The URL can be used to link to this page

Home My WebLink AboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: r~ q, acri 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) 452-1578 Commercial Residential jr PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Aaaress: f SUFI ✓ ✓L /Y JC " f`3C%fC-ff /`-(- -1 r 7 r) �`J Legal Description: ()CC_,41Y" f 044- s; f0k,0z>A'U11V'1oltZ r17 l'!t'd`T 31 4LL) 0A/'QI V' 614-,qre` ,r/rr' Address: 11 Ct'<i��r`lI'� 1�f�'�� _ Property Tax ID #: Lot No. Site Plan Name: Block No. Project Name: /�55lL l Fill in fee simple Title Holder on next page ( if different from the owner listed above) Setbacks Front Back: Right Side: Left Side: _ State or County License: U0 () _6-<, V 7Cv DETAILED DESCRIPTION OF WORK: /Ca 5c`e`/�`ri ,I�CIIt� ct5f 7 7 CCPD i :��Ii i CONSTRUCTION INFORMATION: a workto e e Orme under this permit - check a A MACGas Tank IIGas Piping Electric Plumbing Sprinklers Total Sq. Ft of Construction: S Cost of Construction: $ '3�7`f �1 Utilities: appy: D Shutters D Generator Ft. of First Floor: Sewer F Septic � Windows/Doors E]Roof Roof pitch Building Height: OWNER/LESSEE: CONTRACTOR; Name Ze-'o Ci e: . Name: buylc LCtW'1) --i_ Address: 11 Ct'<i��r`lI'� 1�f�'�� _ Company: r PTT_1Sk1 V -E= C t'05 city: State: )OF-- Zip Code:` z ax: Phone No. Address. �64 City: State: # Zip Code: 34Y,512 Fax: -772-•_79,�--7644,- Phone No _77"Z- X12- /74! 1 E-Mail: Fill in fee simple Title Holder on next page ( if different from the owner listed above) E -Mail: -t`GctG Jr-Jq(,, P a t -,, _-� _ State or County License: U0 () _6-<, V 7Cv If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: - - Zip: Phone: Zip: Phone: 1 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, 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. Signature of n /Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF ltitt-.i`t t r,— The forgoing iinstrurpent was acknowledged before me this day of ILLj I , 20 1Lby s SignatamN C6ntractor/License Holder STATE OF FLORIDA COUNTY OF ,C ( art-iL Theoing instrument was acknowledged before me forg this day of 4tt6A d-�4- 20 lay (Name of person acknowledging) (Name of person acknowledging) (Signature of Nbtary Public -State of Florida) (Signature of N6tAry Public -State of Florida ) Personally Known v'- OR Produced identification Personally Known K- OR Produced identification Type of Identificatic ^ D A. -�1. :I AA .� �,. Type of Identification s Commission No. Revised 07/15/2014 JOY POLLARD Commis6eall GG 62174 Commission No. My Commission Expires January 14, 2021 JOY POLLARD Commie)# GG 62174 My Commission Expires January 14, 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2018. Certificate of Product Ratinas AHRI Certified Reference Number: 7493633 Date: 8/9/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1430AJ1 Indoor Unit Model Number: RBHP-21 Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD 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, WV, WI, WY, U.S. Territories) Region Nate: 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 RHEEM SALES COMPANY, INC. 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): 29800 EER Rating (Coaling): 13.00 SEER Rating (Cooling): 16.00 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 product(s) 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 M-1 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 utilizedr 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 make life hette - 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.: 13146758flfl865flfl