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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED e-f Date: • 1� Permit Number: 17 QY,–O RECEWED APR 13 2017 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: rb CLk a h CUk 4 Address: ir n U C Legal Description: Property TaxID#: �� �^ / 6 �'• © byl �" ��� Lot No. Site Plan Name:' i_ Block No. Project Name: U r Ln U e, Setbacks Front Back: Right Side: Left Side: 9 ` s Additional work to be pertormed under this permit–cneCK all tat appy: Mechanical _Gas Tank -'Gas.Piping _Shutters -Windows/Doors 7– Electric Plumbing _Sprinklers _Generator _Roof Pitch Total Sq.,�Ft of Construction: Sq. Ft.of First Floor: Cost of Construction: $ Utilities: _Sewer _Septic Building Height: Name. Name: r. i Address: S,I 'Sf Company: City: A S[J v f ¢, State% Address: State: f" Zip Code: Fax: City: `�l! Phone No. Zip Code: L Fax: E-Mail: J Phone No Fill in fee simple Title Holder on next page(if different E-Maila C i'C o L from the Owner listed above) State or County License 30 if value of construction is 2500 or more,a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:' _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: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. 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 our Not1r4 of Commencement. / .L% Signature of Owner/Le see/ConcacAgenY ,r�. ,.�►� SgrattiPe`of�:. �`"`Tactor/Licen olds ^m= STATE OF FLORIDA =;o; = STATE OF FLORIDA COUNTY OF IPA COUNTY OF f;!P,zThe forgoing instr ent was acknowledged befo hi06o oThe fArgoing instru nt was acknowledged this `1 day of 20J� by 2 m m this day of 20��5v mm (Name of per on acknowledging) Q (Name of per acknowledging) 12le tA- -5 (Signature of No Public-State of Florida) (Signature of No-twy Public-State o Florida) Personally Known OR Produced Identification / Personally Known OR Produced Identification------ Type dentificationType of Ide ti tion ` Type of Ide ti tion Produced C• Produced Commission No. (Seal) Commission'[) (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED iev.7/2014 �F Certificate of Product Ratings AHRI Certified Reference Number: 9474297 Date: 4/13/2017 Product:Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number:24ACC430A*030* Indoor Unit Model Number:FB4CNF030L Manufacturer:CARRIER AIR CONDITIONING Trade/Brand name:CARRIER 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 1,2015,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:-COMFORT-14-AC.- - _ -- Manufacturer responsible for the rating of this;system combination is CARRIER AIR CONDITIONING Rated as follows in`.accordanceliwith-AHRI Standard�210/240-2008-for,,Unitary Air=Conditioning and Air-Source HeatPump p Equipment and subject-to verification of rating accuracy by AHRI-sponsored;independent,third party g: -- - Cooling Capacity(Btuh): 28200 t EER Rating(Cooling): 12.00 SEER Rating Cooling ---- IEER Rating(Cooling): Ratings followed by an asterisk(•)indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate 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 AHRI.This Certificate shall only be used for Individual,personal and confidential reference purposes.The contents of this Certificate may not,In whole or in part,be reproduced;copied;disseminated; entered Into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's Individual, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information forthe model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we make life better- and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which Is listed above,and the Certificate No.,which Is listed at bottom right ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 131365667711969580