HomeMy WebLinkAboutGaultOahe,
Permit Number.0
•�.�wwaw��l I I I - er�Re°ar1.J+°bar�enwer
Planning and Development Services .
Building and Code Regulation Division
2300 Virginia Avenue,, Fort Pierce FL 34932
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial I
Residential
PERMIT APPLICATION FOR: To Select from dropbax, dick arrow at the end of line �e
I
Address.,
Legal Description. V1 �1'.l Kl\dl� Fwm=!� Al C)r Pq P
Property Tax I D #:
Site Plan Name:
am, b, Cal
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007
Lot ••h 3
Project Name:
Setbacks Front Back. Right Side: Left Side.
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Total Sq, Ft of Construction:
Cost of Construction: f
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nkers
S b utters
Generator
Windows/Doers
Roof pitch
S . Ft. of First Floor,
Utilities: [:]Sewer Septic Building Height: •+••M•�l�i••lnr.ae
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Address: Company: Gf A i6a c5LAi
cit : State: FL Address: -��h'sq
Zip Cade: Fax: VJ City: -I State:-!
Phare o. '- Zip Code: SLA9Fax: � -
Fill'on fee simple Title Holder on r e t page if different E -Mail:
from the Owner listed above)., State or County License.
If value of construction 6s $2500 or unuore,,a RRIECORDED Notice viCommencement Is rra u; e .
W
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DESIGNER
/ENGINEER, ,Not
Applicable
MORTGAGE COMPANY. Not Applicable
Warne;
Address. Address:
City4
State: Ct / F
_ ._.... y Statue.
Zip: Phone: Zip: Pham:
FEE SIMPLE TITLE FOLDER: Not Applicable BONDING COMPANY,•
Not Applicable
Name. erne:
Address: Address:
City: City:
Ip. Phone:..�.aA_._�. I FY Z'10: Phone:
�� Illi li Ilene II�I��PIPllglas��nnq IIP�nAFI
1 certify that no work or installation has commenced prior to the issuance of a permit.
5t. 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 a licable Dome Owners Association ruleb law
�! pp s ,, �► s 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 apple,
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 pians, 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, galls, 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.
C
ature of Owner/Lessee/Contractor as Agent for Owner
STATE of FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before nye
this day of .3 0 1S'i. ^. 10 r
(Name of person acknowledging)
{Signature of Notary Public- State of Florida }
Personally Known OR Produced Identification
Type of Identificafl
. �•.'''�.,� CHRISTINE C EPPER
Commission Nv. COMMISMM G 061780
•-* _ - - � � EXPIRES: January 11, 2021
Revised 07/1512014
le s
ure of Contractor/License Holder
STATE OF FLORIDA
COUNT' OF
1- LUC4
The forgoing instrument was acknowledged before me
thisda Vof -,...� .- _ 1 20 ..'� by
(Name of person
acknowledging)
Personally Known
Type of Identificatior*.PagaLi
Commission No.
i
-- - - - — - - -- -- }I
OR Produced Identification
CHRISTINE CULPEPPER
' COMMI"" Y GG 461780
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
This combination qualifies for a Federal Energy
Efficiency Tac Credit when placed in service
between Feb 17, 21199 and Dec 31, 20160
AHRI Certified Reference Number: 8675081
Date: 6/23/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number,, 4TTR6049A
Indoor Unit Madel Number: TEM4A4C48S41+TDR
Manufacturer: TRANS
Tradell3 rand name: TRANS
Region: All AR, AL, AR, AZ, CA., CO, CT, DC, DE, FL, GA. Hl, ID, IL. JA, IN, KS, KY, LA, SIA, M% MEM
11 NIN, MOs WIS, MT1 NCI NDI NE, NH, NJ, NM, NV, NY, OH, OKI OR, PAs, Rio SC, SDI TN, TX,
UT, VA, vT, WA, WV, ill, VVY, U.S. Territories)
Region Nate: Central air conditioners manuf ic'tured prior to January t, 2015, are eligible to be
installed in all regions until June 3G, 2016. Beginning July 1, 2016, centrad air conditioners
can only be installed in region(s) for which they meet the regional efficiency requirement.
Series name: XR16
Manufacturer respvnlsible.for the rating of this system combination is TRANS
Rafted as follows in accordance with
Heat Pump Equipment arid- subject
party testing:
Cooling Capadity (Btuh):
EER Rating (Coaling):
SEER. Rating (Cooling):
IEER Rating (Coaling):
AHRI Standard 2101240-21398 for Unita Air -Conditioning and Air4ource
to v►er'Ifrcation of rating accuracy by AVImsponsor+ed, independent.. third
46500
'13.50
16.00
Ratings followed by an asterisk V) indicate a v0lur}tary rerate of previously published data, unless accompanied vrith a WAS, which indicates an inmuntary rerate.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and males 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 tete use or performance of the product(s), or the
unauthodzed alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www.ahri d i rec-tory,org.
TERMS AND CONDITIONS
This Certficate and its contents are proprietary products of AHRI. This Certificate shall only be used for individcral, personal and
nfldvntial reference purposes. The contents of this Certificate may not, in whole cit In part, be reproduced; copied; disseminated,
entered intoa 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,ahridirectury.org, click on "Verify certificate" Link
and enter the AHRI Certified Reference lumber and the date on which the certificate was issued,
which is listed above, and the Certificate filo., which is listed at bottom right, yj
02014 My -Conditioning, Heating, and 'Ref igeyabo Institute
AUR-CQ[►llaFl 4GNlNG, KEAtINQ,
& RURIGERATION tNSTiTM
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