HomeMy WebLinkAboutTHOMAS COBB JR PERMIT APPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED \
Date: MOYL l®s Permit dumber:
'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
PERMIT APPLIC4TION FOR: To Select from dropbox, click arrow at the end of line
Address:
Legal Description:
Property Tax ID ##: Lot No. 00
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
3` on 4 vu Ofacr sir.
L j Shutters
0 Generator
Windows/Doors
Roof
Roof pitch
Total Sq. Ft of Construction: S. Ft. of First Floor:
Lost of Construction: $ 9 0 UtilitiesSewer LJSeptic
Building Height:
—^ �_
Name 1 rlUrylGl� f'nh J
Address:�k�
City: - ,� T State.
Zip Code: g Fax;
Phone No. M I -4ocr}lS
E -Mail: N 14
Fill in feesimple Title Halder on next !cage (if different
from the Owner listed above)
Name: ' ann te_l hICIEK
Company:
Address:
City: L .Cry State:-'
Zip Code: i Fax: �4,J
Phone No.� p(p
E -Mail: 4WV l�,L�S- OlJ`{!l• coY1^'l
State or County License: 01
If value of co=ruction is $25(O or more, a RECORDED Notice of Commencement is required.
INEER: Not
arae:
Address:
City:State:
zip. Phone: n
EEE SIMPLE n 3Ti_E H ER: ^ Not Applicable
Name:
Address:
Cite.
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Naive:
Address:
City:
Zip: Phone:
t cent`{ that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
State:
Not Applicable
St. Lucie Countv 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 Horne Owners Association rules, bylaws or and covenants that may restrict or pr®hibiit such
structure. Tease 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: YWr failure to Record a Notice of Commencement may result in your paying twice for
rnprovements to your proper. A Notice of Commencement Must be recorded and posted on the 3obsite
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.
Signature of Owner/Lessee/Contractor as Agent for Owner -
Signature of Contractor/License :Holder
S T ATE CIF FLORIDA STAVE OF F LOMDA
COUNTY CSE =,5mi�.� _..... COUTy gl�
The for Ding instrument as acknowledged before me
this day of 20 L-Lhy
of person
fSig`nature of Notary Pu!�[ic-St
Personally Known r' OR
Type of Identification Produces
6rnmiss#on l .' ,fLEe;,y- 19
Revfsed 07/15�.2014
�,N�AE E.
a ar
lorida
°!
Ica-;our
REVIEWS{ FRONT I
ZONING
COUNTER REVIEW
COMPLETE
INITIALS
The for ping in rumenntwras acknowledged before nae
W
this day . M rs� 20 by
(name of person
Notary i
_� •°9�'auatrS�ia��r
Personally known Q#� n qq*
Type of Identification Produced
Commission No.
SUPERVISOR PLANS VEGETATIO -SEATURTLE MANGRO%
REVIE A] , F&EW REVIEW REVIEW I REVIEW
Ir AMRILICERT1
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 Ratinas
AHRI Certified Reference Number: 10225923 Date: 1011012017
Product, Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: AL21 B3621
Indoor Unit Model Number: AVV37CE22+CC
Manufacturer: CHAMPION BY JOHNSON CONTROLS
Trade/Brand name: CHAMPION HEATING AND COOLING
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, 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: MOMENTUM
Manufacturer responsible for the rating of this system combination is CHAMPION BY JOHNSON CONTROLS
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)
EER Rating (Cooling):
SEER Rating (Cooling):
LEER Rating (Cooling):
35000
13.25
19.00
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 kind
of any arising out of the use or performance
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
of the product(s), or the
directory at www.ahridirectory.org,
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This shall only be used for individual, personal and
ASO
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;
, in hol
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.
RMSM
CERTIFICATE VERIFICATION
AIR-CONDITIONING, HEATING,
& REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.ahrid!rectory.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
we make life better—
which is listed above, and the Certificate No., which is listed at bottom right.
92014 Air -Conditioning, Heating, and Refrigeration Institute
CERTIFICATE NO.:
i3i52t27838636749