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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPL4C,�►6LEJ1NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: t,Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue., Fart Pierce FL 34982 Phone: (772) 462-1.553 Fax: (772) 462,1578 Commercial Residential PERMIT APPLICATION FOR; To Select f rola d�ropbvx, ���� grow �# the end of line •1'J`.J.:l.ri,,l k,i E•t; •a.A4;�{;.L•;14•+*!, 1rb•'It Y•,1 -r , 'r • l •S ■, }• _.S. .1. } i.•K.i� f'\{ .r ' eift� a{••ff s�lr rsl'} 17�. Tt.•Y'.i� il�f�.i l.\r Y1i,. ■•if l�� tTil s 1.1\:1irS. vt•n� ' !i`e#141 * r. •t '.4 "'d . • . • -..e , . } 1{ i r } �i •. j ►•{•r�i't �ri.S •.e •.� l�ll� • ,Y 1. f it - .. •.. •■ ! \ t r 1 • '1•y Fil� •a '•�� r a'f ••. a •j- rN. A• �. al k Z•r�ff�n'■`•rte {• I, •.•,t} fl-� It •3 1 1 a y . `' ah tt •r • �i 1 a r 1! 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'•{ �� It:.}tl rli.-lti1'k�.••7 •u I���Y.'Jt aSt111 .�.G* •+i}��:�'}i s'r};. i•{ail �.A•. '” 1•:1 rY ." rf ': .°•.: E• ''a ..•1',� r•• i Aft 00% dak Address, Project Name: Setbacks Front Back: Right Side: Left Side. Ira f6 k Xc c r C l W rN I and 2.r y&Y\d Skeyv\Sj YW.4,Wy Plumbing Total Sq. Ft of Constructio Cost of construction: Name Address: City: n- s L L4 15 & 0 • ZIP code: Fax: Phone No. " 1 2,..LJW -LLq!A EwMai : Fill'In fee simple Title Holder on neXt page ( if different from the Owner listed above) Sprinklers Ci.'•':••:�;'.%��. :{; `; a ;.- -•,- - •. .k, YM { a k 5r; `. f I. 1nAH -. ,4,k a{,• i s.•.[ ,• • � '+• :•.r, r p+l atla. p e r•'t/ � n •^.{ ( {a, ;• •,T a a • ,L■`• + ` •^■• ,ry` ,•l �.�r •. rl:r+,tY �■tJSY.! 3'i.I=ry. •.: ff• ■ '• ., . •�l�`�!`4�• , =•.r■ .. r -. k. t'i �■•' .+{•�:rtl•.Iq 1+i •r:., 'a' i' fir• t ,.k.: t•.J. To OL sz 0� ip tw NA*,V\ \J N ke utte rs Generator Roof Doors S. Ft. of First Floor: Utilities: Sewer Septic Building Height: State;... Game: coma Addr City:i Zip Code: 5.9 Pax: Phone No. M2 State of Roof p 0!` H •r• 1••'�•a''f •�1�' ;i,.l:f�"•x+�• c a•F •, ui' .aL's/r' ,a. • •;•.�_ 1• .••: y.••'t x •�' •�•:.'`r -f•:y f r its 'M,• it J.! I,t•t,l•• •yi If value of construction is $2500 or more,, a RECORDED Notice of commencement is required. LA Int Q. ; ;. SUPP DESIGNE Name: Address: ci ty • State: zip: Phone: /ENGINEER. Not Applicable FEE SIMPLE TITLE HOLDER Name:le■ Address: City: Zip: Phone: Not Applicable MORTGAGE COMPANY,9 Name: Address: r , Not Applicable �City: State: Zip: Phone BONDING COMPANY: Not Applicable Marne: Address: City: zip: Phone: 1 certify that no work or installation has commencedrior to the i - p issuance of a permit, St. �ucie!County •m -ekes no representation that is granting a permit • . Lu is in conflict with an a p . will authorize the permit hold Y applicable Home Owners Association rules, Y p holder to build the ctorsubject structure structure. Blease consult with your Home Owners Association and review laws or and covenants that may restrict or prohibit such your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereb iii accordance with the approved plans, the Florida y agree that I will, in all respects, perform the work Building Cedes and St. Lucie Cc unty Amendments, The following building permit applications are exempt from under i accessory structures, sr�rimmin vols fence p go ng a full concurrency review: raven additions, g p f s, walls, signs, screen rooms and accessory uses to another non-residential WARNING To oll►NER: Your failure to Record- use irnproverr�ents to a Notice of Commencement may result in our paying twice your property. A Notice Of Commencement must be recor Y � � � hejobsite far before the first inspection., if you Intend to obtain recorded and hosted can the Commencing work In flrlan�Ii'i, consult with fender or an attorney b - or recording our Notice of Commencement. ' efore 000 ature of Owner/Lessee/Contractor as Agent for Owner. Si ure of Contractor/license Holder 5 STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this ,�,� day of � 20 Eby J JE5Z (Name of person acknowledging) Signature of Notary Public- State of Florida Personally Known OR Produced Identification Type of Identificat' CHRIS -Pro tjrPd__ •,:.,'''•,,71N EPIMER Commission No. �; �' UV COM Mlsk GG 061[80 4100• EXF4RE8: J=ary 11, 2021 Revised 07/15/2014 STATE of FLORIDA COUNTY OF. � U�t The forgoing instrument was acknowledged before me this day of r { 20 b JNtN1ES F iName of person acknowledging - - . • • � . [ i r r PersonallyKnown OR Produced Identification Type of ldentificativ Commission No. CHRISTINE CULPEPPER :: MY COMMI"MP ee 061780 EXPIRES: JanuM 11, 2021 8wW ft No PW* Ung 1 This combination qualifies for a Federal Energy Efficiency Tax Credit where placed in service between Feb 17, 2009 and Dec 3k1, 2016. AHRI Certified Reference Number: 8936367 Date: 4/19/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit ModelNumber: 41 TR6a49Ji Indoor Unit Model Number. TEM6AQC4 H41+TDR+ F/HR Manufacturer. TRANS Trade/Brand name: TRANE Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, idly l N, MO, MS, MIT, NC, ND, NE, NH, NJ, Mill, UT, VA, VT, WA, WV, W1, °Y, U.S. Territories) DE, FL, GA, H1,ID, IL,WIN, KS, KY. LA,MA, MD, ME, NV, NY, OH, OKs OKPA, RI, SC, SD, TN, TX, Region Note: Central air condftioners 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 TRANS Rated as follows in accordance with AHRI Standard 2101248-2008 for unitary Air -Conditioning and ,Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI3-sponsored, independent, third party testing: - Cooling Capacity (Etuh). EER Rating (Coaling): SEER Rating (Coaling); JEER Rating (Coaling): 14.00 17.00 Ratings Mlowed by an asterisk (') indicate a voluntary rerale of prey€ous(y published data, unless accompanied with a WAS, which indicates ars €nYalun#ary cerate. DISCLAIMER AHRI does not andamse the praduet{s} lis ed on this Certifirate and rnahc;s n D re€xre$Vntatlons, Warranties or guaranty as to, and assumes no responsibility for. the product(s) listed can this Certificate. AHRI expressly discia€rns all (lability 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 proprrietarY 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 pert, 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. CERTIFICATE VERIFICATION The information forthe rrmodei cited on this cerfificate can be verified at www-ahridireetory org, click on "Very Certificate" link 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, CD24:14 Air- gar dffi nin& Heating, and Refrigeration Institute ERTWICATE .: w uo'ru ■■ AIR-CONDITIONING. HEATING, REFRIGERATION iNSTITUTE we mal%= Izte better`N' 131370996147190016 1 A' AHRI Certified Reference Number: 8936367 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 20165 Date: 4/19/2017 Product: Split System; Air=Cooled Condensing Unit, Coil with Slower Outdoor Unit Model Number: 4TTR6049JI Indoor Unit Model Number: TEM6AOC48H41+TDR+UF1HRZ Manufacturer: TRANS TradelErand name; TRANS Region: All (Ali,AL, AR, 1,CA,CQ,CT,DC,DE,FL,GA,Hl,Ifs,IL,IA,IN,KS,KY,LA,MA,MD,l E, Ml, 11 N, ILIO, IDIS, MT, NC, NO, NE, NH, NJ, NM, NV, NY, OH, OKI CR, PA, RI, SC, SD, TN, TX, UTI VA, 'IIT, WX wV, iii, 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: XR15 Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 2101244m21iO8 for Unitary 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). IEER Rating (Cooling): �s1!# 14.00 17.00 Ratings followed by an asterisk f`l indicate a voluntary cerate of previously published data, unless accompanied with a WAS. which indicates an involuntary rerate_ DISCLAIMER AHRI does riut endor5e the prouuct(s) listed on this Certificate and snakes no representations, warrantias 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 Rind arising out of -the use or performance of the productfs), or the unauthorized alteration of data listed on this Certificate. Certifiedratings are valid only for models and configurations I€stets in the directory at ww %y.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only he 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. CERTIFICATE VERIFICATION The information for the madel cited on this certificate can be verified at www.ahrid! rectery.org, click on "Verify Certificate" lits and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed move, and the Certificate No., which is listed at bottom right. MAI AIR-CONE3lT ONING, HEATING, We Ma4: iifi! buttel"M C0 014 Air -Conditioning, Heating, and Reflrigeration institute 'i ���I�����������aca�� 'C'ERTIFICAT'E O,: AHRI Certified Reference Number: 8858422 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 317 2016, Date: 4/1912017 Product: Split System: AirmCool d Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR606IC1 Indoor Unit Model Number: TEM6AOC60HS I+TDR+UFIHRZ Manufacturer: TRANS TradelBrand name: TRANE Region: All (Ali, AL, AR, AZ, CA, CO. CT, DC, M11 MN, MO, DIMS, MT, NC, ND, NE, NH, NJ, NMI UT, VA, VT, ''#I1IA, ", Vel, WY1, U,S. Territories) r DE, PL, GA, H17 ID$ IL,1Ar Wr KS, ICY, LA, MA, IVID, ME, NV, 'NY, OHI OR, OR, PA, R1, SC, Sly, TN, TX, Region Nate: Central air conditioners manufactured prior to January 1, 2015, are eligible to be Installed in all regions until June 30, 2416. Beginning July 1, 2016, central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. Series name: XRIG Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air ource Heat Pump Equipment and subject to verification of rating accuracy by AHRimsponsored, independent, third party testing: Cooling Capacity (Btuh): EER Puling (Coaling): SEER Rating (Cooling): 1EER Bating (Cooling): 58400 Datings followed by an asterisk (x) indicate a voluntary rerate of previously published data, unless acwmpanied with a WAS, which indicates an involuntary remte. h DISCLAIMER AHRI does not endorse the product(s) listed can this Certificate and makes no representations, warranties or guarantees as to, and assumes no re5ponsibility for, the product(s) listed on this Certificate. AHRI expressly discla€r'ns all liability for damages of any king 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 Certiffeate may not, in whole or in part, be reproduced. copied; disseminated; entered into a computer database; or otherwise utilized, in any farm or manner or ley any means, except for the users Individual, personal and confidential reference. CERTIFICATE VERIFICATION The intormation for tete model cited an this certificate can ne verified at www;ahriclirectory.org, click on "VerffY Certificate' link and enter the AHRI Certified Reference Number and the date on which the cerfificate was issued, which is listed above, and the Gertlticate No., which is listed at bottom right. AIR-CONDITIONING, HEATING, & RE17RIGERATION INSTITUTE @2014 Air-Condifio in , heating, and Refrigeration Institute I CERTIFICATE O.: 131370995941576744