HomeMy WebLinkAboutBuilding Permit ApplicationBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
PlanninBuilding Permit AppiiCation
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, fort Pierce ft 31982
Phone, (772) 452-1553 Fax: (772) 467-1578 COCnrn@rCIBi
_-___ Residential
_
PERMITAP FOR: To Select from dropbox, click here
PROPOSED I(VPRO.VEMEIVT 1:OCATION -
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Legal Description: ►'7 C,-. , /
Property Tax ID #: _75 c;) C�_
Site Plan Name:
Project Name:
Setbacks front_-- _ Back: /
Lot No.�_
Block No.
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itro or to e e orme un ert rsperm --c ec a appy;
HVAC Gas Tank Gas Pipin
��--••--�•� g � Shutters
UElectric LJ Plumbing OSprinklers
Generator
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Total Sq. Ft of Construction:
-----_
Cost of Construction; $ r� � � � 5 Ft. of First Floor:
-
—
Utilities: Sewer
-� 2 Septic
OIIVNER/LESSEE;
Name . + CONTRACTOR:
Address: Name
City:) Sk . � � � t,Y
State.,
Zip Coda; Fax;
Phone No, – y
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is $1540 or more, a RECORDEb N
Zip Code:'(��
Phone No.--
Mail:
3�
L�1 Windows/Doors
Roof
Building Height:`
r
Lam' state:
_ Fax:
State or County License:
f Commencement is requi d,
(1fYZCMQ\4 ov1 u�.
ur51GNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY; Not Applicable
Name:
Address:
City:
ZIP: Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit
St. Lucie Countu makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home fawners 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 1 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 OWNER: 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 a first inspection. If you intend to obtain financing, consul n attorney before
ea enol rc or recor I T—r ur Notice of Commencem
_ Signature of Owner/ Lessee/Agent,
VEGETATION
REVIEW
STATE OF FLORIDA
MANGROVE
REVIEW
COUNTY OF
thi�ay of t 20 1 --E-by
at o E Z
The r ng instr nt w s acknowledged before
th
ca -W-
im
ay of 20 ityy
W— .
.���Wi1Uilgj .
person acknowledging )
of Notary Public- State of Florida )
Personally Known t' OR Produced Identification
Type of identification Produced
Commission (Seal)
Revised 07/15/2014
STATE OF FLORID�,
VEGETATION
REVIEW
COUNTY OF -�?
MANGROVE
REVIEW
The f Ding instru nt was acknowledged before
thi�ay of t 20 1 --E-by
at o E Z
{Nance ofOrson acknowledging )
c!4
•�,�`�
{ ignature of N tary Public- State of Florida)
.� y
iitii�`�`
Personally Known 11" DR Produced Identification
Type of Identification Produced
�1
Comm1ssion No. WI� q (.Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
DATE
INITIALS
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
".nai
56500
CERTIFIED°
12.50
www. ahrid ire ctorv_nra
16.50
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratinas
AHRI Certified Reference Number: 5272316 Date: 5/30/2017
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: XP21-060-230-**
Indoor Unit Model Number: CBX32MV-060-230*+TDR
Manufacturer: LENNOX INDUSTRIES, INC.
Trade/Brand name: LENNOX
Series name: DAVE LENNOX SIGNATURE XP21 SERIES
Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC.
Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source
Beat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party testing:
Cooling Capacity (Btuh):
56500
EER Rating (Cooling):
12.50
SEER Rating (Cooling):
16.50
Heating Capacity(Btuh) @ 47 F:
53500
Region IV HSPF Rating (Heating):
9.20
Heating Capacity(Btuh) @ 17 F:
33400
Ratings followed by an asterisk (") indicate a voluntary rerate cf previously published data, unless accompanied with a WAS, which indicates an involuntary rerate
DISCLAIMER
AHRI does not endorse the product(s) listed an 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 at 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.altridirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRL This Certificate shall onlybe used for individual, ersonal and
p
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
& REFRIGERAMN INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
we make life better
which is listed above, and the Certificate No., which is listed at bottom right.
02014 Air -Conditioning, Heating, and Refrigeration Institute
CERTIFICATE NO.:
131406475036696769