HomeMy WebLinkAboutBuilding Permit ApplicationALL aPPLtc L
Date:
b
III W CA 07 Ir ds 0 11�
1,
Ono WOW d 6 6:
11
NFO MUST BE COM,PLETED FOR APPI.ICATION TO BE ACCEPTE,1
Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue.. Fort Pierce Fl. 34982
Phone:, (772) 4621111111111111111553
Fax:, (772) 462-1578
04 1 ME,e.
il
o Selee
from dropbox,
■
mw
I
Residential �_
c ick arrow at the end of I*ine
C!CL
'IrAll 41 ai 4r M R 4 9
41r,' . 9 G*.) 'A q 4F 4
115 V P,!%0iM, tow INA JIL 0;
ir A"
Fj�
:WPI, 11_6
Fitt
1;bit■
117 ..1
0 Or a IL
•
IN 4JE.41r.- qF Jk
1. ff 41LI 4L ;1 i 41 0 41qm4iL 40�
or
�•ffir
Legal Description:
0
Site Plan Name:
Block too.
Project Name:
Setbacks Front----- Back: Right Side: Left Side:
'k t
as Tank
Gas Piping
Shutters
Generator
Electric W'Plu bil'ng prinklers
Total Sq* Ft of Construction:
Cost of Construction
Sq. Ft,. of First Flao
Utilities:
� "IlTi 72 mo
Septic
Building
aof pitch
do a4z - a- 1P6
K t% I 111, .0•. 46 d0C
2 h 71 L q6 t ra ALI 4 d
yk
a 0 4i.
d6
■
021 Zip
II .4h
06
t(@.Ml� 4,111 6. 4"
WAA
IL qLdI Rib'
M 10
P 49 wmq— , g
'04 4111 01IT
dk
•
memI
4P Ir tk
Address.- Co anv
catyo
State.' Addressil,
woI -NEIIIIEWI
RL
C d e L L44 4 Fax. cit
Y State.
Z*IP Code, V-1 LA -7 .1L ILI
one No. 7 D
Fax.
01 -Z LA to
EwwMcii Phone No
P.
Fill 'in fee si pie Tiftle Holde,r on ne&it P..a e if d'ifferent Ew M a OIL 1:
VAVEIIft,�& f
the Owner 11 ted above State or County Llcense*
If value of C r n *Is $2500 or ore, a RECORDED Notice of Commencement Is required,
.a-, _. _. •� , F - yid - •iY F1 .`xh _ , _�. v, ., ,
• - a aaa.. .- ti , S _i °- i _^ .. _ e. '. R r a r h . Y u v . r P 4'� ■{.Tt°... , �-v. 4: ,'r. r."a. S , a e e� ' .. X• ° .. _r '- , ,.: _ ,. " r r Y - 1 ra-� {
�'*�. _.■ iIY' •� -..�� .
-
w _
e ti • ° . - � .4 � � p L. a , .F .�. ._{. . .e -
:'.
- + -a � *. .. :_ .y,:. 4 .' � r f °, ,�� .... -.r aJr e. .-.. -, .•_ y..•4� a - _ _ •-• e � i
e
, 4 n 4 'S a'NTA
06
° e ..,. S r+. , _, � r , ,.. y .. ^. a ry ,. e a 4 , ° f . e ., n J 4 • J .. - , e a 4 e. -. , - _
• �y,y�i i e a e ,: i v i �.,�,. - r '. v ° °. - { .. i - � f e ,. _ - Y � _ e . - •a4 .,
y ,
a v, c q �. -, a W , � "° :, -,, .. '- r '. t^_ .9e, h r i, ,. A.. 4 y." ° °• .+r A.
-
e s r :....- • - ' '. '. - • r -, -. � . ^" . ,. `- a .. 3P °I I:A. _ _ °f .: e a r' i � .. ° _ a .. -
e , _ - � e. _ e ere. .. . . -. Yr :.. ', e. a i _ _ - • e a r e E • e - Y 9
DESIGN ER/ENGIN EER.
,_ e - e+e ! J. .°: 4 i . ,. r -_ .Y •.. l '! �. .. e , 4y � a - ,- • e ,� _. .'e v _ � I YY•.- "'u" e e ve �.e .7•` v
a , .. , ! r _ ° , e. F 4 .. e i • u r _ - -. e e Y , 4 . � a � t _ .e . s e a 4 ^ , a
e . • a I '. y a . a , r e 4 e. ,. � i - e v !: m t r r °' .. ,. . 3 �, , - r , e _ s e � ,
.. e L e v s � �' - . er ° 1iq�4.. _ ... a ... v { e :..- • �-,.:n, a i'• ° - e. a e. • y . • ^ -ate . v
. e _ e _ r r 1 e s f i -. , � Jail a _ } a , F , p : r : {"yTei, 4 - _ _ . a _ 6 n `\• •.Y ,
F a � re.. .. .. • � _. ., a0. e . z 4 ry .. '1` a -. r '. y a ° _. v �^ • e a .. '1.
e
-
e•
� ,e JI _ , _ �„ e r r _ - p.. if 4. ., , � _ P';. . a -• _ F - -. . _ , e _ L � . i
_ , :A,-' - Y. __ - ,. - t :- - a a e °,�_ L. .. •a ••a k. } e. a e p a - e
• a
r a x
r
r v e
.. r
r v v
.r
.a r _ � , 4 • a a .. ..
Not
c Appl,*Ica
e
Name,,
Name-,
Address%--
Addressf
C*Ity*a State.. C J* t y
Stall:e.
zip*# Phone:I P
Phone.
FEE SIMPLE TITLE HOLDER*. Not APPI'lcable BON.DING COMPANY* Not Applicable
Na e.
Na
ei.
Address.
M i Address,
C I, t y
City%.
I P Phone,* I zip*
Phoneb
certify that no workor installation has commenced p
ri or to the issuance of a permit.
tet. Lun �vu��� maKes no representation tnat is granting a permit wiiic�authorize the permit 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 plays, 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 vour ravine ill, wir!Lm for
A.
9
improvements to vournerorty. A Notice of Commencement must be recorded and posted on the jobsite
before the f*irstinspectiRon., if you intend to obtain financing, consult with lender or an attorney before
commencing. work or recording your Notice of Commencement.
ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instr
this-" day of
ument was acknowledged before me
S1gy1zfure of Contractor/License Holder
COUNTY OF
LORIDA
The forgoing instr
this day of
(Name of person acknowledging)
pignature:Ot Notary PUbI10-!itate ot Florida )
Personally Known OR Produced identification
Type of Identificat� n &nrlur d-.-
::!w��MP
.. CHRISTINE EPFER
Commission No. COMMI GG 061780
EXPIRESY.Jawary 11. 2421
Revised 07/15/2014
ument was acknowle
ge
1.
oft
(Name of person acknowledging)
20 by
(Signature of Notary Public- 9tate of Florida )
Personally Known _� OR Produced Identification
Type of Identificatio, -D ^ B« - - - - -- - - - - --
,�;�:?y��. CHRISTINE CULPEPPER
Commission No.. MY co MVP GG 061780
EXPIRES: January 11 , 2U21
Bonded TNv Notary RM UrW6Vdkn
s
HRI Certified Reference Number: 9199
uct: split S
oor Unit Mi
Indoor Unit
teni: AirjwCooled Con
r:g. C
r: FV
02L
nsing Unit, Coll
Manufacturer: CARRIER AIR CONDITIONING
name: CAR
ING
Date: 5/30/2017
Reg46
ion: Southeast and North (AL, AR, DC, DE, Fl, GA, Hi, KY'',
AK4 CO, CT, ID, IL, 1A, !N, KS, MA, ME, MI, MN, MO, Mi, ND, NE,
NY:, OH, OR, PA, R4 SD, UT, VT, WR, WV', W!,Wy. U.S. Temt0r!
LA, MD, MS, NC, OK, SC, TN, TX, VA
NH, NJ,
as)
Region Note: Central air conditioners manufactured prior to JilnuarY i
1 2015, are eligible to
installed int �1� regions until ,June 30, 2016. Beginning Juiy 1, 2016, central air cv►n+dutioners
go
can only be installed ire fegi����� fog �nrh��� they meet 1he regional efficiency requirement,.
r'F
ies name: 16 SEER AC
*. r�responsible ��� t�� �at��� off �ha� s����m combinationis C14►RR1
Manufacturor
Rated as follows "in accordance with AHRI Standard 2101240*2008 fOr Unitary
Heat Pump Equipment and subject to verification ofrating accuracy hv AHRI
party testing:
Cooling Capacity (Btuh).
EER Rating {Cooling}:
SEER Rating (Cooling):
1EER Rating (Cooling):
f 1�
12.50
15.40
R CONDITIONING
A A&
inwConditioning and Aira6ource
•sponsored, independent, third
- 4(*)indicater ,unless d wit . , � w �� �� �� � � � .
firs f ll � b n asterisk voluntary .� p
DISCLAIMED
4 ,.
AHRI does not endorse the product(s) listed an this
the r listed on this Certificate.. AHR1 expressly disclaims 011 lability for damages of wy Wnd arising Out of unauthorizedalteration lis this Certificette,, Certified i are valid only for models and configurations listed in the
directory at www....frr.
TERMS AND CONDITIONS s t
- used for individual,, personal n
This Certificate
rarir products f
confidential rete renes purposes. contents
CertificateOFAInot i whole o part* reproduced; pl disseminated}
the users Individual
entered in -to a computer database} or t for AIR- CON D ITI 0 NING, H EATIN-p
personal and confidential reference. REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION 7 � o verified f% ��� ., rid r r .- r 7 click o "Verify � t 'v Un Iv � life better'
The nfurr� i �� for the model, i I
enter the AHR.1 CeWified. Reference Number and the date on which the certificate was issued:,
which is lllstedabove,, and the Certificate No, which 'is listed at bottom right. 131406463,434835293
@2014 Air -Conditioning, Heat.i , and Refrigeration Institute CERTIFICATE'NOw: