HomeMy WebLinkAboutBaldwin PermitALL APPLICABLNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: � Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1558 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line h A - -I _ _
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Address: Zc�, Ci N k Q
Legal Description: [ Oure YOD()Y Shy lC___ __U kA 0 2 - G�
Property Tax ID tl: i L. _15pl - c -I _ Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Lett Side:
Total Sq. Ft of Construction:
Cost of Construction: $ LA615,
Sq. Ft. of First Floor:
Utilities:Ij SewerSeptic Building Height-
city:
et ht;
Deity: State: _E_�-
Zip Code: -,�9U t I Fax:
Phone No. -q to
E -Mail:
Fill in fee simple Title Holder an ne)gt page ( if different
from the Owner fisted above)
Name:
Companr.
Address:
City: �.
state.. '-L_
Zip Code• r Fax- :(-7-7, 7.2
Phone No. - g-7
E -Mail:
State or County License.
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
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windows/Doors
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Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ LA615,
Sq. Ft. of First Floor:
Utilities:Ij SewerSeptic Building Height-
city:
et ht;
Deity: State: _E_�-
Zip Code: -,�9U t I Fax:
Phone No. -q to
E -Mail:
Fill in fee simple Title Holder an ne)gt page ( if different
from the Owner fisted above)
Name:
Companr.
Address:
City: �.
state.. '-L_
Zip Code• r Fax- :(-7-7, 7.2
Phone No. - g-7
E -Mail:
State or County License.
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
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SUP,PI,�MEN A�, CONSTRU 110 LIEN L�W;;INFO MATI�7N
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SUPERVISOR
PLANS
DESIGNER/ENGINEER:
x Not Applicable
MANGROVE
MORTGAGE COMPANY: x____
Not Applicable
Name:
REVIEW
REVIEW
Name:
Address:
City:
State:
Address:
City: State:
Zip: Phone:
zip: Phone:
FEE SIMPLE TITLE HOLDER:
x Not Applicable
COMPLETE
BONDING COMPANY: x
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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, 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.
Zontractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF IsT . L V C_ 1Y
The forgoing instrument was acknowledged before me
this day of S' 20 Eby
re or LontractorIticense
STATE OF FLORIDA
COUNTY OF S_T _ 110 C_1E_ _
The forgoing instrument was acknowledged before me
this _± V day of S 20 A!_ by
(Name of person acknowledging) I (Name of person acknowledging)
ature of Notary Public- State of FioridA )
Personally Knowrfl\_�_ OR Produced Identification
Type of Identification
Commission No.
Revised 0711512014
ature of Notary Public -State of
Personally Known OR Produced Identification
Type of Identifica ion Produced
SUSAN MON I cNtanu
mycoiv([�Imp#GGOi39099 Commission No.
EXPIRES: Apel 2.2029
Bondea ire+ Nc�+Y PutiGc Uc�d
SUSAN~! gNEGRQ
My COWISS10N # GG 489099
Bonded Thru
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
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 7932227 Cate: 91612017
Product: Split System: Air-Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 4TTR40251_1
Manufacturer: TRANE
Indoor Unit Model Number: TMM5A0BZ4M21SAA
Manufacturer: TRANE
Trade/Brand name: TRANE
Region: All (AIC, AL, AR, AZ, CA, CO, CT, OC, DE, FL, GA, Hl, ID, 1L, 1A, IN, KS, KY, LA, MA, Md, ME,
Nil, MN, MO, MS, M7, NC, NLS, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Rl, SC, SD, TN, TX,
UT, VA, VT, WA, WV, Wit 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 regionfs) for which they meet the regional efficiency requirement,
Series name: XR14
Manufacturer responsible for the rating of this system combination is TRANS
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 AHRI-sponsored, independent, third
party testing:
Cooling Capacity (Btuh): 24000
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
1EER Rating (Cooling):
Ralings followed by an aslarisk ('p indicate a vcl-riwy estate of previously,publishod data, unless accompanied with a WAS, which indieales an involuntary rerate.
DISCLAIMER.
AHRI does not endorse file product(s)fisted on this cerbfrcate and makes no representations, warranties or guarantees as to, and assumes no responsibody for,
the products) listed on this certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the
unauthorized alteration of data listed an this CediTicate. Certified ratings are valid only far models and configurations tasted in the
directory at www,ahrid!rectory.otg.
TERMS AND CONDITIONS
This his CeMCeff
Certificate and its contents are proprietary Products of AHRI. This Certificate shall only be used for indlvldual, personal and
confidential reference purposes. The contents of Chis Certificate may not, in, whole or in part, be reproduced; copied: disseminated;"
entomd into a computer database; or otherwise utilized, in any term or manner or by any means, except for the users Individual,
personal and Confidential reference. ASR-CONDMONINC, FIEATINC.
CERTIFICATE VERIFICATION A REFRt6CRATION INSTITUTE
The Wormation fm the model cited on this certificate can be verified »t www.ahrfdireetory.org, click on "Verify Certificate` link V �, w-
Land"ter the AHRI Certified Reference Number and the date on which the certificate was Issued,
is listed above, and the Certificate No.. which is listed at bottom rignt.14 Air-Conditioning, Heating, and Refrigeration Institute CERTWICA�F ISO,. 131491f134t741�4596