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
1300 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 IA _ i_
Address:
Legal De;
10
PropeityTaxlD#: 2-1k2Lc -12.Z- 2-pkp _
Site Plan Name• Lot No.__L_
Project Name: Block No.
Setbacks Front Back: Right Side: Left Side:
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one war o e orme un er sperm -c ecce
HVAC Gas Tank ❑Gas Piping_ Shutters
Windows/Doors
0Electric PlumbingSprinklersGenerator j�
L iRoof Roof plbah
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ L(, tS Z - Utllitles:Sewer n
ti r> QSeptic Building Height:
City: L .z� P Y( C State:LL
Zip Code: _ 3laq B -z Fax:
Phone No.2-1J.-�li on -C1 , IL-1
E -Mail:
Fill In fee simple Title Holder on neat page ( If different
from the Owner listed above)
Name:
Compan.
Address:-.
City: F} . � e y State: FL
Zip Code: �Q41s Fax:'t77_ te:_SriZ2
Phone No. 11'-7 _- 14 to ( - g -T I I
E -Mail Alaq -inn (ir L QfL l) Cc
state or Countv. u.o..�e.------+-�
Is $2500 or more, aRECORDED Notice of commencement is
Ut�IGNEK/tNGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
x Not Applicable
BONDING COMPANY: x Not
Name:
Address:
Zip: Phone: I Zip: Phone:
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St. Lucie County makes no representdtion that is granting a permit will authorize the ermit holder to build the subject structure
which is In conflict with an Y applicable Home Owners Association rules, bylaws or angpcovenants 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
0
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 'ST . LU C_ k COUNTY OF C'f' _ W C 1
The fo oing instrument was acknowledg d before me
this day of rUb PX . 20by
Iname or person acxnom
gnature of Notary Put
Personally Knowq)l-�_
Type of Identificationga
Commission No. 46
Revised 07/15/2014
OR Produced Identification
FFF?.1d
The forgoing instrument was acknowledged before me
this J.Lday Of 20 Eby
J M
(Name of person acknowledging)
Notary Public -State
Personally Known OR Produced Identification
Type of Identification Produced
#GG92.20201 I� I Commission No. K}�'t SUSAN4jijNEGR0
u i:; t MY C0htMIS810N # GG 089099
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
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
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 8703699 Date: 10/3/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 4TTR6042J1
Indoor Unit Model Number: TEM4AOC42S41+TDR
Manufacturer: TRANE
Tradef8rand name: TRANE
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, ID, IL, U\, IN, KS, KY, LA, MA, MD, ME,
MI, MN, MO, MS, MT, NC, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Rl, SC, SD, 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 most 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 2101240-2008 for Unitary Air -Conditioning and Air-SourceHeat
Pump Equipment and subject to verification of rating accuracy by AHR"ponsored, independent, third
party testing:
Cooling Capacity (Btuh): 41000
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
IEER Rating (Cooling):
' Rabors followed by an all t)deranden a voluntary name d prauiaudy pubjeard data.unlea reayanied each a WAS, wduh measles an invdunlary tame.
OISC"IMER
AHRI does not endorse lee products) listed on this CoNlluum and makes no representmems, wananOes or guaran4n as to. and assumes no responsibility Tor,
Ne pmouct(s) llstetl on this Certificate. AHRI esprously dlselaims dl Ihunity, far damagts of any kind adsingma OI the use or po ounducce d the plmud(s), ar the
Unauihpdxed alteration of data Iktetl on tMs CeNiXrate. Certifletl ratings are valid only for models and conXgumtionn Iidetl in IM1e
dlrc=at nww.ahrl0ireetory.org. ®®
TERMS AND CONDITIONS ® ® ®gam®
This Certificate fs ase pmptlelary pmtlutedAHRl. This Cndflcate shall only be used for individual. international �i `�iaY��■
confidential refaronce pumosez The contelds of NN Cedistale may nM, In whole or In pan, ba repmdrlcN; [opted; dkseminahtli �` On YI
entered Into a Computer dataluds; or thermals udllmtl, in any lead of manner M by any meam, monstrar the cher a undanduall,
personal and confidential distance. <IRCONRRIdXiN4 HEATING,
CERTIFICATE VERIFICATION a REFmGER V ION INSTITUTE
The Informal— for the moEal cited onlels niRo can ba, —Alad at wlube ory.a.g. orce on v -d' rtiflnese'IInM ,_, ,nA4 tier lne,e
aid enter the AHRI Conduct, Reference Number and the data on which the certificate was Issued,
Which Ia Road above and the Certificate No.. Which b aided at bottom light i
CERTIFICATE NO.: 131615317226617172
02014 Air -Conditioning, Heating, and Refrigeration Institute -