Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:4111a 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line AA Address: I Legal Description: Property Tax ID #:1$ b 1 n (�n - t o Site Plan Name: Lot No._ Project Name: Block No. Setbacks Front Back: Right Side: Left Side: rel i.11,1121 ;� 9. ti`r•7; c'•^:i^,,/( -er +)'•-H --r.-:e;• ._ . " i .i , :�. i??� \91!l'; f�f •'dTd.(.Qy.: '?Ar `ti % i . . k t 2-5 i-0 iv C9XXYL t Y A�C L,J Gas Tank UGas Piping Q Plumbing []Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 'J 1� C7 O . d <7 Shutters F]Windows/Doors Generator 0 Roof Roof pitch Sq. Ft, of First Floor: Utilities:USewer 1jSept1c Building Height: City: P-t� -Ti tX (--e State: 4=L Zip Code: 3A.9S1 Fax Phone No 11Z-3F;L--1 1Z j E -Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) If value of construction Is $2500 or more, a RECORDED Notice Name: 9v �i �� .. Company: �',ILLpi\CS l iP� F;,.,r; ,,.__.i ^—, Address: City:F} . � 6 F Y State: V -L Zip Code: 3i iq t4 tp Fax: -77 7-4 g Phone No. LI to 1 E-Mall:l<rL�`paY�Y,.,� State or county j fl n _ $UPPI"IVIENTALONSTRUGTIbN?LIEN`IA�!V * p INFORMATIONtt'''' ,1 ZONING DESIGNER ENGINEER: x Name: Not Applicable MORTGAGE COMPANY: Name: x Not Applicable Address: Address: REVIEW City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: x Name: Not Applicable BONDING COMPANY: Name: x Not Applicable Address: Address: City: COMPLETE 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 ermit holder to build the subject structure which is in conflict with any applicable Home Owners Assocpzation 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 0 as STATE OF FLORIDA COUNTY OF S7 - U0 [ 1 t The forgoing instrument was acknowledged before me this day of IoLV , 20 t'1 by M STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this �2- day of Se jqkrM\0C4/20 IZ by J ISS P C,QtM I JLVVVF1, F GP_1WVE,_1 (Name of person acknowledging) (Name of person acknowledging) of Notary Public- State of Personally Know*__� OR Produced Identification Personally Known OR Produced Identification � Type of Identification D Type of Identifica on Produced Commission No. Revised 07/15/2014 MY COh80pG6089699 Commission No. 1_ SUSAN(NEGRO EXPIR�E�S�n:�AA 2.2021 !t`�'�t q MY COMMISSION 4 GG 089099 &AM iTN Nvoy Pubk UWVW .67AI YI DYDIDFR•AnM2. 2021 9ondcd REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS GEM Certificate of Product Datings AHRI Certified Reference Number: 9193124 Date: 9/26/2017 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA14NA030.0"As Indoor Unit Model Number: F84CNP030L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, 10, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 reglon(s) for which they meet the regional efficiency requirement. Series name: 14 SEER AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240.2008 for Units rryy Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRbsponsored, independent, third party testing: Cooling Capacity (Btuh): 28600 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 IEER Rating (Cooling): ' Ratings lollawed Win aslenah I9 sd o»le a voluntary..W of Otovioualy NL3ahed a»I9, unl95a acwmpa,ied with a WAS, which udna ee an involanlal W.W. DISCLAIMER AHRPooes not endorse the p ssubb(s) listed on thin Certificate and makes no representations. warranties or guamnlees as to, and assumesp» rw resns01111y tor, Ibe pmduct(5) listed on this Certificate. AHRI eapretLy disclaims all liability for damages of any kind arming out of the use or pertornumbe at me products. or onethorl ed alteration of data listed on this Certificate. CetlMed ratings am valid only for models and configurations listed in the directory at wwwahrid imctarv.org. TERMS AND CONDITIONS ®� This Cisfilkidefend itscontentsare peopdetary .fthis Corot AHRI. ,HCMMcholshall only. t uxtlfor bod; plepersonalantl entered Into inferenceer lora s. The mntpnts of Ibm ed. in any may nom in whole or in port, as rc except for he use:OLssemdual. A. +® entered In[a a computer tlred... et or otherwise utllizetl, in any form or manner or by any means, except forme user's Individual. personal antlE VIM ential[eferenw. AIR{RIGERA NINSTTG. D, CERTIFICATE VERIFICATION 8 REI'AICEMTWN INSTME Th. Go anto,th la bar AHRI Wed Refer c tMmbera and tia date anwverhtlatwwwabcare was, eR[M on'VerNY Certlticate'llnk antl enter the ARflI Certified RCmmllae Number and Ills date t t which the certMcale was Iswetl, wM1lcb la Ilat¢d above. and 1M1e CeNflrale No_ which o IMed el bottom right. "'— ©2014 Air-Candilioning, Heating, and Refrigeration institute CERTIFICATE NO.: 131509155169585996