HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLEPWO DUST BE COMPLETED PEAR APPLICATION TO BE ACCEPTED
Dates Permit Number:
VnT
MLI LT. NMI IT*.1,
Planning and Development Services .
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (772) 462-1578
Commercial Residential
PERMIT APPLICATION FOR* To Select from dropbox, click arrow at the end of line
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Legal Descriptio
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Property Tax ID ##: I � � L4 Lit No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Fe'll in Fee simple Title Holder on next page ( if different E -Mail;
J A
from the owner fisted above) State or County License:
If value of construction is 2500 or more,, a RECORDED Notice of Commencement Is required,
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Site Plan Name: Block No.
Project Name:
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6 `[I SIA � ex r Name:
�ay�me: ' ` _ • 1
�b,r fuAdi
- ti J ' +1!
Address: •.I In L P any ; . f w •
• ,
CL B�!c
city*• State: Address:�� �.L
'
Zip bode: Pax: City:me
State! ~
Phone No. r3 H-4 a Zip Lide■ iix! 1rLAU r
E -tall: Phone No.
J 3--
Fe'll in Fee simple Title Holder on next page ( if different E -Mail;
J A
from the owner fisted above) State or County License:
If value of construction is 2500 or more,, a RECORDED Notice of Commencement Is required,
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I E I NER, EI1l VEER: Not Applicable
MORTGAGE COMPANY, Not Applicable
Name: Name:
Address: Address:
city.tatea city* State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:NotA Applicable
�`r�/� pp
Name: ���ei
Address: Address:
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City:
Ity • 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 the permit holder to build the subject structure
which is in conflict with an applicable Home Owners Association rules bylaws or and covenants �! pp r ,, y c e ants that may restrict or prohibit such
structure. Please consult with your Meme 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, perforin 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement..
ature of Owner/Le
STATE OF FLORIDA
COUNTY of
C.
Contractor as Agent for Owner I Si
im
The for oing instrument was acknowledged before me
this l rl, day of ,)'J LIJ L...., 20 Lby
(Name of person acknowledging)
(Signature of Notary Public- State of Florida
Personally Known Z4 I
OR Produced Identification
Type of ldentificat'
��`'`y •�,`'', CHRISTINE �EPPER
Commission No. . �: Commli&A
GG 061780
EXPIRES: Jawany 11, 2021
7
C
IP
Revised 07/15/2014
re of Contractor/License Holder
STATE of FLORIDA
COUNTY OF
ilTi LIU (46 -dc
The forgoing instrument was acknowledged before me
this clay of20 by
s
(Dame of person a
A.
cknowledging )
J.
Personally Known OR Produced Identification
Type of Identificatio
Commission No.
CHRISTINE CULPEPPER
MY COMMI"M Y GG 061780
EXPIRES: January 11, 2021
B=d 1-hru Nota` N* UndwnMm
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
ATE
OMPLETE
JlTIALS
This combination qualifies for a federal Energy
Efficiency Tax. Credit when placed in serWice
between Fels 17s 2009 and Dec 31, 2016.
AHRI Certified Reference Number: 8936367
Date: 6/15/2017
Product Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit: Model Number: 4TTR6049JI
Indoor unit Madel Number: TEM6AOC48H41+TDR+UF/HRZ
Manufacturer: TRANE
Trade/Brand name: TRANE
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, ID, 1L, lA, IN, KS, KY, LA, MA, IVID, ME,
Nil, NIN, Mo. MS, MT. NC, ND, NE, NH, NJ, NM, NV,. NY, CH, Cly OR, PA, RI, SC, SD, TN, TX,
UT, VA, VT, WA, WV, W1, WY, U.S. Territories)
Region Note: Central air conditioners manufactured prior to .January 1, 2015, are eligible to be
installed in all regions until dune 30, 2016,, Beginning ,July 1, 2016, central air conditioners
can only be metalled in region(s) for which they meet the regional efficiency requirement.
Series name: XR16
Manufacturer responsible for the rating of this system combination is TRANE
Rated as follows in accordance with AHRI Standard 101240f*2008 for Unitary Air -Conditioning and Air*Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRl*sponsored, independent, third
party testing:
Cooling Capacity (Btuh):
EER Rating (Cooling):
SEER Rating (Cooling):
IEER. Rating (Cooling):
14.00
17.00
* Ratings faliowed by an asterisk (*) indicate a voluntary rerate of previously published data. unisss aGcarrtpanied with a, WAS, which indicates an involuntary rerate.
DISCLAIMER
A 14 RI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumos no responsibillty 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.ahridirectory.org*
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of A►HRI, This Certificate shall only be used for individual, personal and
=fidential 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.
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahrirlireotary.org, click on 'Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the cedificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right.
@>2014 Air -Conditioning, Heating, and Refrigeration Institute
7.
AIR -CON ITIOldING7 HEATING,
& REFRIGERATION IP45TITUTE
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