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HomeMy WebLinkAboutBuilding Permit Application i ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE.ACCEPTED Date:_ 69• 1 �� Permit Number: RECEIVED Building Permit Application 1 Planning and DeveloprnentServices AUG 1 2017 Building and Code Regulation Division 2300 Virglnla Avenue,Fort Pierce FL.34982 Phone: (772)462-1553 Fax:(772)462-1578 Commercial � Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: N,G1W ". I Legal Description:Wind t6 i iI IaAfa b aY N Property Tax ID#: - �" Lot No. Site Plan.Name: Aes=� J'1 k—:( ! Block No_ Project Name: Setbacks Front Back:_ Right Side: Left Side: I d 1:151111511111 '1 t1 a wor obe.orformed un er s perm —c eta app y: HVAC Ll Gas Tank ❑Gas Piping Shutters ❑Windows/Doors. Electric Plumbing . O Sprinklers F Generator .0 Roof Total Sq.Ft of Construction: / S .Ft.of First Floor: Cost of Construction:$ g�� UtilitiestSewer OSeptic .Building Height: Name e Hudki Name: ,�t Address: Company: ` nid ; City: ` 1 State•f' Address: Zip Code: Fax:-77Z-_qq•-9'' n City: St Phone No. :] Zip Code: i Fax r�` 2 E-Mail: Phone No. Fill in fe imple True Holder o -next page(if different E-Mail: from the Owner listed above) State or C linty license; If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address- City: _ State: City: _ _ _ State: Zip: Phone: Zip: Phone: FEE SIMPLE TiTLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable Name: Name; Address: 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 represent tion 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 commencinR work or record' our Notice of Commencement. k", s _Signatu ner/Ix ee/Agent Signatppl ont actor/License Holder STAT 0 RiDA ST OF FLORIDA COUNTY OF JT LkkC COUNTY OF # LVC i e, The forgoing instrument vias acknowledged before me The forgoing instrument was acknowledged before me this_11_day of20iay this L( day of 4 20 M.. _by Jrc �'rossyria n In �e C jos rn r�r, (Name of person acl{nowledging) (Name of person cknowledging) (Signature of Notary Public-State of Florida) (Sig ature of Notary Public-State of Florida} Personally Known✓OR Produced Identification Personally Known OR Produced Identifieation Type of identification Produced Type of Identification Produced Commission No. OO commission No. FOO ate. ea ISTINA L LOUDE CI: Y KRiSTINq i.LOUDER CK r=� ?•E MY Commi N �;+ {i{ 9222 ? EXPIFtES August 7. 7 E EXPIRES Au uat 7.2017 a 9 2 'Revised 07/15/2014 g t Ott ss-01s3 Ftoddalloce scwtce.e. Ab 398-0133 IF910 aN04h y6eNJCa,evm REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE ' COMPLETE INITIALS NwOlftl ' 1 Certificate of Product Ratim" AHRI Certified Referdnce Number: 7615285 Date:4/20/2017 Product:Single-package Air-Conditioner,Air-Cooled Model Number: P7RE-036K Manufacturer: FRIGIDAIRE Trade/Brand name:FRIGIDAIRE 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 alr conditioners can only be installed in region(s)for which they meet the regional efficiency requirement. 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A1R.CONDITIOMNrd,kEATING, CERTIF'IcATE VERIFICATION &REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at W WW.abridliaotot-y.org,click on'Verify Certificate"Iinli the make life bottet'" and enter the AHRI Certl(t if 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 t ttt:xits:fr !,= ::_:;7 ;.- 072014.Air-Conditioning, Heating,and Refrigeration institute -.y?4'�.:t•'i��'i�,-.r;;,...:i;.:�:• ..:. •.,:•. .:.:i;��y:,;il.,i;i!i�int;:,