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HomeMy WebLinkAboutBuilding Permit Application 00-11-2017 WED 07: 29 AM CENTRAL SCHEDULING FAX No. 3212686138 P- 002 A!_L APPLIC BLE NFO MUST B6 COMPLETED FOR APPLICATION TO BE ACCEPTED Date:Z6 Permit Number: Building Permit Application OCT 11 2017 Planning and Development Services Building and Code Regulation.Division 2300 Virginia Avenue,Fart Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line pa;�: .r i r 1>,. ��.^-!"�.,.µqi:x< r .t rpc +v• ,' A:' t as: .,� }! •�riID�iZy/'..i] Address: Legal Description: 1 Property Tax ID#: 111 -00(21 ✓Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: Room �J �1 ' r TH ne wor o e e Orme Inrff(;,rsmP]-i —cec a appy: VACGasTankping _Shutters Windows/Doors Electric ❑Plumbing Sprinklers 0 Generator Roof R6of pitch Total Sq.Ft of Construction: S . Ft.of First f=loor: Cost of Construction:$ utilities:I]Sewer[]Septic Building Height: yi l;t� , �,� '! F>C. mow;iTA. f.�a r.5 '�,�'✓'�� SIJ f� 3}',# r,. ;�� � Name Name: Address: ! �l I Company: C City. I Cf State:fi Addr, s: Lo. Zip Code: J 1 lax, City: i State. Phone No. ID_ ���—.�`) ' Zip Cade• E-Mail-, Phone No.-]:]7,— Fill o.Fill in fee simple Title Holder on next page(if different E-Mall:CALDnnef (- M00 • U from the Owner listed above). State or County License: If value of construction Is$2500 or more;a RECORDED Notice of Commencement is required. OCT-11-2017 WED 07: 29 AM CENTRAL SCHEDULING FAX No. 3212686138 P- 003 .5 4 "' i J I?S! � 4 +ti<I"!i .,..M 11yZ'�'n:�•I;;i`.r:'w^f,Y41?!, ".a, � .i:C')�4�•i . ': T . :T Ii. I <I I '1 [VIA':I`4.. a.ro ... . � .�. 1. ,rtir^ d. '1,.!,4 •V ,`,✓. .4 - 'a!'R ty 1rN 4v?, i;l r '4'`{ r,• t . .''T" Al: •i .�`.` r. S'' ,y��rF. ;'I�.i�.,;..t^ iNr..} �1 .5�"�"�' r• ', 'r-`:na!' Ji' .`aid ",!•llj': 4a.+ ;,P6 �'•S Y ko{��'F` A� 5: j'aa" �:Pwtw ,!4.•.'rt .L�;r: r'' XM.ry Ys. ,ai(+A•rn�!%'c13" 11'�i.'' '..ae 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. 5t.Lucie Countyy 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 ane covenants that may restrict or prohibit such structure.Please consult with your Home owners Association and review your deed for any restrlctlons 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 our Notice of Commencement. Signature of w er/Lessee/Contractor as Agent for Owner Signature of on ctor/License Holder STATE OF FLORIDA r �n,�j STATE OF FLORIDA COUNTY OF t Vt l COUNTY OF The f rgoing Instr e t w s acknowledged before me The fp going instru� e t was acknowledged before me th)s day of V 20} .by this day of 20 by - Name of person making statement Name of person making statement Personally Known 34` OR Produced Identification Personally Known OR Produced identification Type of Identification Type of identification Produced Produced (Signature of Notary Public—St '�lor (Signature of Notary Publla Stat lorida) ' �t�herine)ti;onger Catherine Nonger C on#FF172372 7 - C( ion#FF17237x Commission N �� Commission No. - "�=>rs:QCP 28,2018 ,, x= -rxplres:oa 28,zo18 '. }�q�•� DONDBUTHRU C� BONDEDTHRU �r„r•` 1STF[.ORIDANOTAQ1(LLC „•oFlL•�a 157 P�,oR1DA NOTAR I.1.0 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 i OCT-11-20.17 WED 07:30 AM . CENTRAL SCHEDULING FAX No. 3212686138 P, 004 moU CERTIFIED Pertificate of Product Ratings AHRI Certified Reference Number: 7615296 Date: 10/11/2017 Product.-Single-Package Air-Condltloner,Air-Cooled Model Number: P'711E•0421( Manufacturer:NUTONE TradelBrand name: NUTONE 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,N)✓,NH, NJ;NM,NV, NY,OH, OIC,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 condltloners can only be installed in region(s)for which they meet the regional efficiency requirement. Series name:NUTONE P7RE SERIES .t`. Manuf• tur:'er<'�13t�"oiisi• ••e�f�'` "e:"'ayln"'o•;:};Fil�=s� =`C`.o 'b� 't S U T11 ac ,p bl rt:•1:h .r t �.•.�.. y8x�tti, (iX..:4n;�,4.: �,.;,, ,�;u:; „�.., Rated as f61lvvlis ini accordancii,1 Q'=2808 fol, UH bry-Air*Qoitiidltipnl ig sin i J411r-Squrc+� Heat t Uib#.Equlpni6t avid°'.subject to,verificatigrt:oft ting t�cl uraCX bj+AliRl-S ipns red:'.Irii1'epe.`nddbfi third i...,Y•?.i: .. .,,a:.;,>•>,:,: i:;,>.>','� i;i:,,vs.zr ;Y:'ti �>:-;: 7r✓ �rr.> r`t;{>:; ..,:.. S I f`S:k «w:,• ,:.;y" iia-. •:zr ::I. :°r, .,) .:, �,:,.,;"; 1.1 .,,'ai: h. ;..( ��a.3:. ::<:�:: , A "!e .:,J}:.9 ��{•: �� �.,I r;; {1 +i1 S:�,:'•. ':a i':Cbolih• :Ca act •stuh` 3 „:.ra. �';rar..•>sixm••- i•'�ni�; �..;,• IFr'«"F d4:' i . TIF•:; ,:2:i<::s:ffe^y EE Platin Coofln 1 e l l'• t Ifs. .::1} t%�:i.i'.� J;'. .jf•. to ';::i:�::hY^:..:t.>i:.`;::��':.:.�>:�+'�ii:.�M1,•y t;a 07, f. ;lr%I pie t, 1:R•Rat1n'= C:dollri• p0 ' :�::< �t..•<.�>�><�,�:> � 9 %°Ilr' tl Ctid`IIn •:- > f�=f�a n 9 Vill 'd�: 41-vu`rii'+tori :l y, Ratings followed by an astadek(")Indicate a voluntary rerate of previously published data,unless amvmpanled with d WAS,which Indicates an Involuntary rerete. DISCLAIMER AHRI does not endorse the products)listed on this Certificate end makes no representations,warrantlot erguaramees as to,and assumes no responsibility for, the product(a)listed on this Certlflcatc.AHRI expressly dlscialms all liability for damages of any kind edsing out of the use or performance of the product(s),or the unauthorized alteration of data listed an title Certificate.Certlfled ratings are valid only for models and Configurations listed In the directory at www.aUdleadtory-erg. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI,This Certificate shall only be used for individual,personal and t confidential reference purposes.The contents of this certificate may not,In whole or in part,be reproduced;copied;dissaminated; entered Into a computer database;or otherwise uttlfeed,In any form or manner or by any means,exgept for the user's Individual, personal and confidential reference- AIR-GonotTIGNINQ,HEATING, CERTIFICATE VER1t=ICA710H &REFFIGERATION INSTITUTE The Information for the model cited on'thIs Certificate can be verified at WWW,airr)dlrealory.org,click on"Verify Certificate"link we make W beaci—I and enter the AHRI Certified Reference Number end the date on which the certificate was Issued, which Is listed above,and the Certiflcate No.,Wch is listed at bottom r;ght r;. _ ,m,-.t.«•: " " ©2014 Air-Conditioning,Heating,and Refrigeration Institute GT1Fl `; 13152,1�g3 } Q9,2QZ 'r•i;F�% t: