HomeMy WebLinkAboutBuilding Permit ApplicationALLAPPLI
Date:
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LUN -FO MUST BE COM-PLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2340 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553
Fax: (772) a62-1578
PERMIT APPLICATION FOR:
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F*1111"n fee sigpie T'Iti,e Holder on: neXt page '16f diff
ado
rowthe Owner 1.1sted above
If value of- constructor ore, a RECORDEDNotice of Commencement Is requ"red.
indows/Doors
s i #
Roof pitch
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countymakes no re resentation tha a1INgranting a permitwillauthorize the IP t
which is in conflictpermit holder to build the sub ect structure
with a- .11cable Ho DV�� r Astructure., Please consult withPP flon rules, bylaws or and covenants that may restrict or rohlb.1t such
your Home owners Association and review your deed for any restrictionsPIn consideration which may apply.,
of the granting of this requested permit., I do hereby agree that I will, in all respects, perform the work
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in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments,.
The following building permit applications are exemptfromreview: room additions,aaccessory structures, swi Vmming pools, fences walls,
undergoing a full concurrency
screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a NoticeOf Commencement may result in your payingtwiceforimprovements to your property. must be recorded and posted on the jthe first inspection, If you intend to obtain financing, consult with lender ar an attorney before
coor recordin your Notice_of Commencement.
OWL
ature of
Owner/Lessee/Contractor as Agent for Owner Si ure of Contractor/license Holder
S
Of
S E OF TAT
COUNTY OF_ORIDA
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coun�r-n
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ORIDA �` � .--- LLt�,k
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The forgoing instrumen
this 7-A day of
t was acknowledged before me
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(Name of person acknowledging
(Z
pignature OT Notary Nublio- State of Florida )
Personally Known�_OR Produced Identification
Type of IdentifiCafim Prod � Pd _ _ _ _
40
Commission No.
tipaltot
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ONO*
Revised 07/15/2014
CHRISTINEiiiiiiiii1ilip- M�w - E2
8 V
K COMMISMGG 061780
EXPIRES: January 11, 2021
The forgoing instr
this day of
ument was acknowledeed before up
Name of person acknowledging )
Zo by
(Signature
of Notary Public- State of Florida
Personally
.j ORProduced Identification
Type of Identificatior���:::;-
Commission No.
CHRIS'fINECULPEPPER41
Is %Od%
14IPt MY COMMI
"M W GG 061780
;; 4P
T.; EXPIRES: January 11, 2021
''Fo �° '� Bonded Thru Notary PubNc Utdetvniters
AHRI Cedified Reference Number: 7490504
Product: SinglemPackage AirmCondittoneir, AirmCooled
Model Number: 50ZPC048A*x&m3O**
Manufacturer: CARRIER AIR CONDITIONING
TradelBrand name: CARRIER
Region:
All (AK.,
AL, AR,
AZ, CA, CO, GT, DC, DE, FL,, GA, H1:5 ID, IL, IA, IN, KS, KY, LA, MA., MD, ME,
MI, MN,
MO, MS,
MT., NC,
ND., NE, NN, NJ, NM, NV, NY, OH., OK, OR, PA, Rt, SG, SD, TN, TX,
U7, VA,
VT, WA,
WV, WI,
WY, U.S. Territories)
Region Note: Contra[ air cond��ioners manufactured prior to J2nuary 9, 2015, are eligible to be
installed in all regions until .dune 30,2016. Beginning July 1, 2016, central air cvndmvners
can only be installed in region(s) for which they meet the regional efficiency requ:0
irement,.
Series name:
Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONiNG
Rated as follows in accordance with AHRI Standard 2101240e-2008 for Unitary KirroConditioning and Alrm%Source
Heat Pimp Equipment and subject to veLrifcativn of rating- acGura+cy by AHRIWSrponsored, independent, third
party tesdag:
Cooling'Capacity (Btuh):
EER Rating (Cooling):
SEER Rating (Cooling),:
1EER Rating (Cooling):
11.5Q
14.00
Ratings foil owed by an asterisk f*) indicate a voluntary rerate of previously publisheddata. � i
indicates aninvoluntaryrcratcv.
DISCLAIMER
ARRI does not endorse the products) listed on this Certificate and makes no representations, warranties car .rts o and assumes responsibility for,
the product(s)listed o this milt. I rest disclaims all liabilitydamages i adsing out of the use Orr performance of the
unauthorized alteration data listed o f this i le, Certified ratings are valid onlyfor models and configurations listed the ii }
directory at vYwwahr'1diirectory,org.
TERMS AND CONDITIONS
This Certificate .ani its content are proprietary products of AHRI. This Certificate shall only be used foriffidividual.p petsonal and
confidential referee purposes. The contents this rt to may not, I l r In part, be reproduced; pled,; disseminated;. s r
entered into a computer database; or otherVA'se utilized, in anyform or manner or by anv means, except for the users indiAduall.
personal and confidential reference.. W- D I SI ; HEATING,,
CERTIFICATEVERIFICATION & REFRI. I INSTITUTE
The 'Info rmati on for the model cited w this certificate can W verified at runawahridirectory.org, clitk on "Vefify Ceftificate" rn3k life
and enter the AHRI CertifiedReference Number and the date on which the certificatewas Issued,
which is Jisted above,, and the Certificate No, which Is listed at bottom aright.
�2014 N -r -Conditioning, Heating, and Refrigeration Institute
'; CERTIFICATE NO.:
1313750$2250896365