HomeMy WebLinkAboutWalsh Permit AppCEPTIED
ALL ADPLIC �L �{MFO MUST SE COMPLETED FOR ApPI{CAT{ON TO BE e�m it Number:
Date d _ -----
Building Permit Application
Planning and Development Services '
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 commercial . Residential _
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: To select from dropbox, click arrow at the end of line
_. ...__..............�..,.,��r.♦,.,ar:_:Y.N�ll::.i1`:L:n,:�re.};.vrKY,.iA-^ �:.��:"�:�it�z �i. _:.`..::�': '. . .
1 1
Address:
Legal Description:
3Y O Lot No. 1 Q _
Property Tax til #: Bieck No.
site Plan Name-
Project Name:
Back• Right Side: Left side:
Setbacks Front_,_,._._._. ----
.r',
} fn,•?!{SS�I;�r.•. �;:):•, :,;j::;i.: °::S`- - ",r..z:' -
� r• ; ;r. r �•::K ', 3•: ryas. ,'rCa?-s^c`, �1�,,. �.3 L,{�Si1 � h. y V ? '� �4t-i
._},
err s + z ti1714?�17'liti:��.g • r+f(f�`:•'+ •v �^ .•__.. - ._
v\ uc �t>r 2 %r V--.0 l •� `_b+N TYOJI e cy'r '
l5 S ES'_ W% k� V_\tj-1-
HVAC Gas Tank
Electric Q Plumbing
Total Sq. Ft of Construction:
cost of Construction: $
3as Piping _5hutter5 Windows/Doors
Sprinklers Generator Roof Roof pitch
Sq. Ft. of First
Floor: _
utilities:
Address Y
city1:,EDY-t , `�L t _JAC state: 1
Zip Code: Fax:
Phone No. --i _t Z. - l0 U -
E -Mail:
Fill in fee simple Title Hofer on nei4t page ( if different:
from the Owner listed above)
Name:
Building Height.
Company: _��,*r JV1 CS." to f0gh Y10 n-Y)m MLS
Rddress: �n�� � t1L�y��n1"`l- 1
City: �--k - T'% cxc c, State:'fir
Zip Code: 50CJ'- Lg Fax- :1-7 7_ -
Phone No. -712 L—A a
E -Mail: !
State or County License: _►�, Q� 1 L�-1 1_
If value of construction is $2500 or more, a RECORDED biotite of Commencement is required.
GINEER: x
Name:
Address:
City:
Zip: Phone:
ApplicableI MORTGAGE COMPANY: x Not Applicable
Name:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
1 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
structure. Pleasie cwith onsult any applicable
Home Owers Assoc ation and review deed for any restrictions which ma or prohibit such
Y 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 pians, 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 our Notice of Commencement.
:ontractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 5T . i VC � E_
The forgoing instrument was acknowledged before me
this 1.2— day of ��, P Yityt °� 20 -aby
L
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of /1; 20 _Q_ by
IAS -- S F MLS
(Name o person acknowledging) (Name of person acknowledging)
re of Notary Public- State of Florid )-�(5ignature of Notary Public- State of
Personally Knowr�� OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identifica ion Produced
„'�>`�•• SUSAN MONTEN
��:..�`• MYCOII►%�►g#aG089099
Commission No. ""•'"„•
Sl15ANfN5GR0
Commission No.
EXPIRES: April 2- 2021
i
MY COMMlSS*N # GG 089099
ihru N6LAry iJ[ti
IL
s�3 2.2021
r �. Ftt $O(1CCQ
--,d Thru Rotary Putkc Ur�dervmL 12
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION
SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW
REVIEW REVIEW
COMPLETE
INITIALS
u < C.ERTIFIEl
wvtw.ahfWife ciary.art3
-111.
AHRI Certified 12eference Number: 7481583
tate: 91112017
Product: split System: Air.Cooled Condensing Unit, Coit with Blower
Outdoor Unit Model Number: 4TTR4418L7
indoor Unit Model Number: TEM4A601SS21+TDP
Manufacturer: TISANE
Trade/Grand name: TRANS LA MA, mD, ME,
Region: All (AK, AL, AR, AZ, CA, GO, NJ', NM, NV, ENY, OH, OK, OR, PA, Ri,, SC, TN, TX,
MI, MN, Mt), Ms, MT, NC, Np' U.S .'teNH rritories)
UT, VA, VT, WX WVr W1, WY,
Region abed in . Central air unto June er 2016 Manufactured
B acture ng July' ,rior to 12015 cent 01 air conditioners
15, are eiigible to be
can only be installed in region(s) fol' which they meet the regional efficiency requirement.
Series name: XR14
Manufacturer responsible for the rating of this system combination is TRANE
i2rnrdand Air -Source
Rated aolliaH1Standard -sponsored, independent,
Heat pump Equipment and subject to verification rating accuacybyAHRl
Party testing,
Cooling Gapacityr (Btuh): 18000
SER Rating (Coming): 12.50
SEER Rating (Cooling): 15.00
IEER Rating (Coo3ing):
' Rotag' foq_w by an asladty (') in'V ate a vaI'&' vy-io of previously puhlished data. anie"'5 acGompuni5d with a WAS,'Nhich lnRCares zn 1rrra�vniary relate.
DISCLAIMER
AHRI does eat cndarsa the Pmthis Certiflcnta and 1112v5 no represenittsuiu, w,7irantia5 of gu3r3ntees as tn, and aSSttnres na TespOnSlOtSiiy far,
the paoduct(r:] tfctRvl rte able Gerilflcale: AHRI expresslg disa!aims all liability for damages of Any kind 2'65i$1g out of the Use or perfarmdma or the product(=), -1 61-
unautbor6ed alteration of data listed on this Ceftificate. 0ertifl8d ratings are vahe only TOT mOdnla and c., M%—(chona i#atad Ia the
dira.toly at ww 4 hr IONSpry,nrg_
TERMS Cee AND ; and 11 GunIc AM
This CettlfieatE and vts contents are proprietary products ar AeRi. rns ecrtirrcate snuu o.ay z -,+,Sed rnr h,dividuaL fwrsanal and
nannuorohai r.torcno,: pvrpcaan Tae contcns� fir utas ce hhcnte may nol. in whole or in part. be reproduced: copied' disseminated.
entered into a computer database; or otherwise utifiXed, in any form or manner or by any means.. except tar tpe users hlotvlauar, AIR CONprtioNING. YEATING,
personas and cvdfhdantial lefeaence. & R"MiGiiFFATtON INSITTOE
CERTIFICATE VERIFICATION_
The rnformnrion for the model cited on this certificate can be verified a[ tswtv,ahrrdirectory.m�, ehrA on "Verify Certificate" link ,.
and enter the AHRI Certified Reference Number and the date on wh�ch the Certificate was Issnttd,--------
which Is listed above. and the C :tfdcate No_, which is listed at bottom right 014874657W111151
(n2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO_ -