HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL PPLI iBL fiNFO MUST BE COMPLETED PLETED FOR APPLICATION TO BE ACCEPTED
Date, Permit Number:
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Planning and Development Services
Building and Core Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-157$ Commercial Residential �
PERMIT APPLICATION FORO To Select from dropbox, click arrow at the end of line KA
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Legal Description:.,5�,Abd'
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Site Plan Name:
Project Name:
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NameName:
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Address: Zl.�AA,X i6acs�&: - I
Company: GKrk
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Zip Code:zt?" 91 !Af, y at: City: i ..
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Zip Code: U Fax: �+
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FOTO 00n fee simple Tube Haider on ne t page if different: E -Mail: %
a he COWiner listed above)
State or County License:
0 value of construction is $2500 or more,, a RECORDED Notice € f Comm-encement is required.
Roof pitch
I certify that no work or installation has commenced prier to the issuance of a permit,
St. Lucie County,snakes no representation that is granting a ,permit will authorize the permit holder to build the subject structure
which is in conflict �rrrth an applicable H � .tura
y pp Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
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6
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Cedes and St, Lucie CountyAmendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions
accessory structures, swimming pools, fences, wails, signs, screen roams and accessory uses to another non-residential use
10 Your failure to Record a Notice of commencement may result in your paying twice for
improvements to your property. A► Notice of Commencement must he recorded and posted on jobsite
before the firsf ins ectivn� If ou ihtend � p the
p , y to obtain financing, consult with lender or an attorney before
commenci wor C or recordip our Notice of Commencement.,
ature of Owner/Le
STATE of FLORIDA
COUNTY of
21
r
Contractor as Agent for Owner 4 Si
The foroing instrument was acknowledged before me
this day of , 20 by
3� 1
(Name of person acknowledging)
(Signature of Notary Public- State of Florida
Personally Known
Type of Identificat
Commission No.
Revised 07/15/2014
OR Produced Identification
CHRISTINE CULPEPPER
V Gommlik§ GG 061780
EXPIRE$, January ii, 2o2i
re of Contractvr/License Halder
STATE COUNTYpFORIDA
S0,011
kwoolu
C.
The forgoing instrument was acknowledged before rye
this day of _ 2Q b
�� y
(Name of person acknowledging )
s
Personally Known
Type of Identification
Commission No.
OR Produced Identification
",,,• CHRISTINE CULPEPPER
Y COMMI"WM Y GG 0+61780
EXPIRES.6 January 11, 2021
Sid 0-1� LIL01-1
This combination quialifiies for a Federal 'Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31-120160h
Date 6116/2017
Product: Split System: Air=Cooled Condensing Unit, Coil with Blower
Outdoor' nit Model Number: 4TTR6042JI
Indoor Unit Model Number: TEM6AO 42H41+TDR
Manufacturer:, TRAHE
Trade/Brand name: TRANS
Region:
All (AK,
AL, AR,
AZ, CA, CO. CT, DC, DE, FL, GA, H11 lD,�}ILv iA, INv S, KY,, LA, MD, ME,
Ml, NI
M03 MS,
MT, NC,
(,
ND, E, NH, NJ, NM, NV, NY, OH, , OK PA, Rl, SC, SD, Til, TX
UTI VA.
VT. WA,
WV, Wl,
WY, U.S.
Territories
Region Note: Central air conditioners manufactured Prior to January 1, 2015, are eligible to be
installed in all regions until June 3D, 2016. Beginning July 1, 2016, central air conditioners
can only be installed in region(s) for which they meet the regional efficiency requirement.
Series name: XR16
Manufacturer responsible for the rating of this system combination is TRAHE
Rated as follows in accordance with AHRI Standard 21€1240-2008 for Unitary Air,*Conditioning and Air -Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
part, testing:
Cooling Capacity (Btuh),
EER Rating (Cooling):
SEER Rating {Cooling};
LEER Rating (Cooling):
13.50
16.gg
lRaVrigs followed by an asterisk (") indicate a voEuntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate,.
DISCLAIMER
A14RI does not endorse the product(s) listed on this Certificate and ,mites nn representations, warranties or guarantc-%4m ns tot and nssumes no respontibility 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
director} at wimahri€tirectory.org..
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AFRI. This Certificate shall only be used for individual, personal and
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 confidenfral reference.
CERTIFICATE VERIFICATION
The Information for the model cite on this certificate carr be verified at vwww.ahridirectery.org, cluck en "Verify Certificate" link
and eater the AHRI Certified Reference Number and the slate on which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom tight.
ID2014 Air olnitionin , Heating, and Retri erabon Institute
CERTIFICATE NO.:
AIR-CONDITIONING, HEATING,
iS REFRIGERATION INST1TIHE
%ve make li% betteiju
13142OB7881169 4794