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Home My WebLink AboutBuilding Permit Application 1 OCT-13-2017 FRI 08:43 AM CENTRAL SCHEDULING FAX No. 3212686138 P- 002 ALL APP//L``II LEI 111`0 MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED Date: lJ 1-7 Permit Number: 17/ 0, 0.337 , . . ,,:, AN - RECIEE� Building Permit Application planning and Development Services OCT 1 2017 Building and Code Regulation Division 2.300 Virginia Avenue,port 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 •1.'1'.',M1 r.4s'A•n• �' r•r•.yrl�ve )i t nTk'��h•t`'d1'G '�'.r � 'i�. � •7 Njb./M it ''+ �' Address \ d M i etre --7 Legal Description: r) �J �l - L !✓� Property Tax ID#:. Lot No. _ Site Plan Name; Block No. Project Name: Setbacks Front Back: Right Side: Left Side: w Y-?'_o�v '6 f 1 Additionalwor o e e orme an ert 's perm —cneCK all tm appy: y ❑HVAC Gas Tank E]Gas Piping _shutters ❑Windows/Doors Electric 0 Plumbing Sprinklers El Generator Roof Roof pitch Total Sq.Ft of Construction: SFt.of First Floor: Cost of Construction:$ J . CIO Utilities: Sewer[]Septic Building Height: f Name Name, Address: 1 Company: City. L'01 State: , Addr UyliaP03C 6 Zip Code: �1 ' Fax: City. 1 State: Phone No.-1 1�, Zip Gode-, Pho E-Mail: ne No. �' Fill in fee simple Title Holder on.next page(if different E-Mail: ,► QW from the Owner listed above) State or County Lic se: If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required. OCT-13-2017 FRI 08:44 AM CENTRAL SCHEDULING FAX No. 3212686138 P. 003 -.t:Ir.�'at'. �� :_ti•:.�n'yr" ,.�� l..l; ..VVvv 1f/µ�,1`p'� `1 1♦`1y `1r. Iy\ry1/. 1■`y1 :1 .�,i :,,tl' a f. "i;a Jry ,�, ii�•• �f E. ::.J ., i., :, l `. .: .ll ,l Y`• 1•M.i:! �. •I.Y -.O .'� ./�.t:�If ,iib)1.1��•'f�fly'I..gl�1i�.�":5,i1:�. 6','f,��:.1. �'S;�n fir: .'A L :1.��T: �'C ,�, .'�!i1�1�,:1. ..M'::TI.•�_ �s,�,; ,sf :�� ,,,...�1,�Q,f, ..�•y��.:,/r,. .a .�.�� a'h:' fi`^a�`�;��y��irY`''�`'..N�"'s-� ."�';, i °;�> �5�;v,�:�.' w:� .n '3:�"•; ^a5 Cy •�, J'.•"�� f. r s SiS, -:� "t(y. ,i��' + � DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: —Not Applicable Name; Name: Add ress:__. --..------ 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. St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject strupture which is in conflict 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 our Notice of Commencement. Signature ow er/Lessee/Contractor as Agent for owner signature o ontra or/License Holder STATE OF FLORIDA �, STATE OF FL IDA Q (� COUNTY OF sk a wC1e- COUNTY OF c ` �- The for Ingtri m t as acknowledged before me The for oing instrumen was acknowled a before me this day of 20�.by thi!: ,day of 20 , by Name of person making statement Name of person making statement Personally Known QR Produced Identification Personally Known OR Produced identification Type of Identification Type of Identifcation Produced Produced (Signature of Notary Public-5; l;for' (Signature of Notary Public-Stat Florida) VAerine Konger A Catherine Konge>r �� =C on fiF172372 Commission No. �_Cf 1on#FF172372 Commission N �� Oa 28,2010 ,`.. empires:OCT 28,2018 ' ff��•' D THRU 1SCFIORIAANbTAii1�LLC ,aF�L�:•' HONDaDTHRU ��nfu� 15TH RMANOTAA LLC REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW. REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 1 ' I • OCT-13-2017 FRI 08:44 AM CENTRAL SCHEDULING FAX No, 3212686138 P- 005 This combination qualifies for a Federal.Energy Efficiency Tax Credit when placed In service swil CERTIFIED 1%,V1 VV.all rid irectory.org between Feb 17,2009 and Doc 31,2016. Certificate of Product Ratings AHRI-Certified Reference-Number:.7510392 bate: 10/13/2017 Product:Split System:Air-Cooled Condensing Unit,Coil with glower Outdoor Unit Model Number; 14ACX-036-230A'"t` Indoor Unit Model Number:CBX27UH-036-230*+TDR Manufacturer: LENNOX INDUSTRIES,INC. Trade/Brand name:LENNOX Region.All(AK,AL,Ail,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,Wi,WY,U.S,Territories) Region Note:Central air conditioners manufactured prior to January 1,2015,are ellglble 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 na A-..M1�. T:.14AC)C;SIE - ►tt. RI R - S.: Manu d'cfuref�res�'o4isi�ble?f'��'t�e�. Rl f�N�fOXN US e:wltfl>AIiR1St�r1�d�.f'd;�9.012�42008-fQ1tU11#elryA. .: :., n...I..+. :... g.....:d>AIK.. r�,urce_ He t:Ptliiip' Egtflpine't''acid'""ibjbct.to.verffication of ratio :acourac�+;;by;AHRC-sponsi5red� ifitleplendt'i1t tltlyd ,d I•.;:> :,,.v...:ki, ia:f ;:..::. ['i:'1 .c1 k,•.. i,f; t'a' a tie'tin" t S .9� :ay is�f - •�:+;. ':4'i r ra` •:o s:::... is n.;::.+:...:r..�..::'.::_:v^•^:;.:.q:n7a,, ,,,,. ,,:;at:;.;::isa•,,..r .&:2i r:� k• �-c :..1;c.:'e'. 'iii•: �:>�:'.:••.,:: ��1�.r pe.11n :<C.a aciC�.:�.tuli` 342 •''Ki �i 1' L•' •I:it •:1' ., .,;..,,.. .,..,::.:.:.....,:.t..:w•:::.,..r., .::xt:�:.s:,.; :.,.,.:.,.>..,.t,•5.:•><-::,,.r.X 4•t ,k r::::<r :ii:ti`: >t..r,;r, r t > ,s„t. :r...r'ii:, :.f"`.hi.•,.11i;l'i'iiKc�fl;et ii' t.s+lr` ..n'>••<i. ,..: .>, t"F :Fry: ..rig::(. .l...g)�<:• :> ra9:e — a' - $ - .0 ,ry, 7y - .2Y" `J'•• J:I..Y.'MW::,—u:::'"f"if.;f�..,....,.,.+:itir,"•i:. 77 r.r. IEER Rating(Cooling): Ratings followed by an astedsk()indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which IndleWas on Involuntaryrerste. DiSCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warnantlas or guarantees at tO,and assumes no responsibillty for, the product(a)listed on this Certificate,AHRI expreasly dleclelms all Ilampty for damages of any kind arising out of the use or performance of the product(s),or the unauthodz.od alteration of data listed on this Certificate.COttlFlod ratings aro valid only for models and configurations listed In the direatoryat www.ahrldIreotnry.arg_ TERMS AND CONDITIONS This Certificate and Its contents are proprietary products Of AHRI.This Certificate shall only be used for Individual,personal and Confidential reference purposes.lha contents of tlits Certlflcate may not,In whole or In part,be reproduced;copied;disseminated; , entered into a computer databaso;or Otherwise utilized,in any form or manner or by any means,except forthe user's individual, personal and confidential reference. AIR-CONDMI11NING,HIZATMG, CERTIFICATE VERIFICATION a Itr VnIa9wtnoN iNatrtul'G The Informallon forthe model cited on this certificate can be verified at cow W.alirldlrectory.org,click on"Verify Certificate"link we make life better- and enter tha AHRi Certified Reference Number and the date on which the certificate was issued, which Ia listed above,end the Certificate No.,which Is listed at bottom right, ®204 Air-Condltloning,Heating,and Refrigeration institute �I