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HomeMy WebLinkAboutBuilding Permit ApplicationMUST BE COMPLETED FOR APPLICATION To BE ACCEPTED Date:l 11/Eld l 9 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 1300 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 Ilne nA I�i ulit F'ir3mxr's x 5a C�tri _ Address: Legal Description: Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: 1v�s�a1101�on vF Ike _Fcv SysFc , is Si=d (,,,;� Right Side: Left Side: � SDN i0 KvJ e leC tyiC_ knit . 1j.Jt1VAC L_( Gas Tank UGas Piping UShutters Electric 11Plumbing ❑Sprinklers (Generator Total Sq. Ft of Construction: Sq. Ft, of First Floor: _ Cost of Construction:$ L4190 C� Utilities: Sewer ,�.., _.. Septic _.-,. . .. X . , ` � State: f _L Zip Code: 4 q $ 7 Fax: Phone No. -1 -12- , o - qz�-'--( 2 E -Mail; Fill in fee simple Title Holder on neg't page I If different from the Owner listed above) Is $2500 or more, a RECORDED Notice Lot No._� Block No. n❑ windows/Doors L iRoof E-1 Roof pitch Building Height: Name: �LyIGC a r.+t: Company.Gsr]imCS hFt'xa�ti innt� j 1 Address:jrj/a N tAC u. N �' City: F}I CYC -C Zip Code: 5t -IC -t State: F L Fax: -im - � t P _$-122 Phone No. l'7�_ y�g1 � 1 E -Mail: YI YVL A C � State or County Licensee tri IR 11=_ L#ue. TT'upQ4,. �NTLoIsTRuoria�r>, ! �r;iNb A n.. aY ,..r. ....blm �...: [•: hr . i�.1. R.I.AJI ¢l,�*, .ii 3n N..�A,1, t�I).i�l,�. ta...?u. , L�. 9 ,♦ 11. �+�- DESIGNER ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: ZIP: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: z Not Applicable BONDING COMPANY: x 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 ermit will authorize the ermit holder to build the subject structure which is In conflld with am applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such structure. Please consult w th your Home Owners Association and review your deed or 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 commenciniz work or recording your Notice of Commencement. nature of Owner/Lessee/Contractor as Agent for Owner S ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 6T_ L.Ut A'F COUNTY OF (—_ L-0c I E The forgoing instrurent was acknowledged before me thls�A day of N o\/ e Inn 20 J by The forgoing instrument was acknowledged before me this LO day of N nV GiMb 20 L -7 by AFlP ES F l CaMf=s 1rFIVLTIS r C 2.l its (Name of person acknowledging) (Name of person acknowledging) gnature of Notary Public- State of FloriclA ) 115ignature of Notary Public- State of Florida Personally Knowr��OR Produced Identification Personally Known>5�!�OR Produced Identification Type of Identification Type of Identifica iotr n Produced SUSAN MONTENEGRO Commission No. My cOA(IA{Ia1jION#GG089099 a ar EXPIRES:A02.20211 Broiled Tnm Noury PUWUadMfft1'aEYPIR Commission No. :'k'••., SUSAN WMANEGRO "• t MY COMMISSION NGG089099 - ' 2t '••:�„;7i�`.•� Revised 07/15/2014 BOWW Thru Notary PUM MWOM REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS LCERTIFIED Certificate of Product Ratings AHRI Certified Reference Number: 7944313 Date: 11/14/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR6061C1 Indoor Unit Model Number: TEM4AOC60S51+TDR Manufacturer: TRANE Trada/Brand name: TRANE Region: All (AK, At, AR, AZ, CA, CO, CT, DC, DE, FL, OA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS. MT, NC, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, 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: XR16 Manufacturer responsible for the rating of this system combination is TRANE 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): 56500 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 IEER Rating (Cooling): NMogs scamiel by an amorket I'I akirohe a Wamt ry rents of pmviciedy pubih,mi sea. uouse ecmu penietl wIN a WAS, wMtl, i,tltrnlea an Invqunln,y rsa4. DISCLAIMER AHRI does not endorse the Assume.) listed on this Certificates and makes red representations. Warmness, or guarantees as to. and Assumes o, empommiliry for, the pmduct(s) listed on this Command, AHRI expressly disclaims an Ilaiddly for damages of any kind arising our of theme or performance of Na productis), or the unauthorized ateralian of doL head on this Certificate. CertMotl -iinp ere valid only f , meddler and configurations listed in the dimctwy at waw.ahAtllmclery.org. TERMS AND CONDITIONS This Certogerm and its contents are proprietary producer of AHRL This Certificate shall only he used far Offivimml. personal and As "®® .caf demist reteranca purposes. The cpntems of this CeDlflrale may not in whole or in part, be reproduced: copied: disseminated; On ILi entme, Into a compuleromakse: m othemise ennead. In any form or manner or by any moons, except forms users IndMdual, Personal and confidemkin refar.... AIRLONORMNINa, HEATING. CERTIFICATE VERIFICATION bREF-dmAA'0N INE➢ME The Information for me ..ml clUd on this wdlHcale can bo Welnad a[ wwwahr1,14oe1sry.orR. slid an 'Verify Cerllfieote' gas endarm,me AX reN Certified Reference Number and the data on which the CertNit9te Was issued, "n"' "" W With he"" above, and the Certificate Na. Which lS listed at hMtem NAIL ID2014 AirEonditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1315515329092x1067