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HomeMy WebLinkAboutBuilding Permit ApplicationMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I L I GU., Permit Number: Building Perrmft Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34981 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: Legal Description: Property Tax ID lf: X33 - Z 1 O - 00 ()3 - 60O - q Lot No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Block No. t4Q118(FA �. vyy vir���.yy Rty'jI ,,yy- tg9J�v,�(y}}�;;t�p{{,e �``��s. i'!s-v�y�l,`�xa(. 1p-,t'ii ti rsf.:'.tt'.,.. _ ,�...y,:= ,;:`':r.•; •• — 't"A ib b t.i'S+'�.l'�$767`!: tk'�Moh'2iWi'S7 �1'7 S,o ,L�i'%"i'A"� u{�<�i111Y';�rl�'b.hr.�N r�t^n r�y4h r"m o�1°i� +,c' :.(.• ':s lY�skc�llo �,o-n o4 Im Ike dor LA ToN C0.1%�1 4 f 11 SER V) �l111 � Q^ J 2 C�QG�2 C L,1 Gas Tank 11 Plumbing Total Sq. Ft of Construction: Cost of construction: $ 14 7 5 - o D / / 1 ,4 'ai BIN.- ._ PPiY Piping_ Shutters ❑ Windows/Doors nklers Generator 0 Roof = Roof pitch 5 . Ft. of First Floor: Utilitles:llSewer []Septic Building Height: City:. ht P,YC P State: LL Zip Code: ',2)49L4 10 Fax: Phone No. n6$-Zcey ouc:� E -Mail: Fill in fee simple Title Holder on neat page ( if different from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice Name:IIQJMG� Company:(�vtMCS`1i�n4;s.,r; Address: - N UC w }A. } City: F} . R i exr P State: V -L Zip Code: A14ol 4 V Fax: .:1-1'z- y, tp_ l _,r, Z,7 Phone No. M2 - 14u 1 _ 11 .I 1 E -Mail: NJ1C0.GYtnn G!1 State or County License: _gA n I certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie Count makes no representation that is granting a �0ermit will authorize the permit holder to build the subject structure which is in con ct with aw applicable Home Owners Assoc atlon rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult w th 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 commencing work or recording vour Notice of Commencement. nature of Owner/Lessee/Contractor as A, STATE OF FLORIDA COUNTY OF _ �T_ I A) t' l t The forgoing instrun� l)\/ e�n�t' was acknowledged before me this7� day of � V eJ 20 L Eby c STATE OF FLORIDA COUNTY OF Ste- Lr l - The forgoing instru�m�nt was acknowledged before me this? -0 day of ISI LVCMUCY.20by Vi&m F-5 F:� C� z I vvi, E � I , VV4/1 F 6F_' I /M (Name of person acknowledging ) (Name of person acknowledging ) 49gnature of Notary Pul Personally KnowR� Type of Identification Commission No. Revised 07/15/2014 - State of Florid@ ) — (Signature of Notary Public- State of Floriday OR Produced Identification Personally Known�OR Produced Identification wad.Type of Identiflca Ion Produced MYC0 M8WPN#00, Commission No. "•'Y, .,, SUSAN I ONEGRO EXPIRES: Apd12. 2021 ` ,'t MY COh1MISSION 9 GG 089099 odea Trru NotatY Utkawlilete FYPIREc•Aurfl2 2021 I Nr._jak Sanded Thru Notary Public U len REVIEWS FRONT DESIGNER/ENGINEER: x Not Applicable Name- MORTGAGE COMPANY: x Name: Not Applicable Address: SEA TURTLE Address: City: Zip- Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: x Name: Not Applicable Address: City: Address: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie Count makes no representation that is granting a �0ermit will authorize the permit holder to build the subject structure which is in con ct with aw applicable Home Owners Assoc atlon rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult w th 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 commencing work or recording vour Notice of Commencement. nature of Owner/Lessee/Contractor as A, STATE OF FLORIDA COUNTY OF _ �T_ I A) t' l t The forgoing instrun� l)\/ e�n�t' was acknowledged before me this7� day of � V eJ 20 L Eby c STATE OF FLORIDA COUNTY OF Ste- Lr l - The forgoing instru�m�nt was acknowledged before me this? -0 day of ISI LVCMUCY.20by Vi&m F-5 F:� C� z I vvi, E � I , VV4/1 F 6F_' I /M (Name of person acknowledging ) (Name of person acknowledging ) 49gnature of Notary Pul Personally KnowR� Type of Identification Commission No. Revised 07/15/2014 - State of Florid@ ) — (Signature of Notary Public- State of Floriday OR Produced Identification Personally Known�OR Produced Identification wad.Type of Identiflca Ion Produced MYC0 M8WPN#00, Commission No. "•'Y, .,, SUSAN I ONEGRO EXPIRES: Apd12. 2021 ` ,'t MY COh1MISSION 9 GG 089099 odea Trru NotatY Utkawlilete FYPIREc•Aurfl2 2021 I Nr._jak Sanded Thru Notary Public U len REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratings AHRI Certified Reference Number: 7490504 Date: 11/14/2017 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: SOZPCO48--30— Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER 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, ON, OK, OR, PA, Ri, SC, SO, TN, Tit, 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 CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 2101240.2008 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 (Bluh): 47000 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): Raliuns followed by an Palouse I') mdrala a vaumary remen of presimaNy parrs.. ran,..I.-accompanied with a 111, wN h Indicates an imolunlery my. DISCLAIMER " AHRI does not endorse the producgs) Hsted on tans Calif.. antl makes no reprosentations, wananthe or guarantees as W. man assumes no responsibility for. the product(s) listed rip this Certificate. AHRI symess y disclaims all liability me damages of any kind arising out of the use or performance Of the phodutl(s), or the alteration of data listed on this Certificate. Certified ratings are wild only for models and configurations listed in the diraulhml:ed ectory at nwa..ahrltlireNary.org. TEs Ca AND CONDITIONS CertMcaefand of Anal. This Oar contents are proprietaryfthis Cor only beuseda indlviduel,personal issimand oun e a wind- disseminated; ncepuryosoase of cMSCl, m any M. hismean reproduceshe Worm mu ,nnerind Into 0 ops or In anyor manner or otherwise uUllzad, In am loan or manner or by any means, except for me user's individual, Or mr. amILI emu O personal and personal and n[e. AI RiAHGERATI CERTIFICATE TIONinter E VERIFICATION h24FRIf.EAgifpR I45iliViE .%INSTMUM I., a.CATIDN nlorm.l onfortriomatlelcltetl onI'M <ertlMcate can as vellNeO at ww.r.a,r t" e[[y. ,clicXpn "Ver /y 4ert'fcate'llnk a., RNerence Number antl ige coati Cale wad UNretl, "" whichlertheg above,and ttl whlcNhlistetl above, and iM1e Cprtifieale No., whichblisled at bottom right '-- -'"--- listedat b dbin, ------ &2014 AIT -Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 131Y'143500024sa04