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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL A PLIC SLS NFv MUST 13E COMPLETED FOR APPLICATION TO BLE ACCEpTED _ Fate. Permit None Planning and Development Services . Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Prone: (772) 4524553 Parc' (772) 462.4578 PERMIT APPLICATION FOR Address: Legal Description: Property Tax i D . P a" a e; Project Name., Setbacks Front Back: Right Commercialf Residential To Select from d r pbox, click arrow at tie end of line r ' Lv� 4 f e e y .Z �t • 1.� .' a e.. w • . f e:• .. ll Y _ ss • +e . � 4 !••�,'� s3.'!+ i. , �t e r tea y. �. !•. ��,�!}i t�f'♦ec •rte■ ils+ ;.dx �ia".w ei_ .. tl�l .'.5+. ial�.y� ��. i � : .•w• •!� it a•« 'e.. ��r s+. �i HV Side: .eft Side: k ll UElectric Planing []Sprinklers Generator Total a Sq* Ft of Construction: . Ft, of First FU I. Cus t 1 ons u Lt to s I Nam Address clt4l w MOM 12 4w K low K1.1 a -- Zip Code' AC4,1Z. , Phone No. Fax: Utilities; Surer State:ya-�� E -ball: Fill in fee simple Title Holder on nett P if different F � jksl Owner listed above Name: U Company: Address: -. pity- Zip Cade: fax. Loi Ido.-� Bieck NoO indoors/Doors r• ti Roof Pitch -peptic Building Height: L.1`iT#�i eet i"J►R�yi+�r�t� t• .•1 r ••.• f la t• J'L .t..t -tit, • �•.. • i t d � t S . .r a l • ! i i�+'li'- * `3�'1''J li +�`. p• • . .+ . M r`. � ! w fir lw.. r w,• cr 'r.#�•ar�w� +" fi�7hl�SrSii •.�1 •.s rslS�.�we l +ti �. � alp-; ixa � .� !_ • +. w �. 1 � -�s�• • .+ .* e.,. ora 1 M�:-� •+ :. ' 1.7.1 w .1.-.f .. • .. s .. ..r L `7 . ) :..' !.. fF •, KY 1 �r 'iiis� ��• .� .."Y.�ili �i(w w.� M`e�••�i. j S w. W% «w. .7. ■'t.. E -Mail: State of State: 'F L WA constructionor required,mmencement Is I •err. •� 2 '.-- DESI+GNE Name: Address: ENGINEER, Not Applicable City: Mate: Zip: Phone: FEE SIMILE TITLE HOLDER Name: Address: City• Zip: Phone: - �. Not Applicable MORTGAGE COMPFAMM Name: Address: City. State: Zip: Phone: 1 T I ` . t • �S N t_Y -Y t r, !g t* S - S d N�t a caIi.I e BONDING COMPANY Name: Address: citye zip: Phone: 1 certify that no work or installation has commenced prior to the issuance [3f a perrriit, Not Applicable 5t. Ducie County makes no representation that is grantinga permit will ` which is In conflict with an applicable p , authorize the permit holder to build Y pp cable Horne Owners Association rules, bylaws or and covenants that may ld the subject or p structure structure. Please consult with your Home Owners Association and review our d '� restrict yr prohibit such �' sed for any restrictions which may apply. In consideration of the granting of this requested permit, 1 do hereby in accordance with the approved plans, the Florida Building agree that ! will, �n all respects, perform the warp Cedes and St. Lucie County Amendments. The fvllowing buiiding permit applications are exempt from undergoing a accessary structures, sv►►imrnin .vols fence. � full concurrency review: room additions, g P s, walls, signs, screen rooms and accessory uses to another non-residential WARNING To �3WNER: Your failure tv o d N use cvr a vtIce of +Commencement may result in your paying twice for improvements to your property. A Notice of Commencement before the first inspectivn. if you inencernent must be recorded and posted on the jobsite cornmen tend to obtain financing, consult with lender or an attorn cin work* or record ey before - encemen . ature of Owner/Lessee/Contractor as Agent for pwner Si re of Contractor/License Hodder S STATE OF FLORIDA STATE OF FLORIDA COUNTY OF_ _ S� _ t/U COUNTY OF. The forgoing instrument was acknowledged before me this day of 20 �Dby �s (Name of person acknowledging {Signature of Notary Public- State of Florida } Personally Known Type of Identificai Commission No. Revised 07/15/2014 OR Produced identification CHRISTINECU EP'ER COMl lSWIi� GG 001780 EXPIRES: January 11, 2021 The forgoing instrument was acknowledged before me this day of 1 20 by -.-..- .- - 4 - )I I t& (Name of person acknowledging ) Personally known OR Produced identification Type of Identificatio %„t�� Commission No. ' .+ .: `''•.. CHRISTINE CULPEPPER My COMMI My GG 061780 EXPIRES: January 111 2021 ...• , �� Bw4ed Thry Notwy Pc IC undewitem Ai f f MORTGAGE COMPFAMM Name: Address: City. State: Zip: Phone: 1 T I ` . t • �S N t_Y -Y t r, !g t* S - S d N�t a caIi.I e BONDING COMPANY Name: Address: citye zip: Phone: 1 certify that no work or installation has commenced prior to the issuance [3f a perrriit, Not Applicable 5t. Ducie County makes no representation that is grantinga permit will ` which is In conflict with an applicable p , authorize the permit holder to build Y pp cable Horne Owners Association rules, bylaws or and covenants that may ld the subject or p structure structure. Please consult with your Home Owners Association and review our d '� restrict yr prohibit such �' sed for any restrictions which may apply. In consideration of the granting of this requested permit, 1 do hereby in accordance with the approved plans, the Florida Building agree that ! will, �n all respects, perform the warp Cedes and St. Lucie County Amendments. The fvllowing buiiding permit applications are exempt from undergoing a accessary structures, sv►►imrnin .vols fence. � full concurrency review: room additions, g P s, walls, signs, screen rooms and accessory uses to another non-residential WARNING To �3WNER: Your failure tv o d N use cvr a vtIce of +Commencement may result in your paying twice for improvements to your property. A Notice of Commencement before the first inspectivn. if you inencernent must be recorded and posted on the jobsite cornmen tend to obtain financing, consult with lender or an attorn cin work* or record ey before - encemen . ature of Owner/Lessee/Contractor as Agent for pwner Si re of Contractor/License Hodder S STATE OF FLORIDA STATE OF FLORIDA COUNTY OF_ _ S� _ t/U COUNTY OF. The forgoing instrument was acknowledged before me this day of 20 �Dby �s (Name of person acknowledging {Signature of Notary Public- State of Florida } Personally Known Type of Identificai Commission No. Revised 07/15/2014 OR Produced identification CHRISTINECU EP'ER COMl lSWIi� GG 001780 EXPIRES: January 11, 2021 The forgoing instrument was acknowledged before me this day of 1 20 by -.-..- .- - 4 - )I I t& (Name of person acknowledging ) Personally known OR Produced identification Type of Identificatio %„t�� Commission No. ' .+ .: `''•.. CHRISTINE CULPEPPER My COMMI My GG 061780 EXPIRES: January 111 2021 ...• , �� Bw4ed Thry Notwy Pc IC undewitem MITIcam=All AHRi Certified Reference umber: 8908429 Data; 5116/2017 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -source Outdoor Unit Madel Number: 4T R40 4261 Indoor Unit Model Number: TEN 4A 0C42S41+TDR Manufacturer: TRANS Trade[B rand name: TRAIN Series name: XR14 Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with Al- RI 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 Capacitor (Btuh): EER bating (Cooling): SEED Rating (Cooling): Heating Capacity(Btuh) @ 47 F: Ellib--9111 11.50 14.00 39000 Region IV HSPF Rating (Heating): 8.50 Heating Capaci (Btuh) @ 17 F: 25000 " Ratings followed by am asterisk 4'i indicate a voluntary rerate of previously published data, unless accarnparnied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI dots not endorse the product(s) listed on this Certifi+�:ate and makes no representations, warranties or guarantee's as to, a ncl assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly discialms all llaiaility 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.ahTidirect€ary.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, its whole or in part, he reproduced: copied; disseminated; entered into a computer database; .or otherwise utilized, in arny farm or manner or by any means, except for the user's individual, personal and confidential reference, ,GERTII~ICATE VERIFICATION The information for the model cited on this certificate can be verified at w%vw.a€trid l-rectory.arg, click on "Wrify 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 IlottomE Tight. NEW AIR—Gt2ND1ii[3ii ING. HEATINIx, & REFRIGERATION tNSTITUTE 02014 Air -Conditioning, Heating,. and Refrigeration Institute CERTIFICATE NO.: 131394103356986271