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HomeMy WebLinkAboutBuilding Permit ApplicationMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _: j 1 -7 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. '7\_ Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: Legal De: Property Tax ID k: ILj2.9 - <,n l -UOL R_ 0nb _y Site Plan Name: Lot No. Project Name: Block No. Setbacks Front Back: Right Side: Left Side: �v�s4a11 Atioy� of l i 1�� Ilc S W i E g kg—V4 c oneI worc o er orme un er (HVAC Gas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ Lt 2 B 5 - 0 i] r f K2 2- -VbN Yaane 1`C- .S Piping UShutters ❑Windows/Doors riklers Generator Roof _ Sq. Ft. of First Floor: Utilities:Sewer Septic Building Height: _ Address. Z,-)ly' TQ( I-- City: =City: Po Y L -y C -A, State: Zip Code: Fax: Phone No.g3�-e-4 C) S E -Mail: Fill In fee simple Title Holder on nept page ( if dI ferent from the Owner listed above) Name: Sj�^ttt 1= Company: l�Y Address:Ki i -Y- • • . T c r t r.e- State: \-L Zip Code: 514CI L4 la Fax: -x-17- - 4 tel Phone No. E-Ma1L•KQ�� State or County License: r pts IR 0-1 \ Is $2500 or more, a RECORDED Notice of Commencement is required Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: X Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: X Not Applicable Name: _ Address: City:_ Zip: 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 contllct 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 vour Notice of Commencement. STATE OF FLORIDA COUNTY OF ST_i„ \) [ IF Theforgoing instrument was acknowledged before me this Z -Z day of - Sw�Lo2& , 20 \_I by C_ STATE OF FLORIDA COUNTY OF CT-.\_uC I� The forgoing instrument was acknowledged before me this day of GP ni%NnbCV. 20 J_ by J PyMF S F C . fit Inn tS _ I k (-Iy\ �, F -5) U yin ES (Name of person acknowledging) (Name of person acknowledging) of Florid I -f -(Signature of Notary Public -State Personally Knowrjl� OR Produced Identification Personally Known OR Produced Identification Type of Identification pad, -I - Type of Identification Produced +:.'�n.•1q<s MY CO #G60(i9099 Commission No. t:"••.. SUSAN( aONEGR0 Commission No. MdiM .ta EXPIRES: AP812. 2((j }' II� ";t My COMMISSION # GG 089099 . .x.F e._,.ar.n, He,ery Puk UndeAl + 1:': L� ? noneee. e,,.an 9n91 Revised 07/15/2014 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS This combination qualifies fora Federal Energy V. a4dMINTOM Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Datings AHRI Certified Reference Number: 7932227 Date: 9/20/2017 Product: Split System: Air -Cooled Condensing Url Coil with Blower Outdoor Unit Model Number: 4TTR4025LI Manufacturer: TRANE Indoor Unit Model Number: TMM5AOB24M21SAA Manufacturer: TRANE TradelBrand name: TRANE 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, Vr, WA, Will, 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: Cooling Capacity (Btuh): 24000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): Ral lollowea by an evorlsk I') Mtlicala a misilary reale of prevuu4y Wolished deal unless accompfie" ..N. WAS, which Micitec en NWunlery re016. DISCLAIMER AHRI does not eMmm IM pmducNs) listed on this certificate and onew s no repaentallons. wercm eles or gaernteMmea aes as to, and apm raspenslDlllly So. No, Dmouchs) whom an NN CenMcate. AHRI expressly dhcrems ell Dahlllly for damages are, Mind i nslog art of the ase ce performance of IM pradonfl), or the unauthorized alteration of data listed on tills certificate. Certified ratings are yalld Only far models and ConfighnoW M hand In the dltettory at www.ahrltlimctory.org. TER ONS MS MSAND AND CONDITIONS This and Its ONS sere proPdttb ary producof ANRI. This Cerlldcata shall only he used for IndlvMSartorial uah peonal antl confidential purposes. The contents of lNs Cedifiwte may not, in whole or in part, be mproddeah capled; dlsaeminated; 9%1 No m,on:ooa—m mrdaNeve;,raom,-ma uralow, In anyferm ormannerotey enymeaN. exttptrorrhe users liminkmll, personal and Canfltlertiil refs.. AIR CONDITIONING, Ifferr 6, CERTIFICATE VERIFICATION A REFmdERATIeN INTn SRE The lnMinwion mr IN. m., Uteri an .Is eartlNca0 can 0e vennPo at wu.'w,antitlire toryard, oIf.. an-Venly CaetRloaw' link h h1d,,,.r and enter the AHRI Certified Reference Number and the date on which the centrically was harmed, which la IIRBU sell and the Certificate No., which Is listed at bottom ded. 1 ©2014 Air -Conditioning, Heating, and Refrigeration Institute i CERTIFICATE NO.: f313a399d69I822a66