 0735937 -