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
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,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.
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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,
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whichlertheg above,and ttl
whlcNhlistetl above, and iM1e Cprtifieale No., whichblisled at bottom right '-- -'"---
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------
&2014 AIT -Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.:
131Y'143500024sa04