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HomeMy WebLinkAboutBUILDING PERMIT ALL APPLIC LE-NUFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED Date kill1 Permit Number: a mo—mFM e Building PerMlt Application Planning and Development Services Building and Code Regulation Division -300 Virginia Avenue,Fort-Pierce FL 349$,2 Phone: (772,)452-1553 Fax:(772)462-1578 Commercial - Residential PERMIT APPLICATION FOR: �� To Select from dropb©x, click arrow at the end of line f +• } / F 7 v �ii �' ,' j ��'�r.i�1t ti:�r�. r��k�4�.i y"' � ¢���j� "s h��?(iPr• �' .'[ ]. t ;r f 1 _ . Address: z D D ►� Legal Description: I rl } 1 bS Property Tax ID#: 4 c-�ZV3- lQ C)C) _ 1 Site Plan Name: Lot No. Project Name: Biotic No. Setbacks Front_. Back: _Right Side:Left Side: K 'r r �+�} - �S]]{�+''�]'�F5 z ( C r cri ti f NjI `,� 5 !;;{if � �x1. rl�°+f`eg 1kilN i}r�zS�Pi��i l s.rtr44 y .i +7 5 ona wor e o orme un er sperm �-c ec c a a i n ,;+� .; 1> r,,:. ~•4 Pp y� ,,•��.: .:� i3 HVAC Gas Tank ©Gas Piping �.Shutters Windows/Doors OElectric E-3 Plumbing ❑Sprinklers Generator Roof Roof pitch Total Sq.Ft of Construction: S .Ft,of First Floor: Cost Of Construction:$ ��.CAD LitilitlestSewer Septic Building Height: NO ,ry59T Namel _ Name: ram}Qom <r r .Nsr:,r.. Andress: o y\1. Company: S.. City: X� State:rL Address: Zip Code: F,,!. 4 9 Fax: City: Phone No. `1-12-- 4 Lef�- Li 3 State:' L E-Mail: Zip Code: u1�1'� t Fax: Phone Na, LAU I - $-T j L Fill in fee simple Title Holder on negi:page(if different E-Mall:from the Owner listed above) State or County License: If value of construction is$ WO or more,a RECORDED Notice of Commencement is requ;red, �$UPPLIVfENTAI C�INSTRUCTI ?N �.1EN LAIN;#N�ORMATtQNt ,r,'ti r i DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: 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 County makes 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 our Notice of Commencement. o nature of Owner/Lessee/Contractor as Agent for Owner S ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF--- —St -L1� ( 0 �_ COUNTY OFThe forgoingforgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this A!C__day of P ' 20 Eby this--LK day of 20 1:1_by l Iy'%_ " (Name of person acknowledging) (Name of person acknowledging) L ignature of Notary PL�ublic-State of Florid ) s u ignature of Notary Public-State of Florida Personally Knowr)�—OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identifica on Produced SUSAN IhONTENEGRO It OAB...� Commission No. • t MYCO iGaoss Commission No. SUSAN(,( NEGF'0 S. EXPIRES,,April2.2021 r�r 5crrded TToti Not�y riurs t,i t. i,s t�Y CO tiiMISS10N#GG 089099 i', fii 2.2021 Revised 07/15/2Q,14 '�;.,;�,e��' i3ondt�1 Thou xotery Put,�c UMez�mters 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 mosd between Feb 17,2009 and Dec 31,2016, Certificate of Product Ratings AHRI Certified Reference Number:7932227 Date:911812017 Product:Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number:4TTR40251-1 Manufacturer:TRANE Indoor Unit Model Number:TMM5AOB24M21SAA Manufacturer.TRANS TradelBrand name_TRANS Region:All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,ID,IL,[A,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:XR14 Manufacturer responsible for the rating of this system combination is TRANE 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: Codling Capacity(Btuh): 24000 EER Rating(Cooling): 13.00 SEER Rating(Cooling): 16,00 IEER Rating(Cooling): 'Raring.followed by an a t.di,x(')indiaMe a vdunlery rarate of p—ly puhl.shed daia,unless acwmperued with a WA$.vvhlch indicates an involuntary re�aie, DISCLAIMER AHRI does not endorse the productls}listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the pmduct(s)listed on this CertMF.cate_AHRI expressly ddsclaims all liability for damages of any kind arising out of the use or performance of the produce&),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.ahrldi reetory.org. TERMS AND CONDITIONS ®' This Cc trti at tl Its carlarin are proprietary itrotlUct5 of RtiRl.This Certificate shall only he used for inddukdual,personal and oondiq fiat reference purposes.The contents of this Certificate may not,In whole or In pert,be reproduced;copled,disseminated; entered into.computer datebuse;or otherwlsa ufillzed.in any form or manner or by any means.except for the user's Individual, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION 4 REFRIGERATION INSTITUTE The Intormatlon for the model cited on this cenirtcate can be verified at www.ah Ndirectory.org,click on'Verify C-dfix: W link ,,.i, and enter the AHRI Certified Reference Number and the date on which the certificate was"lion, which is listed above,and file Certificate No.,which Is itsted at bottom right. 1315�t7ai35719345372 C12014 Air•Conditkoning,healing,and Refrigeration institute CERTIFICATE NO.: