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
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Address,
Project Name:
Setbacks Front Back: Right Side: Left Side.
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Plumbing
Total Sq. Ft of Constructio
Cost of construction:
Name
Address:
City:
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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
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Generator
Roof
Doors
S. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
State;...
Game:
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Addr
City:i
Zip Code: 5.9 Pax:
Phone No. M2
State of
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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