HomeMy WebLinkAboutBUILDING PERMIT ALL APPUCPUIINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �2 Permit Number:
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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 �c
PERMIT APPLICATION FOR: To Select from dropbox, click arrows at the end of line M t?chax i i Cam(
Address: 3232 Mf.lMhry Glhe
Legal Description:R LPL Y O0.k I_UTr , u z 0.tnd 4
Property Tax ID#:2'4 SO - S D Z - GO Lt 2. - U O U -y Lot No.4 Z _1-L{3
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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wor a rme underims perm —cnecx a apply.
0HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing 05prinklers O Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ y , g g2.00 Utilities:0 Sewer 0 Septic Building Height:
Name 9%Or1axa l_ %terms Name:
Address: 3232 r\Af iM0y4 -jri Company:(�v xlffi S' 1-k kin (?.rt d IC&
City: F�--Pt C.YC P State: Address: h54 N lAC . '.nN' \
Zip Code: Mq$_� Fax: City: F•} • {�i P.�! State:FL
Phone No Z �I?°i tog�y Zip Code:3l dq_J U Fax:77 7_-t1 W% In Z Z
E-Mail: Phone No._ :12- L11_a I. - q-1 1�
Fill in fee simple Title Holder on nept page(if different E-Mail: 1_ACA rim _5 [ p p Gh inn
from the Owner listed above) state or County License;.$.A
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION IIEN LAW INFORMATION
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 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.
[.-� _ �.
a s
nature of Owner/Lessee/Contractor as Agent for Owner S' ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST L V C l E COUNTY OF !�T- I_I-) (-I C
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this (7 day of A,-Ap I A5:t 20 1by this l2 day of_ at AQ,kAi�� _ ,20 11 by
lAV'✓IF.S C�2lwl �C JAMLS 'P y`^ F �
(Name of person acknowledging) (Name of person acknowledging)
--Wignature of Notary Public-State of Florid ) Signature of Notary Public-State of Florida
Personally Knowq�'__� OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identificationuced
"B.... SUSAN MONTENEGRO
Commission No. '`� tk`•: i MYCOA{"IFNlBGO089099 Commission No. SUSANWWAgNEGRO
EXPIRES:April 2,2021 ^' 1•''' MY COMMISSION S GO 089M
Bv4m ThN Navy PUW Url B •'7i r ril 2.2021
Revised 07/15/2014 1 Bv,&d Thai Notary PUbk Urdu.,Lo-
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 31.2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 8626671 Date:8/10/2017
Product:Split System:Air-Cooled Condensing Unit,Coil with Blower
Outdoor Unit Model Number:4TTR6030JI
Indoor Unit Model Number:TEM6AOC36H31+TDR
Manufacturer:TRANE
Trade/Brand name:TRANE
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,NO,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:XR16
Manufacturer responsible for the rating of this system combination is TRANE i
Rated as follows in accordance with AHRI Standard 2101240.2008 for Unitary Air-Conditioning and Air-SourceHeat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored,Independent,third
party testing:
Cooling Capacity(Btuh): 29600
EER Rating(Cooling): 14.50
SEER Rating(Cooling): 17.00
IEER Rating(Cooling):
Raalfs kllmred by en aaleneMI')macee a Faunas,mmre or premandly ItAlahM data,unless accornamae wan.WAS.WnlOr ihoorksaa bso Mary M.
DISCLAIMER
AHRI tloea not and..the pNyu listed ark iM1k Certificate and makes no representsbons,Sansone,or gueranteoc as to,antl assumes no mspansiblllly Mr,
me Omduclis)listed on Nlv Cedlflcale.AHRI expressly disclaims all liabil8y for tlemeges of any kind easing out of the ueo er pe Armarmce of tna loftei sl,or the
neuth rmi d altemtlon of data listed as this Certificate.Certified ratings are valid only for models and conff,conlons listed In the
of...y at www.ah idlmetmy.m
TERMS AND CONDITIONS
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02014 Air-Conditioning,Heating,and Refrigeration Institute ! CERTIFICATE NO.: 13146639230727a113