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HomeMy WebLinkAboutSlater PermitALL APPUCPLE/INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date;V/ Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462•-1555 Fax: (772) 462-1578 Commercial Residential X_ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line r � P. i • p-• •� � tti i �j�,j'1 F;�7tir7,P¢{''f,�(j�� •r4� f,l�r#T,�rrv'7fff�'1s{M �rdr�re1�.. p; �'v L"C\l;f':l:Y'TI)5�.re'fiytTLtlj`�i'�i,!n'.tvYl�cii). Address: 2- l 6 Legal Description;tA C 1-Y F\ � � +_ 1 T � -6 Property Tax ID#:kL4 -S '_j()Z.-Dbot—P-aCaQ-_ Lot No, Site Pian Name: Block N©. _ Project Name: Setbacks Front Back: Right Side: Left Side: SHVAC Gas Tank OGas Piping _Shutters Windows/Doors Electric ©Plumbing 05prinklers Generator Roof Roof piton Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ ij 1 LC>a Util ities;OSewer11Septic Building Height: f .. •.4 .-MMX-1�r)i i�.:..i..-.S'.Y._ .�kr. ...a#'z:'�' Address: Zl i 42_ City: 'Fb r--�. T I e _ State: RL Zip Code: cl Li LP Fax: Phone No. -`L2.-AW5 -9 3y E -Mail: Fill in fee simple Title Holder on nexgt page f if different from the Owner listed above) Name: Company: $ Address: City State V -L zip Code: y f=ax: '7-77-- tu�Z Phone No, _ g-1 E -Mail: State or County License:�5 1 If value Of construction is $2500 OF more, a RECORDED Notice of Commencement is required. u ' i ir, ; a fit,' , q,li � � fij r t°V•. r'ak � ` Iv'�S Clyl o� o}n C>[` { �a :� cf Es.,�,. _ . s.a H�) I�' •� r f r� y: Is GE�=_ VIjk +A'A 10 KW SHVAC Gas Tank OGas Piping _Shutters Windows/Doors Electric ©Plumbing 05prinklers Generator Roof Roof piton Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ ij 1 LC>a Util ities;OSewer11Septic Building Height: f .. •.4 .-MMX-1�r)i i�.:..i..-.S'.Y._ .�kr. ...a#'z:'�' Address: Zl i 42_ City: 'Fb r--�. T I e _ State: RL Zip Code: cl Li LP Fax: Phone No. -`L2.-AW5 -9 3y E -Mail: Fill in fee simple Title Holder on nexgt page f if different from the Owner listed above) Name: Company: $ Address: City State V -L zip Code: y f=ax: '7-77-- tu�Z Phone No, _ g-1 E -Mail: State or County License:�5 1 If value Of construction is $2500 OF more, a RECORDED Notice of Commencement is required. f k l f... I DESIGNER/ENGINEER: Name: X Not ApplicableMORTGAGE COMPANY: Name: Address: x— Not Applicable Address: City: Zip: Phone: State: City: Zip: Phone: State'. EEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: x Not Applicable BONDING COMPANY: Name: xTNot Applicable i Address: REVIEW City: DATE Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countymakes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contiict 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. ature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this _W - day of Sf 24'PJ 8be V , 20 11by STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this _U_ day o 20 „= by 5 F:: �- FdM_t_S E C�,Q 1 M Es (Name of person acknowledging) (Name of person acknowledging) ,(Sfignature of Notary Public -State of FloridA ) Personally Knowr�OR Produced identification Type of Identification" _ Commission No. Revised 07/15/2014 ature of Notary Public -State of Flori Personally Known OR Produced Identification Type of Identifica ilan Produced SUSAN MONT�� MYco"OrN#GG 089499 Commission No. EXPIRES: APd 2.2021 SVAM RN Nowt' Puti�c tlrrW�vr�era SUSAN "NEGRO MY ComMISSiON # GG 489499 Bonded Thru REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ru g Ceilificate f Product Ratings AHRI Certified Reference Number: 10238684 Date: 3/=2017 Product: Split System: Air-Coaled Condensing Unit, Coil with Blower Outdoor knit Madel Number: CA16NA037'0'*A' � Indoor knit Model Number: FV4CNF0b2L i? Manufacturer: CARRIER AIR CONDITIONING s Trade/Brand Warne: CARRIER AIR CONDITIONING Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA i t AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, pill, MN, MO, NIT, ND, NE, NH, NJ, NY, ON, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories) n Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be Installed in all regions until ,lune 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: 16 SEie€2 AC � Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as Fallows 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: i Cooling Capacity (8tuh): 33200 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 IEER Rating (Cooling): ' Ratings [Qua-ed try an asterisk ('i indicate a Voluntary regale o1 prevlousfy p1jWfsned data. unICss accompanied wilh a WAS, whim indi,:ares an in,&uniaT)� rerate. DISCLAIMER AHRI does hot endorse the product(si listed on titin Certificate and makes no moresentations, warranties or guarantees as to. and assumes no responsibility for, the pioduct(5) }fisted on this Certificate. ARM expressly disclaims all liability int damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Ceditieate_ Cerfified ratings are Valid only for models and configurations fisted in she directory at lvN't4.3lr riC>irrctnry, r; _�. Tr RMS AND EDNDITION5 -. This Certificate and its contents are proprietary products of AHRI. this Certificate shall only be used for individual personal and Wl confidential re€erence purposes. The contents of this Certificate may net, in whole or in part. be rearoducedT copied; disseminated: entered into a computer database. or ntherniso utilized, to any form or manner ter by any means, except for the users mdl0dual, petsunal and confidential reference. AIR-CONDITIONING. HEATING, CERTIFICATE VERIFICATION A PURIOCRATIdN iNSTITUTE The Inrornlat,on fnr the model hied nn this certiPlcate can be ver,,ed at »v. v�.:xF.ririirectory.nr.,�+, click on -ve'ay CerttFicate• link and enter the AHRI Certified Reference N—ber and the date on which the certificate was issued, which is 91s[ed above, and the Certificate No., which is listed at bottom right -- ------ ---- -- – ----- €b2adA Air-Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.—. 131405705634786375