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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:Permit Number: Building Permit Application Planningand Development Services Building and Code Regulation Division 2300 Vlrginla Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial RESIdf3ritlBl PERMITAPPLICATION FOR; To Select from dropbox, click here PRQP05ED INPROVEMfNT LOCATION; Address: IE�kU r]5 u rr'r4 i) Legal Description:Yea nrie r , Property Tax 1D # q / j --4_(jo o site Plan Name: Project Name: Setbacks Front Back; Right Silo:Left Side; DETAILED DESCRIPTION OF WORK: V e- �-or 0 Lot No - 7T Block No, 9 CONST pCTIaN INFORMATION: A ditto orkto be erformed under his permit— all apply: 0 HVAC �J PP l_ J Gas Tank uGas Piping Wind4 Electric 0 j`� � W5%IJ44rS Plumbing USprinklers � Generator Total Sq. Ft of construction; Roof Cost Of Construction: $ 5 Ft. of First Floor: F �/ ����-�-� , Utilities: Sewer 2 Septic OWN ER/� ESSEE: . Building Height: y CONTRACTOR: , Name W\ Andre } %�Name: DC�Y1 Cit c, State:° Ir 5 Y n Zip CodqG-i. Fax:") Phone N - _ - city:P or �—i i l_t`f' , { _ �- t () ��' s* v stater . Zip Coder-i� E -Mail. , .�Fax: Fill in fee simple Title Holder on next page if different Phone Na. �'-�-�," �,�_ �C�•""'� `� . from the Owner listed above) -Mail: �mCn-��hr� State or County License: r"_ If value of construction is $2500 or more, a RECORDED N of Commencement is requ d. (i il'1C�nC�j�,� ;� lJ rn i �'at�c�G�:vnn+�{'►� �. S . SUPPLEMENTAL CONSTRUCTION LIEN LAW iNFORNIATION: 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: 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 thepermit 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 OWNED: 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 e s ection. If first inyou intend to obtain financing, consul i #�et4ef-sr- n attorney before col enci 6rk or recor i ur Notice of Commence _ Signature of Owner/ Lessee/Agent a'S N p STATE OF FLORIDA a COUNTY OF _ L The oing instru�,pgnt wa acknowledged before nigm this'day of /!/% 20y' (Name f person acknowled ing) Av. /(Signature of Notary Public- State of Florida ) Personally Known L,� OR Produced Identification Type of Identification Produced Signature of Contractor/License Ho cler - STATE OF FLOR w Z� COUNTY OF o �y �s C The fo oing instru nt was acknowledged before m ! ;, r }� _.1 this day of /V/ �t� , 20 .L1._.. by DO -0 (-C� a (Name of rson acknowledging )0��.����� { ignature of N Lary Public- State of Florida)����*�,,��` Personal! _- Personally Known �/ OR Produced Identification Type of Identification Produced Commission NoFP ��(, (Seal) Commission No, (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratings AHRI Certified Reference Number: 7493661 Date: 5/11/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1448AJ1 Indoor Unit Model Number: RBHP-24 Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with AHRI Standard 2101240-2008 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): 45500 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 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.abridirectory.org, TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI, This Certificate shall only be used for individual, personal and Rim 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 for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link %ve 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. ©201.4 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 131389953527755692