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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPPLI ABLEANEO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: !J, 11.44 1_ l Permit Number. Building Permit Application Planning and Development Services • Building and Code JRegulotivn Division 300 Virginia Avenue, Fort Pierce FL 34982 Phone (772) 452-1553 Fax: (772) 452-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: N .Y *••a•a •x•� .-L-• >•:'M•••;1 f•rs: ■w r..j•f InJ,r' i. '■'� '•■'+f a-i'i i it • •!-•� ••ay■ i.rr a17. •i•Ir`•;r t. ,�•■rr;rrY•s�. Y, 1•. 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R :.-+ •.•..+Y. .• N i.L'',.F.'• i.• } !-r it... •.' �-!' -•' •+ ! r` ;.�.riL: el}}.w t 17- lie - 0 1 : .Y•• S!iyt kS011Wf, �f��re t' Y • L�!'��ta�� •« .� �•� il;'� S • t ,l' 41* k rl 7 Ik �:r t.kL 1rr• 3 � •[ a r ♦ •[[ i• •jj�T S rya +. f M•E) T 1 ;a �+ i+ t +r•� N �.•w aM1i.,�♦•I � �w r • .S! .� •T � nI l �4 a d �i.fL ilk•T\T i +iT a�,�• a j � • ••1. •i4 `t t+.Y•'` �••[ ; � r al L: a3 •�'� -i •• { _`. S•i`.___—.... . _._ ... _.. ! : it J. i`. •T ,! • .: • :Y 2• Legal Description: Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: -� Lot No. Right Side: Left Side: Block No. \a Electric Plumbing Sprin ..,J Shutters Generator Windows Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ Utilities: Sewer, Septic Building Hei ht: � g �r. ;, Y�•.r�, yi "►L .f. ••'`:I��%ti•=�f�4f `�•� +: Y•�� :� •=�i•rl rl[ "� 'i�' t '�• •er`�++4■rt. «x ■ y. of■• iY ' t • i f* •!�R •. a• .6:r .. ,• �.•\ _ ►�i ( 1' i ; r f � r .y♦ •T { L � ` •� • . e '!1 'T y.. " •1 ate. ' •r i =s: • 'i • 3 a . . ` T : s' F� �j'. i ;1 r� ; + } 1. t■ �. .,r ()f■�. �1��y`Y�y i' �1=T. ]j��j�} J r 11 }71'#,{.1. {}.7,•�.P�rTr ��'•` riS �.1 f. sii. s � f ': ! y �.j �! •SF }1P ri "r tl 7 l�i•� Y L JM:#T .! r •! .rf L rr . • r •1 �•�i ijt i! J1..i.Tf,i. 1 r 4`. • •_ . .• • `a• i ...1 •. �• r i '}• .t y r S ♦ r� ri#, F�f,�L\+ 1, i 1•,� r ��: w i�.} ar w, ita i i ar}�r 'frr iF"� � i �. i r . f • }r .•i wi .. ".!� 'T.•'�p� t' T • +• F, .7r• . f,. .r. ,a,♦a ! .a +•j • ri� �... "r �. .. j i 4 . i [� f • s•'iia.r •;P.t,••. l •; �r'wy .iy1� �,/,a a.: �i••.ti"rr• '•' e: '�'• .1�: :'+ '•• `': •.. '"' .:S'••[•�.: ,.. +., A. •�.• ,\;e ` [ � a Y • r [ ! • � • ! t r 1 4' a•r. •. . r .. 7 • ,t M1 1 •• _ , [ �. �. �{•.ai,. •.,I M1\j�•••"� • a�+i i •� ;N• . �\[ i, � �, '�� i 7w�,r �T. t�. b r..j } ,'� ��r �l.T�.iR�'•`•r�4ri'`iy F.•_r[+le-�.-;•!,•�1� •- ..ti f�+�a rS• •` •- S• 'Y t �},� i[ �+�L L iE a j •"iL i •a f• y� ■ • • .. '/,+:■. I "•• •• =•. M1 •. a • •►%r• • r•i • r`{r`[r • •1 � � ! rl �• 7.#�It � . !M 'i^Y r! " .1 � r[ . ! it ` rR � •L �� {' . �kF� 1f t 4 ra M1, l`I�.T-+[a ■Y '.[R• M1:�Y ••ri:�•Y '�!' ••Ti •ti i'.ia ••\-[ r•:. i■ ,+ •�t � ,a• • •i•�•L j.i f t 1•+•e}! 5 � ��77. � � •ti�}2++M1l.•-'i ti • 'F +4 R. i ..*. Y�i 'a � M.. �`/ ftf ..T` i ' e 1 . • .. • , .• ,.!•• } . ♦ ii .Y . •' !• .,'Y • • •1 f 'a•w •y',• •,•y!t! i[Ia rri .•+, :•': ♦'! a If r 1 Name Name: ` 5 Comr-aw'l •Address:pang:�.� • City: _ State: Address: F dip +Code: Fax: r .�' ••-�iwrr_U�Yw_uma��rr.n��.r._n i.r.mur_�..r. St Lit 4 Phone No. �%5 U� Z Cade. �. ..� �. � _ � �.. _ 'p t 1 Fax: ,tA W E"Mal : Phone No. -1:1 . '""'' . r Fill'in fee simple Title Holder on next page if different E-mail: 3g" OCA I Y)Acs af-, (Oz� ul C -4c �y from the Owner listed above) State or County License; _ ..�'-`� m C) - � If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I certify that no work or installation has commenced prior to the issuance of aP ermit. St, Lucie County makes no representation that is granting a permit will authorize the permit which is in conflict with an applicable p holder to build the subject structure structure. Please consult with your Home owners Association and review your deed for an restrictions Y ` prohibit such Y . which may apply. In considerationof the granting of this requested permit, I do hereby agree that I will in all res e in accordance with the approved plans, the Florida Building Codes and St. Lucie Co P perform the work County Amendments. The following building permit applications are exempt from undergoing a full con . g g currency review. room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential al use WARNING To OWNER: Your failure to record a Notice of Commencement- irnproverr�ents to yourproperty. A Notice may result tri your paying twice for beforeof Commencement must be recorded and posted on the jobsite the first inspections If you intend to obtain financing, consult with l cvrr�mencin workor record�n o - � ender or an attorney before ur Notice of Commencement, ature of owner/Lessee/Contractor as Agent for owner A 00 Si0fure or Contra ctor/Ucens e Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF �� _ �,� �� COUNTY OF STI: LOU C The for oing instrument was acknowledged before me this 1 day ofPeo%r14A 20 h, (Name of person acknowledging ) Y-" (Signature of Notary Public- State of Florida } Personally Known" OR Produced Identification Type of IdentificTiooar' lie ,{,1# •.,,, CHRISTINE UPPER Commission No.' . = Cp�l+c` QB .. 178011 ExPIRE. J.... - -- anuary 11, 2021 Revised 07115/2014 The forgoing instrument was acknowledged before me this L� day of ��_ 20 � by klVdItM U1 person acKnowleag ng ) �. Personally Known OR ,Produced Identification Type of Identificatio, Commission No. ,, •. %-*o CHRISTINE CULPEPPER • MY COMMI My SGC 061780 3-'z EXPIRES: January 11, 2021 ;off er °+#`B(MM TNV Nom! RMC �i�em AHRI Certified Reference Number: 9162305 Date: 4/11/2017 Product: Split System: Heat Pump with Remote Outdoor ilnitwAir-Soluree Outdoor Unit Model Number: CH14NB030*0**A* Indoor Unit Model Number: FI34CNP430L Manufacturer: CARRIED AIR CONDITIONING Trade/Brand name: CARRIER AlR CONDITIONING Series name: 14 SEER HP Manufacturer responsible for the rating of this system combination is CARRIER ,AIR CONDITIONING Rated as follows in accordance with AHRI Standard 2101240-2008 for Unita 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): EER Rating (Cooling): SEER Rating (Coaling). Heating Capacity(Btuh) @ 47 F: 28800 11.50 14.00 28600 Region IV HSPF Rating (Heating): 8.20 Heating Capacity(Btuh) @ 17 F: 17100 " Ratings followed by an asterisk (') indicate a voluntary cerate of previously published data, unless accompanied with a WAS, w-Wch indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certifica#e and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in hart, be xeproducecl,, i ropledx disseminated; entered Into a computer database, or otherwise utslixed, in any form or manner or by any means, except for the user"s Individual, personal and confidential reference. CERTIFICATE VERIFICATION Tlie information for the model cited on this certificate can be verified at en ww.ahvidirectery.org, slide on 'Verify Certificate" link and enter the ARRl Certified Reference Number and the elate on which the certificate was issued„ which is listed above, and the Certificate No., which Is listed at bottom right, 02€14 Air -Conditioning, Heating, and Refrigeration institute AIR-CONDITIONING, HEAi`INGy & REFRIGERATION INSTITUTE Ive I€ Ae UQ het[ r-'�