HomeMy WebLinkAboutimg-170731232626ALL APPUCfk8LEfiNF0 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number:
Building Permit Applicati®n
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 X Residential
PERMIT APPLICATION FOR: To Select from dro box, clic t the
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Legal Description: (: ( f✓C01 I k y �0 1-k V i t A: CX r ( f n J( nn In LL 1l,
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Property TaxID#:
Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side: LeftSide:
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ona worm LU e e orme un ert sperm -c ec a appy:
0HVAC In Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ I % z V Utilities:Sewer OSeptic Building Height:
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Name:�Q,kytf� F rli�nrc
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Address: Rhyl 9 N lAC t }may
City: F} _ {� pyr P State: FL..
Zip Code: 3i-iq'-} to Fax: -1-17 - LA to - g-I Z1?-
2E-Mail:
Phone No. 7 - Lt to 1- q-1 11
E-Mail l<a 1q6 r cS (A C C tl nn
City: i t. 1 X C Z State: �L
Zip Code:? i 1 (tel Fax: IV .�
PIIDOe NO.1 �; - l� f •, -" 'i l �`I �
E-Mail:l
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
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State or County License:
- • -
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
VEGETATION
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY: X Not Applicable
Name:
Address:
REVIEW
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
St. 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 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, 1 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
rnmmpnring wnrk or recording vour Notice of Commencement.
C_
Contractor as A
STATE OF FLORIDA STATE OF FLORIDA _
COUNTYOF S -C - L_0C % r- COUNTY OF CT-- l_y C lC
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this __Lday ofAx AQ k LS 20U–by this–A—dayof RrAlatl4&4 201--Lby
J DMFS 1= (s PA MTS Incm-FS F C-,7- IM>=S
(Name of person acknowledging) (Name of person acknowledging)
gnature of Notary Public- State of Florid`) Signature of Notary Public -State of Floridary
Personally Knowql\�__� OR Produced Identification Personally KnownOR Produced Identification
Type of Identification EGRO Type of identification Produced
AN
Commission No. t•'t MYCOSMINEN
#GG 089099 Commission No. SUSAN NEGRO
isa EXPIREs: Aped 2.2021^' r• (. MY COMMISSION # GG 089099
Bv" TMu Nowy Pubk Urdu+ni¢+s . ,i,, d 2.2021
t • t\ s,,dW Tm Wxy WGk UMem+4er
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
oil
Certificate of Product Ratings
AHRI Certified Reference Number: 10239684 Date: 8/1/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: CA16NA037'0"A•
Indoor Unit Model Number: FV4CNF002L
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
All CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA, RI, SO, UT, V7, 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 regions) 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 AHRlsponsored, independent, third
party testing:
Cooling Capacity (Btuh): 33200
EER Rating (Cooling): 12.50
SEER Rating (Cooling): 15.00
EER Rating (Cooling):
Rennes rellowea by on anficul I') mincoria vcluder,nou of rocknout,pubirreared dam, unless accinolemwdwilna WAS. 1crinmatesanmva1m1a1—o.
DISCLAIMER
'NRI does not endorse the produchei listed on this Certlfiate and makes no representations, warranties or guamnta e, as to, and assumes no responsibility for,
the Products) listed on this Certificate. AHRI necessary disclaims all liability for damages of any kine arising out of the use or panormal m the produchs), or the
aumenma allemtion of data listed on this Certificate. Cmtlfletl ratings are wild onlytor models and configurations listed in the
aPrcaory at www.ah,mirectory.org.
TERMS AND CONDITIONS �_ ■ ■�'
confidential
eand rence contents There contents
entof taaudsofAte may sot, in icate whole cars only an, to
used for lntlNi se personal and Y
confidential reference it ortme,.cotherwsol this Certificate many form or manner
or by my mine,umetto,chuciffillceelslssemining, A.'■-'
e,ee Imo a computer ea forma oe mnnrwlae nnnzee. m any mem or mannm or by any means, e.mot mr me ager z melndam,
ceoonal one confidential amNna. is RcoxolNoNING,re. Rennie.
CEeTIFICATE VERIFICATION 8 REFRICERgnpx INSTIitrtE
The 1.forivnlor Certified
mod u fundReference
c Nle bel and
the dam
on whUatwww,umante was issu g, Gltl, an'Varify certificate' hnk
and h it lime Aeel C andi th eeterence NNo, w antl lite tale nn wnlctl the cerWlcal¢ was 155UtQ r
which Is listed aMve, and the Certlfltate No., which Is listed at bottom right.
02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131aeosaz392376e59