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Home My WebLink AboutBuilding Permit ApplicationCOMPLETED FOR APPLICATION TO BE ACCEPTED 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 A _ _ I- 1 1. Permit Number: Address: 2 Legal Description: Property TaxlD#:�{l 2,7 -tpLe Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: �'•: (r -k t c - Gas Tank I=jelectric LJ Plumbing Total Sq. Ft of Construction: Cost of Construction:$ t , r{Sp. 0 p Address: Piping Generator 5Q- Ft. of First Floor: _ Utilities:Sewer Q5eptic City: d "r} o' r C- Stater ZIP Code: 34 a_} 1`_ Fax: Phone No._'i1� E -Mail: Fill In fee simple Title Holder on nl page ( if different from the Owner listed above) Is 02500 or more, a Name: ll Inn Company.. ryt eS Lot No Block No. k/e SyS � n� Windows/Doors I�1 Roof F Rdof pitch Building Height: City: F4 Zip Code: State: i=L Fax: Phone No 1�2.-LILn1- B�t� E-Mail:39zi10 state or County License. -&& IR IJ l \ immencement is reaulrad_ APTi'I Am �,4 3 4 01 12 DESIGNER ENGINEER: x Not Applicable MORTGAGE COMPANY x Not Applicable Name: Name: Address: Address: City: State: _ City: -tate: Zip: Phon- e: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable 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 Count makes no represent tion that Is granting a ermIt will authorize the permit holder to build the subject structure which is in co County with an� applicable Home Owners Association bylaws rules, or and covenants that may hrlestrlct or prohibit such structure. Please consult w th your Home Owners Association and review your deed for any restrictions w chmayapply. 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 intend financing, you to obtain consult with lender or an attorney before commencing work or recording your Notice of Commencement. pnature of Owner/Lessee/Contractor as A�entf or Owner S"ture of Contractor/License Holder -S STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST - J,J)C_lE COUNTY OF- g� uo (Z. The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this J,7 day of (;X i7 e Y- 20 aby this L day of Q r -Vn12tN- 20 _LL by E� P A(VVPC_ F C-f=1M,E-� (Name of person acknowledging) (Name of person acknowledging) -49gnature of Notary Public- State of Florid d I -ISignature of Notary Public- State of Florida� Personally Knowrll\__'__� OR Produced Identification Personally Known � OR Produced Identification Type of Identification rodllr. Type of Identification Produced SUSAN MONTENEGRO Commission No.• MYCO48" #GG Dam 7 Commission No. SUSAN (NEGRO 10 i'* EXPIRES: ApA 2.2021 a, N Sv4M TNu Notary Pubric U = .'% MY COM MISSION # GG 089099 -rf EXPIRES, ADHI 2,2(21 NIF. . . . . I I I I Bortdd Trm Notary "W Un ters 1 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 ans CERTIFIED Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate In -de. AHRI Certified Reference Number: 8703699 Date: 2/9/2017 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR6042J7 Indoor Unit Model Number: TEM4AOC42S41+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, 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 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 210/240-2006 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): 41000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): Rafts renewed by an wastak (') iia a Mundt, owns of pmwous, Wagwand die. unions anwmparrad wits a WM whM IMI®las an imolumay remre. DISCLAIMER MIR does ma enderae Ne productpl IMM on oho Ce,Ofipre and makes no rapeawnleeom, assemblies or guarantees aro. and asw sea no reaparsabifity (or, the Madu0s) Need on this Cambodia. AHRI explicably di claims all liability for damages of any Nand arcing and of tine use or pertormance of the produbllel, or the unaWMnzad afternoon M data luted on this certlllcale. CMlhed m box am wild only fey motlNa and wnegum0one hated In the directory at I .alirinbcator,o,g. TERMS AND CONDITIONS Thin Oman. a and its tomenta are Fropedlay Products of Met, They Catlficale dull only ba Veda la andawdual, .net ada confidential reference purposes Me,wmmne ofthm Cartificnte may net, In whole by In pert W meandered; wplda; disseminated; 19— 11pup entered Into a cnmpmef Oatabau; oe m ossame uttered. in any farm or manner or by act shears, recent for Ole users indlyd0al, Ona. peml act cortmential mfee Ana-f N MMING. NRJDryG CERTIFICATE VERIFICATION hRVIRK tATWAI simrnE Tie lnfarmarbn ear'named cHed on thla ttmmom can ae vedeed et w.-wsb,dnectnry.ury. slick an •ViceifY CerRricnte'IInN wFv li4yrtuor• and emerthe ANRI4mDled eefemnce Immberada the dale on which the certifiable was handed, w•w which is Voted ahwq and rho certificate NO., which is hand at bottom right ----- ._.. ®MM Air-conditioning Heating, and Refrigeration Institute � CERTIFICATE NO.: 131311346115772f1W