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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: f - I I 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 PERMIT APPt:ICATION FOR: To Select from dropbox, click arrow at the end of line Address: 323. Legal Descr4ption: Property Tax ID #: 2 `i xl— Site Plan Name: Project Name: Setbacks Front Back: Ae Cork S, 7o (_'Co 116 - 000 J, Right Side: Left Side: Tc� 430,t, APA W; i 8 R"/ hac,+,P-r HVAC 0 Electric Lsl Plumbing Sprinklers LJ Shutters Generator , I- J eta 01 '796/ Lot No. Block No. '-/ _yeer 0 Windows/Doors 0 Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ L400- ti, U Utilities Sewer 0 Septic Building Height: NIc ame 1 Address: City: _ - r State: Zip Code: U Fax: Phone No.t-n o," cpm " E-Maih-� Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: _� uo UL&rhCAO-1 Company:vCt�a,ge. A L Address: _��i p , Mcty-4 AV?, City: VA S' + -rC_e— r State: Zip Code: 3 Ycf � Fax: 772� Phone Ido. 77?, -'-161-(606 E -Mail: AAvc*�n+c ye, am, �f 14ofmn, L. _conn State or County License: (�F( If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. DESIGNE€ / Nr3lNEER: Not Applicable FRONT MORTGAGECOMPANY: Not Applicable Name: PLANS Name: Address: MANGROVE Address: City: State: REVIEW City: State: Zip: Phone: REVIEW Zip: Rhone: REVIEW FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: --- City: — Zip: - Phone: _ Zip: Phone: INITIALS certify that no work or installation has commenced prior to the issuance of a permit. 5t. 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 WARMING TO OWNER: Yodr failure to Record a Notic. of Commencement may result ars your paying twice for improvements to your properly. A Notice of Commencement must be recorded and posted on the;obsite 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. fi f Contractor as Agent for Owner Signature of Contractor/License He STAVE OF FLORIDA COUNTY OF S..-. The forgoing ins this _2_�! day of 0 (Name of person before me `F,/�t f • CllRd'IWCSe1 v .�� M1�._,... TFOF re of Not6y Public- State of Florida ) Personally Known Jam_ OR Produced Identification Type of Identification Produced CommissionNo.' rsf �� Q (Seal) Revised 071512014 STATE OF FLORIDA COUNTY OF� 5r, The forgoing instrument was acknowledged before me this � day of ?� by S� $k Psb ANNjt "', Y//.� �a��."'F,1 (Name of person acknowle+g) C 9 M n y p 0.ga c a {Signature of Not S ry Public- d •. oasldaW,,,, rpfp��a� PF OF Personally Known OR Pro d° ild4i'" tIfication Type of Identification Produced Commission No. jam' (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION -SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratings AHRI Certified Reference Number: 8457359 Date: 8/9/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: TC4133621 Indoor Unit Model Number: AP36BX21+TXV Manufacturer: CHAMPION BY JOHNSON CONTROLS Trade/Brand name: CHAMPION HEATING AND COOLING 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 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: LX SERIES Manufacturer responsible for the rating of this system combination is CHAMPION BY JOHNSON CONTROLS Rated 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): 34000 EER Rating (Cooling): 1.1.75 SEER Rating (Cooling): 14.00 LEER Hating (Cooling): Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntaryrerate. 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 disctaims 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 ON5 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; irm 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 confldential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahfidirectory.org, click on "Verify Certificate" link we make lire better - 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.: 131467788195680148