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HomeMy WebLinkAboutBUILDING PERMIT i All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �aZ 1 Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 / Phone: (772)462-1S53 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: �1 t�1 Legal Description: �[Zj�n_p 4�� —COI�7-f— —Pu-b aA- l' GA Property Tax ID : {?} ?�I — C)q— 'c 30 ` c--,cc::) " 3 Lot No.� Site Plan Name: Block No. Project Name: 1/r &Q 0L f1MV1 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: �- C Lz> i 4) 1 fl CONSTRUCTION INFORMATION: _Xddit-ignal work to be pertormecF under this permit—check all that apply.. Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _ Plumbing _Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: 1 13 4 O Sq. Ft. of First Floor: Cost of Construction: $1 6 La Q0. CC Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: t(�� CONTRACTOR: Name 2'l1 (F aXGL. i 7cgIName: Address: R-lot '�irn ASc�n`�� c��— �� �JJ Company: r �Liv ol City' t'o�'(✓ L�1L' State: _fa_ Address: 1'I?�Cltmh Zip Code: 4414�Lo Fax: City1�r-1 S-j- L .A - StatefL Phone No.� Zip Code: _:3L�$Le Fax: E-Mail: Phone N :):2 -51 " 5;25L Fill in fee simple Title Holder on next page ( if different E-Mail: \ \ • CO from the Owner listed above) State or County License: 0?1(o(a 39 _ a if value of construction is 2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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,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 recordin o r Notice of Commencement. Signature 6 Owner/Agent/Lessee Signature of Co or/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF -Q, The forgoing instrume t as acknowledged before me The forgo4ing instrument was acknowledged before me thi day of ,20L by thi�( ay of 20-0 by (Name of a son acknowledging) (Name of p ds acknowledging) (Signature of Notary Public-State of Florida} (Signature of Notary Public-State of Florida ) Personally Known OR Produ ed dJ! 2' Personally Known ✓ OR Produced! en ifi ti n Type of Ide Type of Identificatio a Nti'' DEBORA d`'v a' ,, O,p Be%s ';Pg c'w DEBORAH Commission D?' '� ': Notary Public S Commission No. ?�: :"= Notary Pr ,iltate of Florida Commission #'F Commission FF 179630 zs9r o ' M Comm.Expires ;rEOF«,?, My Comm.Expires Nov 30,2018 REVIEWS R NT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. //2014 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service CERTIFIED" ibetween Feb 17, 2009 and Dec 31, 2016. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 3869174 Date: 9/21/2017 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14ACX-047-230* Indoor Unit Model Number: CBX27UH-048-230*+TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: LENNOX Region: All (AK, AL, AR, AZ, 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: MERIT 14ACX SERIES Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC. Rated as follows in accordance with AHRI Standard 210/240-2008 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): 46500 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 JEER 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 u�, This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for Individual,personal and it confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated; � .. `' 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, &REFRIGERATION INSTTTUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at click on' erlfv Certlflcst 'link ,e make life hetter" 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. 131504715588500796 ? ©20t4 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: