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HomeMy WebLinkAboutBuilding Permit ApplicationMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: 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 APPLICATION FOR: To Select from dropbox, click arrow at the end of line AA Address: Zle l U _ NCWii -br�.lf Legal Description: Dill R l n cc n-y�y- Ems, +0 _J -CS - 7 I Property Tax ID #:2-L4,71 Lot ii F Site Plan Name: Project Name: _ Block No. I_ Setbacks Front Back: Right Side: Left Side: ❑ Windows/Doors Plumbing ❑Sprinklers E] Generator Jill El Roof = Roof pitch ii:.1. Gs.11 IMAM. �tns40.�lc pr U�- l U 'Fav lt4 TaN OJra 1.0 2.S �N Caxr�eu R�� syst�w�s LU wol. va-r,c,- . 5ele t-,4- a�.-� �r�cueXs ou-�d l o Knnl e:l e�t-rl c h_Ro`�' Gas Tank uGas Piping H- Shutters ❑ Windows/Doors Plumbing ❑Sprinklers E] Generator El Roof = Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 712-,5 O O O S. Ft. of First Floor: _ Litilitles:12sewer USeptic Address: Z-tn 1 L1 0 f-icN} • -D Y-. City: _ �CS ( \- - P; e X c 4 State: F I Zip Code: 3 y G % Z Fax: Phone No. 5 to 1- 21e 2- E -Mail: E -Mail: Fill In fee simple Title Holder on nept page ( if different from the Owner listed above) more, a Name: (II Company: Address: -: Building Height: Wny: r"T .: r t ill State: EL Zip Code: 31 -In '11.# Fax: -7-17 - 4 tax - _TJ Z2 Phone No. 11 - 1.1 to,1 - g1 .i I E-Mail:��p�Ytrvtf'. Jnr l r� State or County License: g A ntJ1R C) \ DESIGNER/ENGINEER: x 1401 Appllcaoie Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: x Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: x Not Applicable Name: Address: City: Zip; Phone: I certify that no work or installation has commenced prior to the Issuance of a permit. no :e thepermit holder to build the subject structure or and covenants that may restrict or prohibit such 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 as STATE OF FLORIDA COUNTYOF ST LUc j The forgoing instrument was acknowledged before me thls j�._ day of 20 L1by person Type of Commission No. Revised 07/15/2014 Produced identification MY COMill"IP1,1 1100089099 C_ STATE OF FLORIDA COUNTY OF ST_Wc_lE The forgoing instrument was acknowledged before me thisk-1dayof bcFobrN 20 AJ_ by 1 r�:YvtE-C, 'F e1?_kMF-S (Name of person acknowledging) Public- State Personally KnownOR Produced Identification Type of ldentiflcat4on Produced Commission No. TSUSAN M0NWNEUKu illirR'�,..,"-' a MYCOWISSIONIIGG089099 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 OL CERTIFIED between Feb 17, 2009 and Dec 31, 2016. Certificate ®f Product Ratingsj AHRI Certified Reference Number: 9200325 Date: 10/13/2017 I' ' Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number. CA16NA048.0"A' Indoor Unit Model Number: FV4CN(B,F)005L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING i Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, NO, MT, ND, NE, NH, NJ, NY, ON, OR, PA, RI, SD, UT, 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: 16 SEER AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING 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): 46000 EER Rating (Cooling): 13.50 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): ' Ratings Strewed by an aaleMk 1'1 wedded Mlmlary ha.m t drevbudy,/bared date. unless srmmmaiad aid n WAS. Mich irdleass an Inwlunlary mob. DISCLAIMER AHRI deed not endorse the pantheist IhIM on this CertlOcme and makes he ropamentations, warrenlies or g .... a ten—lo, and assumes no Ier"naitalllly W, the poduc h.) ILSbtl on an, CerlNic01[. AHRI astarrely dlSGelme all la ellly far damages of any kind arliing eut ot the use or pemornamee at the postulate), or the rwul rioned alWontion of data Idled on this Certificate. Candied ratings arc veld only for models and configuMdons listed in We direetOry at vi—ahridi rectory.arg. " TERMS AND CONDITIONS ® i nip This CertXlcate and Its contents are amprletary produce of AHRI. This Certificate shall only he used how Individual, persanel and - Confidential refaren alindr nis.lhecontentsal tics CeniNmb maynol, Inamorata part. 0erepmdmed;coplad;d1asemMated: 0%0 0 ■o, basoraerwlse ner arrived, In any lomanner Or wri means. except ler the near. arketuml, i enteredlnta a comprm, daaeq N elemenal end canRdenliwa oIntel. AIRCONpIDONIRa, N'cATINC, CERTIFICATE VERIFICATION B RUNMERATION INSTITUTE The twormmlion forth. moOel chest oa Mia cenHcam..n 0e verified at v.y,.wdddinmtrw erg, disk an'Varlfy ct,,bticnte' link antl enter the AHRI Certified Reference Number and the area as "fell the CerufiCale MAs ISI ard, whkh is listed above, and the CertlMate No., which 1s 11W. at 1almm.I1M. CERTIFICATE NO.: 1315238698DNO4060 ©2014 Air -Conditioning, Heating, and Refrigeration Institute This combination qualifies for a Federal E 11 10 ili-X e , Efficiency Tax Credit when placed in sl between Feb 17, 2009 and Dec 31, Certificate of Product Ratings AHRI Certified Reference Number: 9198752 Date: 10/13/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA16NA039'0—Ain Indoor Unit Model Number: FV4CNF002L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, ON, OR, PA, RI, SD, UT, Vi, WA, WV, WI, Will. 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: 16 SEER AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING 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 AHR4sponsored, independent, third party testing: Cooling Capacity (Blur): 28600 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): Retinas listened by an a5bnekl'I indwle a Mondry drab of previously WbbMM dale. olow xmnpanied with a WAS, wM1ichi—fin en Ream- (mods DISCLAIMER ANSI does not endorse me pradu ds) listed an rhb cmaticale and makes no reprtsentatmrd, warrens or guarantees as to, add essumas no resparmadlllly for, the prvducRs) listed on thin Certificate. AHRI Osprassll dlslalms all IlaWlry for damages of any tend arising out of the use W p ifornbnca Of the product.], or the unautllmkOd weddilon of data hetes on that Ccnlficsle. Unified ratings are valid only for dra l5 and configurations listed in the Abutiory at www.aNritliremary.urg. TERMS AND CONDITIONS This CertNkete and Its canlenla at. idea lary probes of AHRI. This Certificate shall only be used for Individual. personal and r confidential reference purposes. The contents of this Certificate may nal in whole or In part, be reproduced: copled; disseminated; l- �N !``I depend Into a computer deludes, or ournamlx alibied, In any form or manner or by any means, except bar the mans individual, person,; add confidential residual AIRCONOTTONINC, HEATING, CERTIFICATE VERIFICATION & REPRIGLRpTION INSIINTE Thelntormalbn for the model cited on this wouiNcam an ba verified at www.andrilm.wry.[r6.[I1c1% an'Vcrity Certificate' Iink '.IV lnnu.,- and enter the AHRI CMiOed Reledenou Number and We dale on whkM1 the coNflWte was issued. which b listed abovs. and the Certificate No, which is listed at bottom debt — 3062. 8 g 2014 Air-Conditloning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131523869980"3062