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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Lr, _ Date:_. ._ �.' a�.'�7 Permit Number: 1 0' J.5 S RECD W—D Building Permit Application OCT 2 0 2017 Planning and Development Services Building and Code Regulation Division 1300 Virginia Avenue,Fort pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1575 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: - ?1"z-Legal Description: Property Tax ID#: Lot No.� Site Plan Name; fr 1 10 ( Id iyols Block No. Project Name: .ri t D Setbacks Front Back: Right Side: __ Left Side: NOW INN= t nal work o e e rmed under this permit—c ec a appy: HVAC as Tank ❑Gas Piping OGenerator Shutters QWlndows/boors Electric Plumbing Sprinklers Roof Total Sq.Ft of Construction:' SFt.of First Floor: f C:7C,1 Cost of Construction:$. J _ Utilities: Sewer Elseptic Building Height: Name `S r ame: Fr mon Address: �/ Company: iLcldili City State--_ Address: Zip Code: Fax. City:City: Stater Phone No. �� r` Zip Code: Fax: Z��q) ���� E-Mail: Phone No. � Fill in fee sYnple Title Holder on next page(if different E-Mail: from the Owner listed above) State or ounty License: C If value of construction Is$2540 or more,a RECORDED Notice of Commencement Is required. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address' Address: City: State: City: State: Zip: Phone: _ Zip: _. Phone: FEE SIMPLE TITLEHOLDER. _Not Applicable BONDING COMPANY: 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 County makes no representation that is granting a Permit will authorize thepermit holder to build the subject�ructure which Is In conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohlblt 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 al l 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 record' our Notice of Commencement, s Signatu ner/Le ee/Agent SignatrOF ant ctor License Halder STAT ORST LORIDA COUNTY OF L�-�C e- COUNTY OF } L-1 t C I E The forsoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 2 day of j2gjbe'411_ 20 .L7 by this a.day of 7Q er 24 4_by 1.� GWDSSYY "(r) 61 eoSrch'_'Ltx�l (Name of person acknowledging) (Name of person cknowledging) — g4�t�' -fvt �� 9UAaA;%__A- (Signature of Notary Public-State of Florida) (Signature of Notary Public-state of Florida) Personally Known ✓ OR Produced identification Personally Known Y POR Produced identification Type of Identification Produced_ .. Type of Identification Produced Commission No.AF009 Commission No. ea - °a« iSTINA L LOUD E CIi KRISTINALLQUDI;»8 CK i_*i lam- MY COMMISSION 22;1alf-FI 008222 'Moi EXPIRES August 7,2 •7 i EXPIRES August 7,2017 Revised 07/1512014 �.�:.,.� EM FlonaeNmsiyserv[ce.rx 407)398-0162 FlorfdaNela ervicv.cam REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS CERTIFIEDO Aft ertificafe of Product Ratings AHRI Certified Reference Number: 7695276 Date:4119/2417 Product:Single-Package Air-Conditioner,Alr-Cooled Model Number: P7RE-030K Manufacturer: FRIGIDAiRE Trade/Brand name: FRIGiDA,IRE Region:Ali(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 1,2095,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:FRIGIDAIRE P7RE SERIES 1...: Nr.w•. •r• t.eid,,,ry n>tl,e.¢Ii"9`" -R -ty "' bPt>uoAi::;J:::;i;•fi.iu i lir;in i:i:'•;`,ao if i.+im;i,ii i;r.;n:•._;':q. i i.�l' e,n,�,.,.,rr.. - i r� .'dr 2t,r-�2xci:�;'iMlt�",f"�q'.r�ih:�S`•. .... .y, .luCl•�:-.-'`'' 1 n 1 Il:�.' ,"'•, {,•!., tviy�::�a.::'-susg3.'•''`` ::cos:-; ! c• 7„5�c. r�Ar•,u{:�!t..11l. r K w=,R4iuil.a Il:r-.,r�ow. Marro Ra 1 ipurce Huip III ub ct eri ca 7j rd A I:q:11 t; rile. 28 i, g •r h: 1II7,.r. .!p,:rc,rl'.i� Ali R .ta't!•:p.;' �•,rr.dJ.'.''�r,}N.3_�f'+g-•r. •:y;••arM;,.: :::Ir.^;9(Alrxor:='- 7,F35 rr'u:4:::u"•..�>=-�^�'• n:M1h' r i� t:43RilGu ,'riii(}'i.;;... 1•• r.I:luEnu;..;�7jr.•�" iiµiN'f.l'cF.,a.C'u�, 7�,4.ii;s'-„as,..:.,.;.,,: i;« .':=' -rr;; � a ;«eJ�ilf anXr'W�:.C,ri .�•s� E�:it{%1' {-,r.,vwwu..u..ya .nnr,nn,E„..5x^'v;+:4ttl•...R.:::�'^.�.ti..:1,•.,:.•:a rt+"•i.,1T.Raie;c'.s:ov"tt,g:k:!':'qs�:f,�l.,r.r..;;..,,,,.�taatn?/i9.tre.,,., inii!','�':�:t:s.:,n.Kiftila�,7vS,,:: i;s .„?rb''� y;';G.cr;ti:�•:rr.^•,s�'un. ..: •............li .. ..._.... ... Ratings fbllovred by an asterisk r)indicate a voluntary rerr.*of previously published data,unless accompanied with a WAS,which indicates an Involuntary rerata. DISCLAIMER AHRI does not endorse the product(x)listed on this Certificate and rnakes ho representations,warranties or guarantees as to,and assumes tie responsibility for, the products)listed on this cettiflcate.AHRI expressly disclaims all liability for damages of any Klnd aHaing out of the use or pertdrmanCer of the produot(s),or the unauthorized alteration of data listed an this Certlflcate_Certified ratings are vaiid only for models and configurations listed fit the directory at www ahrldlreotory.%g. TERMS AND CONDITIONS This CeWffcatc and its contents are proprietary products of ARRl,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;dissamfnatad; 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. A R-CONAITIONINO,HCATiNG, CERTIFICATE VERIFICATION a REPRI©MUTION INSTRUTE The Information for the model cited on tills certificate can be verified at www.abridikectory.org,click on"Verify Certifloste°link we make life bettor and enter the AHRI Certlfled Reference Number and the dote on which the certificate was issued, _4 which le listed above,and the certificate No.,which is listed at bottom right til; y+;irul; jf 02014 Air-Conditioning,Heating;and Refrigeration institute ! � ;u„i.,4,...h,,,:I:l•r,s� �rv��i4n�j s;uli” �