HomeMy WebLinkAboutSkaggsALL APPLICfSLE NFO MUST BECOMPLETED FOR APPLICATION TO BE ACCEPTED
Date. CPermit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax. (772) 462-1578
Commercial
Residential
PERMIT APPLICATION FUR: To Select from dropbox, click arrow at the end of line
Address: 2..w45
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Legal Description:sewinc1c=VQ
Property Tax ID #91
Site Plan Name:
Project Name:
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Fill in fee simple Title Holder on next page if dif erenIL E --Mail: t� �
from the Owner listed above) State or County License.'aA
If value of construction is 25oo or more,, a RECORDED Notice of Commencement is required.
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DESIG ER/ENGINEERi: :
imotAppicabie N3RTA:..E..COMPANY,*
..�NoX t Applicable
;�. [
Name:. ...
Name:
Address: Address:
y.
Cit f State. Cit 1
State:
Zip: Phone; � Zips •
p • Phone.
FEE SIMPLE TITLE HOLDER, Not Applicable BONDING COMPANY, MPAN1f# Not Applicable
Named Name:
Address: Address:
City: City:
Zip:
phone: Zip: Phone:
�X�IiXXl�Xr II a�lU i u u4��IrynPrrM-O���XY�-PlwarGlYhrlry-
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun .makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Bch 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 Hume Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, l 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,
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen roams and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your praying twice for
improvements to your property, A Notice of Commencement nest be recorded and posted on the jobsite
before the first inspection, ifou intend to obtain financing, consult � g, with lender or an attorney before
commencln work or recording_your Notice of Commencement.,
t
attire of Owner/Lessee/Contractor as Agent for Owner
Si ure of Contractor/License Holder
STATE OF COUNTY OF UU
�� t:-,
(�pUNTYOFATE OF ORIDA�
The forgoing instrument was acknowledged before me
this day of I , 20Uby
The forgoing instrument was acknowledged before me
thisa- day of 20 _ by
VIV
tA. �Es
(Name of person acknowledging)
{Signature of Nota'ry
Public- State of Florida
Personally Known OR Produced Identification
Type of Identificat'ljrpd
Commission No. C0MMI=A BGG 081780
EXPIRES: January 71 2021
Revised 07115/2014
(Name of person a
cknowledging )
Personally Known OR Produced Identification
Type of Identification - - - - - - -
Commission No.
CHRISTINE CULPEPPER
• . A
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
lei 0 id110-16 tv Lo -
4 IVO -rt I VVIL .4 a 14-11 � rldr:
AHRI Certified Reference Humber: 9193124
Date: 6/27/201
Product: Split System: Air -Cooled Condensing 'Unit, Coll with 81ower
Outdoor Unit Model Number: CA'14NA030*4**A�
Indoor Unit Model Number; F84CNP030L
Manufacturer: CARRIER AIR CONDITIONING
Trade/grand name: CARRIER MR CONDITIONING
Region: Southeast and North (AL, AR, DC, CIE, FL, G►Aa His KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, It., IA, IN, KS, MA, ME, Mir MN, MO, MT, ND, NE, NH, NJ,
NY, CH, OR, PA, RI, 61), UT, VT, W& WV, W1. WY, U.S, Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2016, dre eligible to be
installed in all regions until June 34, 2016. Beginning Julys 1, 2016, cental air conditioners
can only be installed in region(s) for which they meet the regional efficiency requirement.
Series name: 14 ,SEER AC
Manufacturer responsible for the rating of this system combination Is CARRIER AIR CONDITIONING
Rated as follows in accordance with AHRI Standard 21012404008 for Unitary AirmConcl#tioning and AW -Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRIponsored, independent, third
party testing:
Cooling Capacity (Btuh):
EER. Rating (Cooling);
SEER Rating (Cooling):
1EER Rating (Cooling):
28600
12.50
15.00
4 Ratings followed by an asterisk (`) indicate a voluntary rerate of previously published data. unless accornpanled with a WAS, which indicates an involuntary cerate.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes 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 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
rllrectory at www.ahridtreGtGry.org,
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRL This Certificate shall only be used for individual personal and
confidential reference purposes. The contents of this Certificate may not in whole nr in park, be reproduced; copied; disseminated,
entered into a computer database; or otherwise utilized, in any fours or manner or by any means, except for the user's Individual,
personal and confidential reference. AIR-CONDITIONING, IONINGk, HEATING?
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www ahridirectory.org, click on 'Verify Certificate" lira vve
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed above, and the Certificate No., which Is listed at bottom right.@2014 KIT -Conditioning, Heatin, and Refrigeration Institute CERTIFICATE NO.: 131430333546459!