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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BEE COMPLETED FOR A�PLICATION TO BE ACCEPTED \ Date •k -1 ` o V Permit Number: Building Permit Application Planning and Development Services Building and Cede Reguiation Division 2300 Virginia Avenue Fort Pierce FL 34952 Phone: (772) 462-1553 Fax: (772) 462-1578 r, Commercial - Residential PERMIT APP lC _ I.ON FOR: To Select: from dropbox, click arrow at the end of line Address: 35 Tr P(V-C Legal Description: 'MGI i G 5 s �-' P.fID_ L04 -s �,g Mil"" Property Tax Ili#: D ` rJd�- Oc)')� (ribC� ` �- Lot Ivo.4 44.3 Site Plan Name: Block No. "roject Name: �e .. Side:Right Side: i r. v.�� ��.. .�„• l:a "r• A(3altionalo. be a- • -a.under this per .rr 11HVAC F1 Gas Tank 0Gas Shutters ■ r i. Windows/Doors Plumbing EjSprinklersElenerator ■Roof . Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ LAEi(}_ S. Ft. of First Floor: Utilities:Sewer O5eptic Building Height: Nam 4^ Address: City: State: Zip Code: Rc a' Fax: _.� Phone No. a'12- - F -Mail: N 14 Fiii in fee simple Title Folder on next page ( if different from the Owner listed above) Name: "LX l Company: iA(AV(,tUGk G Address: Lab l 3. City: C --C- C- State Zip Code: 3 ©I g -d' Fax: '4V'5 4045 Phone No. E -Mail: State or County License: If Value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Appjic: j Name: Address: City: State: Zip: Phone: PEE SIMPLE TITLE HOLDER: � Not Applicable Name: Address: city.- zip;. ity:Zip: = Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone. BONDING COMPANY: _Not Applicable Name: Address: City: Zip: Phone: ? cer tifv 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 structure 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: yodr 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 fast inspection. If YOU intend to obtain financing, consult with lender or an attorney before commencing work or recordiM your Notice Of Commencement. Signature of Ownerjlessee/; ontractor as Agerit for 5;w^er Signature of Contractor/License Halder STATE OF FLORIDA STATE OF ELORKDA COUNTY° 'OE , COUNTI Y OIC The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 by this day of 20 by (Name of son acknowr gi h (Name of persona acknow ledging)5,�®� P NE°E G�` r/� �— g®� .�ph1A�•iSS/©°°�9��``, ;� y 2� �F� a-` � � : •may -�� rµ ,��uarY �a�uary�r©�,•® {Si nature -of Notary Pu lc-• State. orida (S' nature or' notary P ��_jof . �) �� N X74253 Personally Known ✓ OR Pro 1da;sal��° _— Personally Known ORI Type of Identification Produced -,9A0rr ° �' Qn Type of Identification Produced1A0 t Commisssoni%o: +'rr&Pg: 5 , (Sea j Commission No. (Sear Revised. € YI-E 2di4 REVIEWS FROM ZONING SUPERVISOR COUNTER REVIEW REVIEW PLAINS VEGETATiON -SEA TURTI -E MANGRM ©ATE REVIEW REVIEW REVIEW REVIEW CCi~APLETE INTIALS u:�1 CERTIFIED° www.zhriclirectary.orgCertificate of Product Ratings AHRI Certified Reference Number: 8456855 Date: 10/171,2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: TC463021 Indoor Unit Model Number: AP30BX21+TXV Manufacturer: CHAMPION BY JOHNSON CONTROLS Trade/Brand name: CHAMPION HEATING AND COOLING 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, OH, OR, PA, RI, SD, UT, VT, WA, WV, Wl, 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: LX SERIES Manufacturer responsible for the rating of this system combination is CHAMPION BY JOHNSON CONTROLS 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): 29$00 EER Rating (Cooling): 11.75 SEER Rating (Cooling): 14.25 IEER Rating (Cooling): Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the praduct(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. 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. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;HI entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. O*U% AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better - which is listed above, and the Certificate No., which is listed at bottom right. @2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFlCATE NO__ 13152731174508988