HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 17 Permit Number:
•
Building Permit Application
Planning and development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: .F�"
/ `� / I
(-c-(-Address: c( -c -(-2C
— 6u'1) L 1-i' t -a ,UIQ " SE . L / e"/'& .
Legal Description: C a P6 () Of cc'
,-H lei
i(r ,f 1� -1,6,1 — I 1'4 r 1
Property Tax ID4: 2-'J2&- 62 �-4_1 `'L Lot
Site Plan Name:
Project Name:
/I He-,
Block No.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
;7tIS V Cly" -66/1 64 3-7'411 t�� 6 �e-_K f G cf f C f'%769_eW Lely r� 66 I
Ir, V -Z a
CONSTRUCTION INFORMATION:
Additional work to be ae orme under this permit— check a appy:
HVAC L�I Gas Tank E]Gas Piping 0shutters a Windows/Doors
Electric 0
Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 05-60"
J 60;
OWNER/LESSEE:
S Ft. of First Floor: _
utilities:Cn Sewer Elseptic
Name��
Address: 5LWI 10- , LICV76Z Vj-'/a ,)r�
City: py r'y &I �L f� Stater
Zip Code;:.3C/C/. `3L% Fax:
Phone No. '7 2 - 34L1 —7&15/
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
I CO
max..
Building Height:
Name:
Company: IY�cK�Iur-t_ (Z,teS ty & 1h -y
Address:[,"�
City: � �- t 9—eac f7_ Stater
Zip Code: _q"9J_f Fax:
Phone No. -772 l -{Y 2 177Z,I
E -Mail: `C�cc 1 qq& (��''C.�a
State or County License: �r �e)-1�2 ?e _
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ' Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count 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 l 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 roams 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.
Signature of Own r/Lessee/Contractor as Agent for owner
STATE OF FLORIDA.
COUNTY OF
The forgoing instrument pjas acknowledged before me
this day of 20 Eby
s
Signaturb f Co ractor/License Halder
STATE OF FLORID
COUNTY OF—
The
n
The forgoing instrument w s acknowledged before me
this r5day of L- 20 _a by
LOILe-_ U�yQ1L_(__q L_04_�. 0(flh_e4_
(Name of person acknowledging) (Name of person acknowledging)
(Signature o N tary Public- State of Florida) (Signature of Noary Public- State of Florida )
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification R_ rnv
On! ARO Type of Identification Pro
Commission No.
Revised 07/15/2014
Commission # GG 62174
My C&�?A)ssion Expires Commission No.
January 14, 2021
40YY POLLARD
Corr{ Jon # GG 62174
My Commission Expires
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CERTIFIED
www.ahridirectory.org
Ceftificate of Product R
AHRI Certified Reference Number: 7615285 date: 9/12/2017
Product: Single-Package Air-Conditioner, Air-Cooled
Model Number: P7RE-036K
Manufacturer: FRIGIDAIRE
Trade/Brand name: FRIGIDAIRE
Region: All (AK, AL, AR, A2, 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: FRIGIDAIRE P7RE SERIES
Manufacturer responsible for the rating of this system combination is FRIGIDAIRE
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): 35000
EER Rating (Cooling): 11.00
SEER Rating (Cooling): 14.00
IEER Rating (Cooling):
Ratings followed by an asterisk (`) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate.
DISCLAIMER
AHRI does not endorse the product(s) 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 of the product(s), or the
unauthorized alteration of data listed on this Certificate. certified ratings are valid only for models and configurations listed in 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, personal and
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confitlential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;
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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. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www,ahrid!rectery.org, dick on `Verify Certificate" link we make i ife better—
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right.--'
CERTIFICATE NO.: 13149709977474699
@)2014 Air-Conditioning, Heating, and Refrigeration Institute