Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLI BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� Date: 3 t'I Permit Number: LJ I I _ iECFI E 40 lw: Building Permit Application OCT 31 2017 Planning and Development Services pEWAITTING Building and Code Regulation Division St. Lucie County, FL 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 I PROPOSED IMPROVEMENT LOCATION: -� Address: S � u.�. n -07 `I+z�/I +n L q 5' Legal Description: Property Tax ID#: "lyf t -156) " (X)1 I _0100-a— Lot No. Site Plan Name:A6.10(fi:4,4 out Block No. Project Name: \1nt l Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: �Qw, sic u`n­ N/, r�� VIA— S-MQ L'tSEEe2 �� � wfi-. p rXL._ CONSTRUCTION INFORMATION: A d da itio a I wor ktobe ertormed under this permit–check all that apply: t'HVAC Gas Tank Gas Piping _Shutters a Windows/Doors ❑Electric ❑Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: Ft.of First Floor: Cost of Construction: $ 3�a UtilitiesSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Address: s ccs,� �r L,- Company: �SC... City: State: 't-- Addr s: S rr,vJ Zip Code. Fax City: �r� S 1�.� f_ State: 1 `� Phone No. S�S " r'�5]g\ Zip Code: Fax: �J E-Mail: ►.( Phone No. SG Fill in fee simple Title Holder on next page( if different E-Mail: from the Owner listed above) State or County License: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. (V ( �6 iso SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 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 1 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 commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA 1 ' , STATE OF FLORIDA za. COUNTY OF 1--U 'C COUNTY OF The f rgoing instr en was acknowledged before me The oing instru �as acknowledged before me this F day of 20� by thisf day of by ��� C�� i�'v S 1 'c r� Na a of person making statement Name o person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification v' Type of Identification Type of Identification Produced Produced 010-AA -1 AA ,I (Signature of No (Signature of Notary Public- lorida ) KAREN S. NIELSEN ,• dKAR€ssion # FF 11563N S. NIELSEN Commission No. ;__ commission )115637 Commission No. X1111 I y Commission Expires MY Commission June 12, 2018 's',Fo.,,oar Expires June 12, 2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 7615287 Date: 10/31/2017 Product: Single-Package Air-Conditioner, Air-Cooled Model Number: P7RE-036K Manufacturer: NUTONE Trade/Brand name: NUTONE Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, M1, 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: NUTONE P7RE SERIES Manufacturer responsible for the rating of this system combination is NUTONE 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): 35000 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 14.00 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 product(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;ww.ahr1dlrectory.or9. TERMS AND CONDITIONS it "12' 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: r%1 .. IL' 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. AIR-CONDfTIONING,HEATING. CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"'4 erify Certificate"link ve make life better- and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above,and the Certificate No.,which is listed at bottom right. ©2014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131539348234608366