HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICARIF INTUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: %/ 5/7/7
— i Permit Number:
Building Permit Application
Planning tend DevelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential�V
PERMIT APPLICATION FOR:
To Select -from dropbox, click here -
PROPOSED 'INPROVEMENT LOCATION::.,.
Address: 6-61e
G7/ �7 ! %/
Leg I Description: '�.
Property Tax ID #;6?la - t -
Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side.
DETAILED DESCRIPTION OF WORK:
Left Side:
cle r el
Block No,
CONSTRUCTION INFORMATION:
- - -
- - —
Addition orkto be erforrned under
11HVAC 0GasTank
Electric 0 Plumbing
this permit� -heck all
Gas Piping
OSprinklers
applyy:
Shu _ tters
Generator
-
� Windows/Doors
Roof
Total Sq. Ft of Construction: 5 . Ft. of Firs Floor:
Cost of Construction; $ r ', Z� utilities: Sewer I�J Septic Building Height:
C
OWNED/LESSEE; CONTRACTOR:
Name Hal a�'t•�-.r - - --
Addre55:1 % f Name: on `Z5 i C
(� It>r�ti r' i hi n 4 -ilr
City: r�e: f /&'��..1 - .State: �.�, `�lUc�ti��� 9a tv��l -
Zi Code: �`} ��tSP , ('
Phone No, %� - -ids'- . City -f~' �. L�ti��1"f State. .
` Zip Code..' ]q 9( P Fa
E -Mail: x"
Phone N o. q_1_2 , 974_1 -- c�",.
Fill in fee simple Title Holder on next page if different -Mail: nff)C rYY-.,�
from the Owner listed above)
State or County License: w L�
If value of construction is $2500 or more, a RECORDED N ' e of Commencement is requi d.
171Y cma\f�an ct'mcs t GntA n, S
IGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable BONDING COMPANY:
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
Not Applicable
State:
Not Applicable
St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which 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 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
WARMING 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 a first inspection. If you intend to obtain financing, consu n attorney before
co encir OTR or record?rg-,AQur Notice of Commencerrl
Signature of Owner/ Lessee/Agent cn Z. Signature of Contr tary'License Holder' --
STATE OF FLORIDA Q ,
COUNTY OF,
The for� of g instruasewt as acknowledged before
thls� J_ W -ay of >.J' U 1 20 Lby il 12 Li �E
CP
^ � `p
r (Name f person acknowledging) '
l
{� 'Ifrli�n
%(5ignature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.rP"- iM 7 (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
STATE OF FLORID, A�
COUNTY OF N
The for oin instrurpemt as acknowledged before m �„ 2 a
thistiay of �LLIc 20 /' by G W
ai 2 A
/Ziggnature
di acknowledging )
`p�4►lurl��
of Nary Public- State of Florida) 'fit' ..•``
Nn11�N
Personally Known (f OR Produced Identification
Type of Identification Produced
Commission No. 7f (Seal)
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
Certificate of Product Ratings
AHRI Certified Reference Number: 7792032 Date: 7/20/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 4TTR403OLl
Indoor Unit Model Number: TEM6AOB3OH21+TDR
Manufacturer: TRANE
Trade/Brand name: TRANE
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AFC, 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, WV, 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. XR14
Manufacturer responsible for the rating of this system combination is TRANS
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 (Bti 29200
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 15.50
IEER Rating (Cooling):
Ratings followed by an asterisk (") indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate.
DISCLAIMER
AHRI does not endorse the products) 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
directory at www.ahridirectory.org,
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. 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 confidential reference. AIR-CONDITIONING, 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" link we nuke Iife becrer^'
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.
02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131450519705430527