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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICPLE/INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: '� Permit Number: Building Pe rMit Applicati®n 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 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the and of line KA 0, L. Address: Legal De: PropertyTaxlD#: Site Plan Name: Lot No. Project Name: Block No. Setbacks Front Back: Right Side: Left Side: nS-�-0.klCk-+i13-'1 of likC Y \ kC S T8N TY0.v�C (I \j `6 I<v,1 e,I e -L -r i c- h �� Gas Tank L.JGas Piping Electric LJ Plumbing Total Sq. Ft of Construction: Cost of Construction:$ nn QQ (Shutters Windows/Doors Generator Roof S. Ft. of First Floor: UtilltlestSewer QSeptic Building Height: City: tc:C)4C AcO2 State: -E2 Zip Code: Fax: Phone NcI 32. - Z 14 - D9 Lo 3 E -Mail: Fill In fee simple Title Holder on nelgt page ( if different from the Owner listed above) construction is $2500 or more, a Name _......H,.,s 0,n11V1G�, FIt Company: �V1JVICS`IiCCA-4-i^r,ri` ,.i �n� Address: hylp N 1 C u� 1�.1 City: F} • Ti iYC e State: (=L Zip Code: 1 -IQ-} Fax: -i-i 7`_g Phone No. 117 - L91,1 - a-, .1, E -Mail: 1�a4ll State or County w� $11PPIEhiTALJCONSTRUCzTIbILIEN,IigW,INFORMATIN'al . r• . . 4 . i i ,.N , 11i r i•, � 1 . I DESIGNER/ENGINEER: x Not Applicable Name: MORTGAGE COMPANY: x Not Applicable Name: VEGETATION Address: Address: STATE OF FLORIDA City: State: Zip: Phone: City: State: Zip: Phone: COUNTY OF Ss - LUC t E FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: x Not Applicable Name: The forgoing instrument was acknowledged before me Address: City: Address: this day of QN , 20 _j�by 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 ermit will authorize the permit holder to build the subject structure which Is in con ict with any applicable Home Owners Assoc ation rules, bylaws or and covenants that may restrict or prohibit suc 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. Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR Zi �--ti s VEGETATION nature of Owner/Lessee/Contractor as Agent for Owner • ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTER COUNTYOF 5-C AI )CII- COUNTY OF Ss - LUC t E REVIEW The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me REVIEW this day of O L�p�� 20 by this day of QN , 20 _j�by J PI�nF 5 F c>�?-trAES GP -t (Name of person acknowledging) (Name of person acknowledging) -45ignature of Notary Public- State of Florid ) Signature of Notary Public- State of Florida Personally Knowr>� OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identifica on Produced "C'•n SUSAN MONTENECRQ Commission No. MYCOMSIMFI#GG 089099 Commission No. .' Su"AN( d�NEGR0 •<; EXPIRES: April 2.2021^' •'•;t MY COMMISSION # GG 089099 <x...,' so�a�am� NoanPue�u �., "• z zozl Revised 07/15/2014 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 between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 7501859 Date: 9/29/2017 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: 4TCC4042AI Manufacturer: TRANE Trade/Brand 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, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, Will, Wl, 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 (Stuh): 40500 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): Rurn, followed W an asle,ck t') C,iome a WIWtOry to W p9vquSly WOLcned too. Mimes eCtnlpblNdwWll a WAS, shish androa es an enamel rerem DISCLAIMER AHRI does net endorse the product(s) round on NIs Cadflecate and makes no reme erh atlan. warranties Or guarantees M to, am ethanol no raspom wilty for. We productou listed on this C<rtlmcao. AHM expressly disclallrd all liability for damages of arm Mind welog out of the ate pl Predetermined of the pmdunlsl. W the atvha,ized alteration et cook listed en this CeNReate. Command moms ars valid only ler models and condguralbm listed In the ddreclory at wwworuldroctory.c'e. TERMS AND CONDITIONS This CenRoom and its tonnes are proprietary products of AHRI. This Cerlilicate Shall only he used for lntlivldual, personal antl ��, cdnnderalal aleren=e purposes. The oeatch,unihis,elflrate maynk4 In wholecumpan. hurepmduced; copied: dbeeminated: A■.■ri entered Into a compulerdelab amm MM1erMX answer. In antimatter ammeter byenym6 m.eec ptfo, the user'S lndhl0ual, a personal and cennaential reference. AIPSOeOm STION INSTITUTE TITUTE & REFPmERAioN IXSTINTE CERTIFICATE VERIFICATION Thelnrmmoike To, be mWel cited on tmis luldi.e. an 0e verified at www.anritlirwetory.org, tll[M en'Vedry Certificate . y,. n"Larry^ antl enter the AHRI Certified Refee loo Number and the deo on "loll the cenlllratewas issued, - , ��_�— ..._... which is listed shouts and the Coleman, No.. which is listed at bottom dgM. 131511624022140243 ®2014 Air-CondlHDning, Heating, and Refrigeration Institute '.� CERTIFICATE NO.: