HomeMy WebLinkAboutBruce PermitALL APPL CfALPIYFO MUST BE COMPLeTED FOR APPLICATION TO BE ACCEPTED
Date: o Permit Number:
Building Permit Application
Planning and Development Services -
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce F!. 34 982
Phone: (772.) 462-1553 Fax: (772) 462-1578
Commercial - Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of lined x „
Address:
Legal Description:
1
Property Tax ID #: Z LE Z -7 0-2, C7 k 21 - () DO - 2,
_ Lot No.. `� � __
Site Plan Name: "`
Block No.
Project Name:--
Setbacks Front Back: Right Side: Left Side:
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I mo} a..11 c fi o t k -e r l
V ---C 3 S,
To N ax,
yL3,
HVAC Lam( Gas rank
Electric D Plumbing
Piping
Sprinklers
Shutters
Generator
Total Sq. Ft of Construction: 5 , Ft. of First Floor: _
Cost of Construction: $ -I ' g . Utilities:llSewer Q Septic
NaMe
Address:
City: LL�Y - .SL - ,�_A A � 1 P State:
Zip Code: __� L4 q I Z Fax:
Phone No. -i -i Z- 5� Z - l21 1� _
E -Mail:
Fill in fee simple Title Holder on ne)4t page (if different
from the Owner listed above)
If value of construction Is $2500 or more, a RECORDED
Name:
0 windows/Doors
0 Hoof Roof pitch
Building Height:
Company %Y t;M �$.. ��-1 �nra r, n,. ,•�l In' _
Address:�j+sr-(
City:1 state: 4=L
Zip Code: �y�l °-4 lQ Fax: ---1��� - �-! lPl��l z'z
Phone No. Z B`i
E -Mail:
Statc ar County t_Icense: -
of Commencement Is required.
x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State:
BONDING COMPANY: x 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 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, l 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.
L'"
Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA _
COUNTY OF IST- LU C A&__ T- __-- COUNTY OF S _ k...0 C' l C=
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this �,� day of 20 by this U day of &t X2 =WW 20 _L1 by
(!Name of person acknowledging) (Name of person acknowledging )
of Notary Public -State of Flori
Personally Knowr� OR Produced Identification
Type of Identification
Commission No.
Revised 07/15/2014
of Notary Public- State of Flori
Personally Known OR Produced Identification
Type of Identification Produced
SUSAN MVH 1 rivttircv
My CQtOnt jN # GG 489499 Commission No.
EXPIRES: AA .2021
3endO4 flan, Notary PutiGc Urba�vnitars
SUSANRIAMNEGRO
MY COMMISSION # GG 089099
Bonded Thiu
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
i
Certificate of Product Ratings
AHRI Certified Reference Number: 6906429 Date: 813112017
Product: Spirt System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: 4TWR4042G9
Indoor Unit Model Number: TEM4A0C42S41+TDR
Manufacturer: TRANS
Trade/Brand name! TRANE
Series name: XR14
Manufacturer responsible for the rating of this system combination is TRANE
Rated as follows in accordance with AHRI Standard 2101240.2909 for Unitary Air -Conditioning and AirSeurce
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
parry testing:
Cooling capacity (8tuh):
41500
EER Rating (Goofing):
11,50
SEER Rating (Cooing):
14.00
Heating Capaclty(Bluh) @_ 47F:
39000
Region N HSPF Rating (Heating): 0-50
Heating Capactty(Btuh) Q 17 R.
25000
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CERTIFICATE YER]FICATIRp
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Q2014 Air-Cnntlltloning, Heating, and Reffigeratton Institute CERTIFICATE NO.:
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