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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 761T Y 1 D H Permit Number: 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 Address: G0001 ■iia'tll'Lri>��J Legal Description: 2i�1_bx+,W f ZV f-& "'T RT ES -UN I TM- 8LK B LOT 31(h A P 31, " Property Tax ID #: 3yUo�-60c'l — 0010 — 000 — 5 Lot No. Site Plan Name: Block No. Project Name: /--E C --}N E Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK; t 4 end i),Cn +D rte. 3`r0 N 1(0 Lo C4,f—r i C h2a-t S-i—r c PS CONSTRUCTION INFORMATION: v itiona1 worR to e 1er orme un er t is permit — c ai app y:. L�JHVAC Gas Tank Gas PipingShutters 11 _ Electric Plumbing Sprinklers Generator Total Sq. Ft of Construction: Cost of Construction: $ 4'% JO . 00 S Ft. of First Floor: _ Utilities:0Sewer Septic Windows/Doors Roof Roof pitch Building Height: OWNDER/LESSEE CONTRACTOR: Name_1ow �-- ftnn 1 i Name: —Dlx�, Address: (o00q �t(kojcof'e,. C Company: ICS LI`� City: }-, 1 ex 0-, State: . Address: 3� iii i'?"Lpd��-i OL 0111 Zip Code: Q$ a Fax: City: n- L - - Phone State: Phone No. /�]o� — o`NO —31 Zip Coder L-gl&p Fax: 7-7a -013 ► -35 )1 E -Mail: Phone No. %`7 a — � 71 — l 5;1D Fill in fee simple Title Holder on next page ( if different E -Mail: S)2C 6-017140. Sc,-i'V I COL (Lgpr,4IL from the Owner listed above) State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable MORTGAGE COMPANY: — Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name: FRONT COUNTER Name: Address: PLANS REVIEW _ Address: City: City:_ Zip: Phone: DATE COMPLETE Zip: I certify that no work or installation has commenced prior to the issuance of a permit. Phone: Not Applicable 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: 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 commencinirwoTlror recordirng-yogr Notice of Commencement-- _ Signature of Owner/ Lessee/Agent Signature STATE OF FLORIDA STATE OF FLORIDA( COUNTY OF it S+, LE,l(' ,l COUNTY OF IV t- S+ . The forgoing instrument was acknowledged before me Theforgoing instrument was acknowledged before me this Oa day of N be/1 20 [1 -by this V day of M0Vft_nbfP1 , 20 n -by (Name of person acknowledging) (Name of person acknowledging) 60U�J'11 "1-1 of Notary Public- State Personally Known '� OR Produced Identification Type of Identification Produced I I Commission No. Revised 07/15/2014 398.0153 (�k ig ature of Notary Public- State of Florida ) Personally Knowny OR Produced Identification Type of Identification Produced LIN"ARIE BOUCHARO I commission No. MY COMMISSION #FF125526II (407) 398-0153 JNDA MAlk4lbUCHARD MY COMMISSION #FF125528 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE 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. AHRI Certified Reference Number: 7942207 Date: 11/3/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1636AJ1 Indoor Unit Model Number: RH1T3617STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD 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: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. 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): 35400 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 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 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; AMI 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-CONDITIONING. HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrid lrectory.org, click on "Verify Certificate" link we 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. F_`" ©2014 Air -Conditioning, Heating, and Refrigeration Institute 11 CERTIFICATE NO.: 131542054771196