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HomeMy WebLinkAboutBuilding Permit ApplicationALL APP LICrLFANFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED Date: illi � , / I I Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34.982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential. X_ PERMIT APPLICATION FOR: To Select from dropbox, cHcic arrow at the end of line I v, Property Tax ID q: Site Plan Name: Lot No. L- Project Name: Block No. Setbacks Front Back: Right Side: Left Side: .1 �( _ .... q S9. � n .f � +�y ii ,.,� 1(F:i.:di'i:.1�.::.:� l vi St0.l 10.�t s i o� l i k Q frsY l i L -Q- 4 :t " ...::c,: i .:.. 'tea.:. ''L �:�ss Ile SUP w i -ti, 10 Kv� 2 l e Lfr� L he I N � Y� e N C-- S tUr, i l+ L.1 Gas Tank Q Plumbing Total Sq. Ft of Construction: Cost of Construction: $ i l I q �(� . p O Piping LJ Shutters Generator Sq. Ft. of First Floor: _ utilities:OSewer QSeptic city: h Frc v c s L St ZIPCode:aHI1O Fax: Phone No._ `{ l- E -Mail: Fill In fee simple Title Holder on nes it page f if different from the Owner listed above) or more, a ❑ Windows/Doors C1tai Roof ED Roof pitch Building Height: Company v kvirtt��_ mrn Address:'.3h51"I N lAC +til t � City: F4. �t PY State: E=t_ ZIP Code: SWI LJ U Fax: _ Z -i'7 Phone No. _ E -Mail: gp,�l l ry Yl vV+P ra r + 1 State or county License: ga rlD IR— l1 unmencement is reauirna I certify that no work or Installation has commenced prior to the Issuance of a permit, St. Lucie Countmakes no representation that is granting a permit will authorize the permit holder to build the subject structure y which is in con ict 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 your Notice of Commencement. s nature of Owner/Lessee/Contractor as Agent for Owner S' ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST- 1tJLl F_ COUNTY OF S7'-1,-.uC-1 L= The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this Lj _ day of O C -�-r7V-i PX . 20 Eby this V? day of O C +-c> C V , 20 k'J by 3 -p, -MES t Q, —1 YEA E S J j�-M i=S (Name of person acknowledging) (Name of person acknowledging) gnature of Notary Public -State of Florid ) Signature of Notary Public -State of Florida Personally Knowrl� OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced •Tp;;>{q". SUSAN MONTEN Commission No. ` • V. MYCoh(191N1pN#GG08S099 Commission No. •"•'k••••• SUSAN NEGRO itz W EXPIRES: April 2.2021 `F' `• �t MY COMMISSION # GG 089099 ', Sonded Thti NowY�IJ1e --IF it rq ri122021 �7,,, �S,\�:•A Bm d ThN Notary Pubk U Ws Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS DESIGNER/ENGINEER: x Not Applicable MANGROVE MORTGAGE COMPANY x Not Applicable Name: REVIEW REVIEW Name: REVIEW Address: DATE Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable INITIALS BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or Installation has commenced prior to the Issuance of a permit, St. Lucie Countmakes no representation that is granting a permit will authorize the permit holder to build the subject structure y which is in con ict 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 your Notice of Commencement. s nature of Owner/Lessee/Contractor as Agent for Owner S' ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST- 1tJLl F_ COUNTY OF S7'-1,-.uC-1 L= The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this Lj _ day of O C -�-r7V-i PX . 20 Eby this V? day of O C +-c> C V , 20 k'J by 3 -p, -MES t Q, —1 YEA E S J j�-M i=S (Name of person acknowledging) (Name of person acknowledging) gnature of Notary Public -State of Florid ) Signature of Notary Public -State of Florida Personally Knowrl� OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced •Tp;;>{q". SUSAN MONTEN Commission No. ` • V. MYCoh(191N1pN#GG08S099 Commission No. •"•'k••••• SUSAN NEGRO itz W EXPIRES: April 2.2021 `F' `• �t MY COMMISSION # GG 089099 ', Sonded Thti NowY�IJ1e --IF it rq ri122021 �7,,, �S,\�:•A Bm d ThN Notary Pubk U Ws 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 ANn %1 CERTIFIED' Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 8676081 Date: 10/12/2017 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR6049J1 Indoor Unit Model Number. TEM4AOC48S41+TDR 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, SO, TN, TX, UT, VA, VT, 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 region(s) for which they meet the regional efficiency requirement. Series name: XR16 Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and AirSoume Heat Pump Equipment and subject to verification of rating accuracy by AHRlaponsored, independent, third party testing: Cooling Capacity (Bluh): 46500 EER Rating (Cooling): 13.50 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): Ralings Iolkeed by an asterisk n r dente a vdunlary nal¢ olpeviouely putNshM tleN, "were emxnpaMeO wtlh a WAS. wNeh Mlfable an imaineeb, curet. DISC"AIMEe AHRI does not endon, the pmducksj Ilsled on thleCertificate and makes no mlaeserentlons, warranties or guarantees as to, and assumes no msponaiblllly low the products) listed on this Certificate. AHRI expressly disclaims all Ilehlllty for damages of any kind string out of the use or performance of the produc iri, or the urWUMoriced al matfi a of data ruled can this Croincale. counted manD are valid only for models am wnflihimbons listed In the disco, al wwt¢anrl Io ctory.og. TERMS AND CONDITIONS TMS CentHcale and W pontenis am prOptemis pthtluc6 of ANe b This not. in hole or I only. beusedhap for /card: cooled; and V entered reference comput computer database: ocomentsef nithis d. I.A Certificate baby not. in whole or In Dart. ad:mpmaris areminatetl: ■ �� entered Into a computer l mneese: or omerwlse utllited, in am lofm or manner or M any mean6 except far IM1e user's indvldua4 ParCERTIFICATE VERIFICATION & REFRIGERATIIXa.XrgTM6. CERTIFICATE VERthe man etc & eEFRI4ERAnoH iNBiIME The Information for themetlelcited onersone Nu eberandthedte on wMathe cethcair¢cn.leand, tli¢knn •Verily Certificate- link ,•ie-b-re- and enter the AHRI Rrt d the Number w ands listed date on womb me certificate was Issued. °"'"' which is hs1M shave, and HIe Certllkote NO., which Is Ilstetl at tronam right. ©2014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131522904432618632