Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:_ -17 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1.553 Fax: (772) 452-1578 Commercial Residential �f PERM IT APPLICA T ION FOR: To Select from dropbox, click arrow at the end of line Address: J LI U'l(3ll ,P • - J2 4, 1 y Legal Description: �6 61 uef'Sr7d —� �� Property Tax ID #: C� � C? - a� l c� Lot No. I Site Plan Name: Block No. j. Project Name: Setbacks Front Back: Right Side: Left Side: Tcgtlo�_l /ArYOF 1q.2 r 5e -e-1 is perms — cneck a appy: HVAC Gas Tank E]Gas Piping _ Shutters Windows/Doors Electric ElPlumbing Sprinklers E Generator Roof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ _� $J �'"�' _ UtilitiesSewer Septic Building Height: Name Address: 5 fly I M -+,f C 9r-. City: p Ise -- State: L . Zip Code: 3l`(�� Fax: Phone No.�S2 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: ie1 1. Yurh Company: Aly v''T'-t e_ - Address: Address: J, va ✓ke+ City: C4 1'erc:-6 State: r—LF Zip Code: ' Fax: 27X - Phone No.. r — y E -Mail: A AZ—'1 " z f tic State or County License: C& '. d q If value of construction is $2500 or more. a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Applica Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE FIQLDER: _ Not Applicable Name: Address: city: Zip: -Phone-.— MORTGAGE hone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: _ Address: City:_ 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 con lint 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, walis, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Yodr failure to Record a Notice of Commencement may result in your paying thrice 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 our Notice of Commencement. - f Signature of Owner/Lesseee/Contractor as Agent for Owner Signature of Contractor/License Halder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF.. _.,5n COUNTY OF 'te The forgoing instrument was acknowledged before me this day of 4— 20 b bby (Name of person acknowledging) \NN4'0,S %Atr- E�aC' �I�, (Signat-ure of Notary Public- State-ptorida 65. , Personally Known ✓ OR Pro&" ca��A�a, Type of identification Produced Commissionfio.' (Seal` Revised 07/12014 The forgoing instrument was acknowledged before me this day of 20 LLby (Name of person Notary 1 Personally Known �( Type of Identification Produ to of i q9.1b) Commission No. _ic 45a 726`.26- (Seal) REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION -SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS IALS Certificate of Product Ratings AHRI Certified Reference Number: 8456855 Date: 8/16/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: TC483021 Indoor Unit Model Number: AP30BX21+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 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 (Cooling): 11.75 SEER Rating (Cooling): 14.25 LEER Rating (Cooling): Ratings followed by an astensk (`) 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 aiteration 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 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 utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahrldirectory.org, click on `Verify Certificate" link we make life 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. 131473589788097 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: