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Home My WebLink Aboutpermit applicationALL APPUCfALEi1NF0 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: S fl In •f 1 Permit Number: Building PerMu$ 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 APPLICATION FOR: To Select from dropbox, click arrow at the end of line /, �/� ., U�11ICS.AX .. ..,.' .W'.:. III' � r.f.a�r,.,,9:'€l�'y' S'I�t!ti''6::,�.' ;r.,,:�,ry• .. ��10 i nr\es��e t.: �.•. Address• � � r� � �o� 1 Legal Description: z3 �5 3� S 4 3y � 3 F T o f N q� 1 5 T-�• L�r-t l_ SS W y 0 t Property Tax ID q: 7-323 - S 2 2 • 0 OO 3 - O c)0 R Lot No. Site Plan Name: Project Name: Block No. Setbacks Front Back: Right Side: Left Side: �, '•rr.r sf,.an•Jr i ,.<a^ uc• •„ua,,,pgrg. �• Ir r i � P all t 1 Jt r O rlS ' �� '�9t.. .1'J��” 'v.3 f'�4r:'t'if. rfJ'•A;i�'�1v�j71,�(lit'.Fflnf y�ai5.;(r„'iy5;h��n,:.. {1G:4 :.7'i:x,:Tr. '..C.'. ;':4 1(�s+ct�(0.fi�n of 0, LC -�v r N 20 S E c w. 5 Kv�I F� N 3 �otJ T v o�tne 0 , 20 SE w � � 10 KW el�L{-ric (neap .., . r. t r • TS�� i. r, ; (�1 re p,��r>yM1 ,1 y,” �. t.q,,r ,ar: J o-n,.F: .Y nal wor o e orme un er sperm -c ec a apply: IJIHVAC Gas Tan:]Gas Gas Piping _ShGenerator ❑Windows/Doors Electric 0 Plumbing DSprinkiers 11 L� � Roof Roof pitch Total Sq. Ft of Construction: 5. Ft. of First Floor: Cost ofConstruction: $ q.3yl7' 0 Utilities:5ewer SQeptic Building Height: MNamOM e_tAic11orl -('�Tnn(t' �sCONr c4yAr:: Name: (�Q1nn .c, l= v% •,.mac Address: ':�g Ll() (,IMeSZ-h" e pine T♦r� 1) Company: r1rt CS' 1_� City:-piPXe t Stater Address:_3)54 N tAC 1'tNll 1 Zip Code: — q 4 5 Fax: City: f-} • :t l e y' P State: E-Mail: F L Phone No. -7� Z -LO 4 1 - �-lq Zip Code: Sk*j Lr Fax: 3-7 7 - y �" `� Z � Z Phone No. TI2 - t.►Lo 1- B"1 'I � Fill In fee simple Title Holder on nekt page ( if different E-Mail:from the Owner listed above) State or County License: g,A rah 1R �7 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:' DESIGNER/ENGINEER: x_ Not Applicable Name: MORTGAGE COMPANY: x Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: x Not Applicable 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 Count yy 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 cnmmpnring wnrk or recording vour Notice of Commencement. Contractor as A, STATE OF FLORIDA COUNTY OF S -T -III) C. 1 E The forgoing instru Tent was acknowledged before me this day of IAQ 1 AS 20 J�by c STATE OF FLORIDA COUNTY OF &—\ - L V CL E The forgoing instrument was acknowledged before me this) -7 day of V S 20 _a by AWES, F ALMFS j� U,�_IWIE_S (Name of person acknowledging I (Name of person acknowledging ) �Tlgnature of Notary Public- State of Floridili ) Personally Knowq�__� OR Produced Identification Type of Identification Commission No. Revised 07/15/2014 SUSAN WNTENEGkw MY COMS&RIIPN # GG 089098 EXPIRES:W 2.2021 ..__ of Notary Public- State Personally Known OR Produced Identification Type of Identification Produced Commission No. MY COMMISSION # GG 089099 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 G= Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 10093683 Date: 8/16/2017 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTV0036B1 Indoor Unit Model Number: TAM9AOC36V31 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, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA, Vr, 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: XV201 Manufacturer responsible for the rating of this system combination Is TRANE Rated as follows in accordance with AHRI Standard 210/240-2008 for Units rryy Air-Conditioning and Air-Source Heat Pump Equipment and subject to vera ication of rating accuracy by AHRI-sponsored, Independent, third party testing: Cooling Capacity (Btuh)35000 EER Rating (Cooling): 13.75 SEER Rating (Cooling): 21.05 EER Rating (Cooling): ' RnIA11 followed Dy An as sada I') Mdale a rdmUry Anole of frovicuu, WliaM1ed data. onlay...A.mad with A WAS. w1b[h iudiwles en imolunlery rerele. DISCLAIMER AHRI does not end.,. the produd(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 dlsclalms all liability for damages of am kind arising out of the us, or performance of the prdducthu. or the eulnorlmd alteretfon of data listed on this Cmultoole. Cmtlfied stinks are valid only for models and conHNradons listed In Oro directory At vvww.Ah rid tree W,mg TERMS AND CONDITIONS "Imp Tnis CerlAND andON /TIO S are Proprietary protluds of AHRI. TIrISCMHIcete shall only he ns¢d for lndlvltlual, Personal and iael♦ anfidenOalroforence purposes. The comems al this cromrate may nob In whole or In part. be reproduced; wplad; disseminated, killm On ILi Am.,.A Into A compum, database: or chn—lae uvilieo, In any Iqm or manner or by any means, except for the veers individual. personal and c trifid—llal mimm�[e. pIR�CONDIl1eNINa, XEATINn. CERTWICATE VERIFICATION b nenumetermh ray" ur The imunnn,llan for the model cued ontbO,radaicetecan An YednN At"ww.nbrldirectmY-9. dick on'Ve,Ity Cedul—,.'fink and enter the AHRI Certified Reference Number and the data on wmeh the certificate was issued, which is lletod above, and Poe Comfi.te Na.. which is titled At bottom ri,h4 - - - -- — 02014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1314739014384285M This combination qualifies for a Federal E Efficiency Tax Credit when placed in s between Feb 17, 2009 and Dec 31, Certificate of Product Ratings AHRI Certified Reference Number: 10093679 Date: 8/16/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTV0024AI Indoor Unit Model Number: TAM9AOA24V21 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, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, Will 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: XV201 Manufacturer responsible for the rating of this system combination Is TRANE 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 AHRIspor sored, independent, third party testing: Cooling Capacity (Btuh): 23600 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 19.50 IEER Rating (Cooling): Ratings Idlwvetl by en aalerlak (') iMicala a vdunlery re,Me Mprev'w9y q�pliahetl tlala, u,tloe aUomWnieE wiln a WAS.'Mich urfor lea N flechm ry mrele, DISCLAIMER AHRI does not endorsethe producXs) listed on this Conducted and makes no reprewmations, warranlles or gunflum ee t ea lo, and enumes no rospOnslfdllly ba rod the puct, listed on this Certificate. AHRI expressly dlschures all Beadle, for amass of am kind arising chief the use or performance M the protlucgQ, ertM unauthorlted alteration of data listed on this Certificate, Cahill" ratings are valid only for models and cnnegumtions listed In the directory at wer ahtld Vece,org. TERMS AND CONDITIONS ITIO ® ■ ®®® This CertifiND and tents are proprlHary prWutts of AXRL This Cenlflcal¢sM1all only he us¢d for lndlNtlual. perbanal and RA IMP rnf.whi3O purposes Thecantenlsol Mb Certificate may not, in whole or In part be mprodtrced; aopktl; dissemlpalod; //�` Ing emerM Into a computer dathease:orOtherwise ounaed. In any form or manner or try any ms eanexcapt far the use's Individual, `' `� go personal and wnfldentlal reference- ORCurtin 110.1rlq NEATIRO. CERTIFICATE VERIFICATION eREFRIGERATION IMSTIDTE The affirmation ger the model cited on des cerllficare can de verlfled of wl—ahtsilactory.ug, click on'V-11y ecrtffleat. link and ante the AHRI Creif d Reference Number and the date on which the certifleak, was issued, whish is Ilstdd abo, and the Certificate No., which N Rated! at bottom right. - — -- -- -- - --- — 9)2014 Air -Conditioning, Heating and Refrigeration Institute CERTIFICATE Ir 1314r3ee119038211A