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HomeMy WebLinkAboutpermit applicationALL APPLI LE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:&Jjl--7 Permit Number: Building Permit Application 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line n n i _ Address: Legal Description: Property Tax ID N: 1 i > > 2 I C O UG, > <) Lot No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: alt ILA SEES 10 KW e-1(fC Y\C, Kett} L J Gas Tank 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ ', 1 �- (-; Block No. Piping UShutters Windows/Doors nklers 11 Generator 0 Roof = Roof pitch SFt. of First Floor: Utilities :�Sewer USeptic Building Height: Address: 1 V' v SLIM vii .a �, City: _ F}- 1 i C y C Stater Zip Code: 5-, 1-14"' Fax: Vub1 Phone No. --3 i z I U i E -Mail: N r1 Fill in fee simple Title Holder on nent page ( if different from the Owner listed above) Name: Company: t jM CS' Address: N 1 C i }may City: A _ Y i PYf P State: 4-L Zip Code: 31-Ig4V Fax: -i-r7-'-i l¢1 %-1L2 Phone No. -7-t-7, -g1g1- B"T I E -Mail: Y-rLJ n , ,ri'1. -i - _ State or County License: (Z A pc-,! k% C) -I\ or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: FRONT DESIGNER/ENGINEER: x Not Applicable Name: MORTGAGE COMPANY: Name: x Not Applicable Address: Address: MANGROVE City: State: Zip: Phone: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: Name: x Not Applicable Address: Address: DATE 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 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 rnrrmmPnrin¢ work or recordine vour Notice of Commencement. Contractor as A; STATE OF FLORIDA COUNTY OF ST. LOclt The forgoing instrument was acknowledged before me this _�Lday of 20 _by C_ STATE OF FLORIDA COUNTY OF ST - t_y C } f -- The The forgoing instrument was acknowledged before me this LL_ day of AtwQTtASi ,201Zby 3N F M ES 1 wy\ F_S f: - (Name (Name of person acknowledging) (Name of person acknowledging ) Public- State of Personally Type of Idl Commission No. Revised 07/15/2014 OR Produced Identification Notary Public -State of Personally Known OR Produced Identification Type of Identifica on Produced MY COA("pN # GG 089099 �{ Commission No. SUSAN WON14NEGRO EXPIRES: ApN 2.2021 W aa '' } MY COMMISSION # GG 089099 oMCG TMY NOWy PuOBc urden+l i:. Li�S DYDIDFR "2.2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 11 Certificate of Product Ratings AHRI Certified Reference Number: 7490503 Date: 7/25/2017 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: SOZPCO36--30— Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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: 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): 35000 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): Rulings W. by an aele,iak (')indicate a vdunrery ..Is of previmgy publi¢bod door.nI— accompanied with o WAS, wive, hNiwbs an InwluMmy reels. DISCLAIMER AHRI does not Venoms the prokeped listed on this Cum@ate and makes no represualations, ware ntles or guarantees m to, and assumes no responslbiily for, the peductfa) listed on this artificale. AHRI expreeny dicalahns all liability far damages of any kind drying out of the use or performance of me praduct(s), or the unaAscribed alteretlon of data listed on this Certificate. Contrast ratings are valid only for models and configurations listed in the directory at www.oh,ldimcmrtI.ore. TERMS AND CONDITIONS ■ ■ ' This aNflcale and ns contents are proprietary Postpone of AHRI. This certificate shall only be used for lntlyldual, personal and V confidential reference pmousse Thecantpenb of Mis Cer[Iflcate maynM.ln whole of in pert, ba repmduc¢d; rnplad; dLss¢minaled; 0"M On enforce Into a computer dmuMmk,; or ionalso ethanol, In arty form or manner or by any means, except for the users Individual, personal and confldemlul reference. AIR. CONpInONING, HEATING, UTE CERTIFICATE for Me cCAdelC BREFRIGERATION INSTITUTE and Information for Nemaee eferenad ntNu Number an to can to mantaonnhtlhthe at coahrldlreee ry.mg, Nlck on Nerlfy CertHlcete'has make life mow„ antlenter the AHRIe, ad Reference Numberantlthe daleon wnienighwNflwle was Issuetl, tm welch Is listed above, and the Certlfica2 No., which b listed at bottom right ©2014 Air-conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.. 131456707908203177