HomeMy WebLinkAboutBuilding Permit ApplicationJ
ALL APPLICIfSLE. NFO MUST BE'CO M,PLETED FOR APPLICATION TQ BE ACCEPTED
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Planning and development Services
Permit Nu be
Building Permit Application
10 Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462,w,,1553 Fax: (772) 462-1578
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Commercial Residential �
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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from the Owner listed above) State or County License
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If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER, Not
Appl'l'cable
MORTGAGE COM
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FEE SIMPLE TITLE HOLDER. Not
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Appli,cable BONDING COMPANY,
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Address,WPM
Address,
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I certify that no work orinstallatibn has commenced prior to the iss
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uance of a permit.
ZOt. LUcle county mattes no representation thati's granting a permit will authorize the permit holder to build the subject structure
which i's in conflict with any applicable Home Owners AssociatipibiSUCon rules, bylaws or and covenants that may restrict or rohth
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.
-9
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,Not*ice of Commencement must be recorded and noll!ted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencipg_work or recording your Notice of Commencement.
ature of Owner Lessee/Contractor as Agent for Owner'
STATE OF FLORIDA
COUNTY DF
L�
The forgoing instrument was acknowledged before me
this a day of
20 ivy
Si ure of Contractor
/License Holder
S 'TA E �OF FLORIDA
I It F
The forgoing40 instr
this ,� day of
(Name of person acknowledging) (Name of Pers
ument was acknowledged before me
nj
on acknowl'edging)
r a ----
1
(SI&gnature of Notary Public- State of Florida ) I (Signature of Notary Public- tate of Florida) '
Personally Known 0
Type of Identificati
Commission No.
Revised Q7/15/2014
OR Produced Identification
r
CHRISTINE PPER
Y. COMMI I § GG 061780
SwIlb
PRE& January 11, 2421
Personalty KnownMIR"1 QR Produced Identificaton
Type of Identification: �:— -'- - - - - - - - -- - — -- - --
<ri::Y;'•o, CHRISTINE CULPEPPER
Commission No. t ,': MY co", I IZG 061780
i;o. EXPIRES -,-1 January 11, 2x21
Bonded Thru NoWy Pdk Un&m*m
Thiss combination qualifies for a Federal i�En�rgy
Efficiency Taxwhen �en pn service
between Feb X17, 2Q09 and Dec 31,2016.
AHRI Certified Reference Number: 8676Q81
Date-:-. 5/28/2017
Product;Split System..AirmCooled Condensing Unit, Co*11 With blower
Outdoor Unit Model Number. 4TT,R6049JI
Indoor Unit Mode[ Number: TEM4AOC48S41+TDR
Manufacturer: TRANE
Trade/Brand name: TRANE
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, }L, IA, 1N, KS, KY, LA_, MA, MD, ME:,
Mi. MN. MO, MS, MT, NC, ND, NE, NH, Nd, NM, NV, NY, OH, OK, OR, PA, Rl,,SC,, SD, TN, TX,
t17`, VA, VT, WA, WW, W1, WY, U.S. Territ"ies)
R0nir� �n#��� C.Ponfral air eenditioners manufactured odor to January 1. 2015.. are elidible 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.
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Sedes name,, XR16
Manufacturer. rponsible'. fbrAhe rating of this sj�s#em comb'I"hation is TRANE
Rated as follows in accordance with AHRI Standard 2101240F*2008 for Unitary XirmCond�t
Heat Pump Equipment'and subjectto verMcation of rating accuracy by� AHRIwsponsore�
party testing..
Cooling Capacity (B-tuh)---k
EER Rating (Cooling):
SEER Rating (Cooling),k
LEER Rating (Cooling):
16.00
ioning and :lair -Source
J, independent, third
Ratings followed by an astjs6sk findicate a voluntary ramie of PreviouslYpublished data, unless zccou)panied with a WAS, whiQh in les ars involtintary rests*
DISCLAIMER
AHRI does not eniJorse to p lLsted an this Certificate and makes no representations, warranties or uaran vito, and assumes no responsibility for.
the r listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the t4se or perfwmance of the product(s), r the
unauthorIzed altierationf data listed an this Certirficate. CeTtiffed ratings are valid only for models and configurations listed in the
TERMS AND; CONDITIONS
This Certificate and its contents are laroprietary products of AHRI. This Certificate shall only be used for individual, 13erl and
confidential refeirence purposes. The contents of this Certificate my not, In whole or in part, be reproduced; spied; disseminated;
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entered into M r f r otherwise thrri d* in My fOrMT manner or by any means,, except for the user} individual,
personal .and confidential reference
-C-ERTIFICATF. VERIFICATION
The information for the model cited on thisi i can be verified at wvd-w.abridirectory.org, click Q "Verify Certificate"' 11nK
and enter the AH R1 Certified Reference Number and the date on which the certificate was Issued.,
which is listed above,, and the Certiftate No.., wh-loh is listed at bottom right.
02014 Air -Conditioning, Heating, and Refrigeration Institute
CERTIFICATE NO.:
AIR 1 ., HATING*
REFRIGERATION INSTITM
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ifie- h etteT.