HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICPLF41NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _� Residential
PERMIT APPLICATION FOR: To Select from dro box, click k arrow at the end of line M
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Address: 4 4q Ll E-1 lghAkl v N)l8 rj ft tg�
Legal Description: S d(V\0 tAhl-� (03
Property Tax ID fl: H IN 11) d Z - OO t -c)cx- -
Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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�GasTank
HVAC ❑Gas Piping _ShuttersWindows/Doors
Electric El Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 7?�[�, , f)(j Utilities: �Sewer Septic Building Height:
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Name: Sj a flv,. c l= . t inn c,
Address: L4 Ci L4 9 hIJA i A lQ
qLnS" n� Company:
City: e V C P State:y-_L- Address: 3[)5U N IAC t �tnN
Zip Code:.Sg �� Fax: fJ City: F} 7 P_Yf P
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Phone No. -:I -I Z. - 2J -7 10 12 Zip Code: 3yq 1-} tr Fax: -1-177
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E -Mail: KQU 1 04 "r C (c6r)
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Fill in fee simple Title Holder on nejgt page (if different E -Mail: Kn �l n t e5 (A r Q2 1
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from the Owner listed above) State or County License: A hl> m D1 \
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
---•-•--•-r - -LN,- IYUI HPPiiGduie MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY:
Name.
FRONT
Name:
Address:
PLANS
_
Address:
City:
MANGROVE
City:_
Zip: Phone:
REVIEW
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
Applicable
St.
is In conflict with any applicable lHome Owners Association' rules authorize
bylaws or the
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 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_
as
STATE OF
COUNTYOFORIDA S_�
The forgoing instrumen was acknowledged before me
this —'5 --day of .,I 1 k\1 20 Alby
(Name of person acknowledging)
LW:Lr—
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identificat'
Commission No. its"•�'e CHRISTINE% EPPER
COMMI3@GG081780
Revised 07/15/2014
Y s
Si gWure of Contractor/License Holder
STATE OF
COUNTY OFORIDA5'T_
The forgoing instrument was acknowledged before me
this 1j_ day of , )� A I kJ 20 J_I_ by
f'V'Af- F GSIIxFS
(Name of person
acknowledging )
0 wyx-
(Signature of Notary Public- State of Florida )
Personally Known _X_ OR Produced Identification
Type of Identificatio^
Commission No. MYCOMMI¢ WMPGG081780
21
"0., 7P MW Bonde ft Nolmy Pub& U EXPIRES: January � 20fid&MmWm
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product Ratings
AHRI Certified Reference Number: 9199271 Date: 7/5/2017
Product: Split System: Air-Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: CA16NA036e0`sA`
Indoor Unit Model Number: FX4DN(B,F)037L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER AIR CONDITIONING
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA, RI, SD, UT, VT, WA, Will, WI, 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 30, 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: 16 SEER AC
Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING
Rated as follows in accordance with AHRI Standard 2101240.2008 for Unitary Air-Conditioning and Air-Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party testing:
Cooling Capacity (Btuh): 34600
EER Rating (Cooling): 12.50
SEER Rating (Cooling): 15.50
IEER Rating (Cooling):
' Famous paused Ey en a910Mk I-) indicated rdundry read a al pRvkusty g okaboad dila, onlea5a¢ennecom wIM awAS, wfiN mNnln an mmumd y remla.
DISCUIIMER
AHRI does not endorse the produai Weed on this CalHflcale and makes no repmseniamem, warrantles or guarantees as to, and essumea no msponalGllly for,
the producgs)16ted on mls CeNflwre. AHRI mpre al disclaims all liability tardamages at only kind mutual out oft" use or pertommnce of the producam, or the
unauthorined charatlon of date hated an that Certificate. Certified ratings are va1W only for models and configurations listed in me
directory at www.ahmirectorri
TERMS AND CONDITIONS
This Certlfluttand IN tronhnh are proprietary products of MRI. This Certificate shall only So used for lntlkitlual, cersonal and -
_„
confidential he elanca purposes. The cbntanth at this Certificate may not, in whole or in part, be reproduced; copied; dinumminated; � ,I1
entered Into a computer database: or otherwise utll4ed, In any form or manner or by any memns, amapt ter me users Indihdual,
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CERTIFICATE VERIFICATION a InsTa EaATmN INMIIIRE
The hZemmlontor me model cited on has cerlimarecan be vadnW at w—ahadimmew'—,ch. on Wady cortMkwour-lak ¢ladle ilk ated,
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and enter the MRI Comdex] Reference Number and the data an which the certificate was Issued,
which H Word above, aM the Certlflcem No., whicJ15listed at bottomd®IL
®2074 Air-Condblonln& Hearin& and Refrigeration Institute CERTIFICATE NO.: 131"a7sea 'i6�s e