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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: -S Permit Number: Building Perm Application °tanning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort ,Pierce FL 34982 Phone: (772) 462-1553 Fax: (�72) 462-1578 Cornmercia.l Residential r PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: AWOO ICr�beir'rS Legal Description: L-4�' Gv✓ CWYA 13/%2S 901 Property Tax ID #: ], C - I Site Plan Name: Project Name: Setbacks Front Back: ,1 gJ11 ?qr coy 3 _ Right Side: Left Side: I� t )�a Gl2a►,l � pZ J f crari er S L.l Shutters 0 Generator Lot No. Block No. Windows/Doors Roof Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ __—?Ot)-O __ Utilities. Sewer []Septic Building height: Na Address: DbL1,-Ke, City:State: Lc Zip Code: Fax: Phone No. E f - 4706 - JQ'?09 E -Mail: Fill in feesimple Title Folder on nW page ( if different from the Owner listed above) Roof pitch Name: _3cNm0,,,Lix ,.,-, Company:ncia e� % G Address: �' ( S i&y City: 'iGer State: - Zip Code: 3�f`d� Fax: Phone No. ')'7a- ,-- E-Mail:LI ` A_ If State or County License: G E If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNERIENGINEER: Not Applicable Name: Address: City: State: Zip: Phone: EEE SIMPLE TITLE FOLDER: _ Not Applicable Nagle: Address - Cit e y: Zip: = Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: _Not Applicable ! certify that no work or installation has commenced prior to the issuance of a permit. 5t. Lucie County makes no representation that is ;ranting 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 F=lorida 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: Yofm fallure tO Record a Notice of Commencement may result in year Paying Noce for improvements to your prope.�y. A Notice of Commencement mast be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with leader or an attorney before commencing work orrecording our Notice of Commencement. s Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Molder STATE OF FLORIDA� � STATE OF FLOMDA COUNTY ®F_ --- $r. :sc�i'E COUNTY OF �l�'�� +° The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 by this day of 20 by (Name of person acknowledging ®a®���,�®4��� F'E. C���,� (Name of person acknowled isS/� o; ary10 z (Si nature -dl Nota i'� Icy Stat tl� � g' Notary elorida } ® o� (S' nature of Notary F ic- a� OI4259 • y. Personally Known OR Prom ` eaaj0p, ` Personally Known f Type of Identification Producedc�va> f y: o, •• eo ; _: -:C Type o. Identification Produ; Cemm'ission,No: r cPa��/�'Sj Revfkd 07715M14 ,Qor 01pbT� Vii �iAl v e (Seal Commission No. C E�2 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATiON -SEA TURTLE MANGRO% COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW GATE CONI P L E T E INITIALS I ^ON fims CERTIFIED` www,ahrid irectory.org This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Product Ratings AHRI Certified Reference Number: 9185439 Date: 8/25/2017 Product. Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ANB160A*031* Indoor Unit Model Number: FV4CN13006L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING 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 air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. Series name: Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING 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): 58500 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.50 IEER Rating (Cooling): Ratings followed by an asterisk (`) indicate a voluntary rerate of previously pubiished data, uniess a=rnpanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product($) 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 unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the of the product(s), or 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, personaland confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; ANN 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. CERTIFICATE VERIFICATION AIR-CONDMON#NG, HEATING, &REFRIGEtA17ONINSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better - which is listed above, and the Certificate No., which is listed at bottom right. ©2014 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 131481506657329