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HomeMy WebLinkAboutimg-170731232854ALL APPLlC"UEfiNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ' u Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dro box, click arrow rrow at the end of line ,i , , r. .y t.IilT;,;y.f.)Ntrtvlfs;%�"11j,i�t4,'i�i''7;v5.'E.1+);'.)r;•!�,v.Irfil:?..,.` �k=':�r.`': Address Legal Description: 0 i Vl r,y 1 C C t Y! A 1 O T Z Property Tax ID q: j �>Z Lot No. 2 Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: <('{r fi ' t t,1 01r `e F 'f.i s.. SI,.h..,. 0.Fii}n � ��U.. -1', G� �t�e M FCY OZ]i +�+jL-� � i `(d�-1 L VV"V)I-SP\�4 ! 9u S'tE 19'P4N' i-r'"uf' ,ri 0,!,14. z e 1§ K.t15a �ffi: unci rth \ i Additionalwor o e e orme un ert this —c ec a appy: HVAC U Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof �� Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction:$ iCi �D -IDQ Utilitles:Sewer❑Septic Building Height: MINORS fG1 .. Sj �t, r.; n+h. l i�v % M.. i� .. ' , �J;•p 5 t +1 f1!^ ^ Sr ti'�l .: :y .......i F 1'fstt R'ai.. -� s q `�T�'•A}(,I, �'Ila.tL.1 +iJt x ! .. s t}� i lAdclraneJ©SW 1t MiAyynCitA} Name. �Otilmfc 9= y �thnrc ess: 7_ JJ' 1SSS C by-) X J>y. . Company: t FM CS 1- C city:fi t- YtPYf_c State: F Address:3L)5 9 N 1Ac Zip Code: 2;-1 15 I Fax: City: -Ek - P-� State:i-L- Phone No._ i i " ,� lz S - t z Zip Code: BL49 LJ is Fax: -r-I 7 - t{ W\ - 5t71 ZZ E-Mail: Phone No. *7]2 - LJ IV l- q-i 1 t Fill In fee simple Title Holder on ne)kt page ( if different E-Mail: Y-a vY� yt t 5 a C tQ0 n 1 C n m from the Owner listed above) State or County License: �.A hl�l k% If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in convict 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 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 .ontractor as Agent STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this _J: day of lh6 } 20 L by Iq STATE OF FLORIDA COUNTY OF 15, T-. i u C _LF The forgoing instrument was acknowledged before me this �__day of Pa ATiAS_ ,20�by J PCM Er\ F Irn F_S J DIMES, F C��IMfi_C (Name of person acknowledging) (Name of person acknowledging) Type of Commission No. Revised 07/15/2014 of Notary Public- State of OR Produced Identification Personally Known OR Produced Identification WAA�- - -- - Type of Identifica on Produced My COWNIDN # GG 08W" le Commission No. °1WORr+—MY COhIMISSIOGG 089M MN EGRO EXPIRES: April 2.2021 [ rq; ' L : REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS lIl well � 1 • •• AHRI Certified Reference Number: 8858477 Date: 7/28/2017 Product: Variable Speed Mini -Split Air -Conditioner, with Remote Outdoor Unit -Air -Source, Free Delivery Outdoor Unit Model Number: 4TYK1618A10N0** Indoor Unit Model Number: 4MYW1618A10N0** Manufacturer: TRANE Trade/Brand name: TRANE Series name: 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, Ni 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 regions) for which they meet the regional efficiency requirement. _:yatem combination is TRANE ^a:ad as follows in accordance with AHRI Standard 210/240-2008 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): 18000 EER Rating (Cooling): 9.50 SEER Rating (Cooling): 16.00 CERTIFIED RATINGS FOR VARIABLE -SPEED, MINI -AND MULTI -SPLIT SYSTEMS ARE VALID FOR ALL COMBINATIONS OF INDOOR UNITS (BASED ON COMBINATION TYPES) WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED EQUIPMENT. VISIT WWW.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON THIS CERTIFICATE IS ACCURATE. SEARCH ON THE AHRI REFERENCE # TO QUICKLY LOCATE THIS COMBINATION IN THE DIRECTORY. Ratings followed by an asterisk (') Indicate a voluntary rebus of previously published data, unless accompanied with a WAS. which indicates an involuntary aerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibilitytor, the products) 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 "IMF 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; all ■■ -`I 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. AIRCONDITIONING, 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 „nl.v'.ub heber" 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 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131457185977172386