HomeMy WebLinkAboutimg-171214005657MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Planning and Development Services building Permit Applicati®n
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
. X._._ Residential _
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the
end of line nn ,, t _
Address: iI)�
Legal Description: _ 1/2 p-�- F t/� O W y 7 0 S W
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Property Tax ID # Z ?ii)Sr l 3 n 7U 1 O p 7
Site Plan Name: Lot No.
Project Name: Block NO.
Setbacks Front Back: Right Side: Left Side:
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^ HVAC 0 Gas Tank [OGas Piping LiShutters
Electric 0- Plumbing 05prinklers
O Generator
Total Sq. Ft of Construction:
S . Ft, of First Floor: _
Cost of Construction:$ ��•�� Utilities:USewer QSeptic
_.-,. . .1. . I %. x . c State:
Zip Code: ?44 q<I 3 Fax:
Phone No. -11 2-U LP
E -Mail:
FIII in fee simple Title Holder on nett page ( If different
from the Owner listed above)
of construction Is $2500 or more, a
F—]
Windows/Doors
Windows/Doors
I1 Roof F-1 Roof pitch
Building Height:
Name•s srrt:
Gtr F('
Company rmy.' r -t � } w� nd ,
Address:_�hSL.) N lA, UNPIN[. 1
City: Ft-
ZIP
}•Zip Code: 314q 4U Fax:
FL
Phone No. Fax: -17 7 - 4=� ZZ
J12 - tl to l B'I I t
E-Mail:�uj ri20,YtnnPS(ar �ilplol
State or Countyy LIccetnse:.EA nl:� 1%r,-, 1
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: _
Address:
City: State:
ZIP: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
ZIP: Phone:
BONDING COMPANY: [Not Applicable
Name:
Address:
Zip:
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 contlict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit su(
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
commencing work or recording your Notice of CommenrPmPnt
go
as
STATE OF
COUNTY OFORIDA a- LU I E
The forgoing instrument was acknowledged before me
this -1-_ day of -DC [ . 20 _�_qby
J We& F- GY-1 MT --,s
(Name of person acknowledging)
(SignUXC
re of Notary Public-tFlorida )
Personally Known OR Produced Identification
Type of IdentificatiEm Prndi,cPd
Commission No.
081780
Revised 07/15/2014
Siiacure of Contractor ense Holder s
STATE OF COUNTY OFLORIDA _51 UQ
The forgoing instrument was acknowledged before me
this 7 day of De -C . 20 1_ by
i V�fM�S r Gil M F:"S
(Name of person acknowledging)
0rsg)
. U� �/`- V� r
(Signature of Notary P blic- State of Florida )
Personally Known Q OR Produced Identification
_
Type of Identificatioi
ZONING
SUPERVISOR
NE CULPEPPER
Commission No.
MY CCIMMI 1 GG 081780
:g
EXPIRES: January 11, 2021
BMW lNu NWmy Puw UrK%r ers
REVIEWS
FRONT
COUNTER
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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Certificate of Product Ratings
AHRI Certified Reference Number: 7944313 Date: 12/6/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number. 4TTR6061C1
Indoor Unit Model Number: TEM4AOC60S51+TDR
Manufacturer: TRANE
Trade/Brand name: TRANE
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME,
Ml, 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, Will 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 folio" 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�ponsored, independent, third
party testing:
Cooling Capacity (Btuh): 56500
EER Rating (Cooling): 12.50
SEER Rating (Cooling): 15.00
IEER Rating (Cooling):
Raises lsdVsad by an wbtlsk 1'1sidards a vdunla musn'N"move, faidenetl nab,van's —Vaned wena WAS, wn'ch isecns nnmwWnUry mi
DISCLAIMER
AHRI does not endorsethe pmducgs)faced on this Certificate ant makes no represe twons, wertanlles or geonnfees as W. and assumes no responsibility for,
the produces) listed on ibis Ca"Iflcate. AHRI expressly disclaims all Holiday far damages of easy kind arbingout of the use or perlermance of the pmdk.ods), or be
unauthorised alteration of data listed on this Candidate. Contfled ratings are said only for models end configurations fisted m the
famemry el www.arthumetary.arg.
TERMS AND CONDITIONS
This Can floats and its contents are smpdetary products of AHRI. This Certificate shall only be used for individual, personal and -"®■
confidential reference purposes The contents of this Certificate racy Plat in whole or in pan, be reproduced: copive: disseminated: On lis/
entered Into a computer database: or otherwim undlem. In am form or manner or by ant means, catcall for the usei sindividual,
I anal confidential refere,lee. AIRCO Qlumrlum. HEEi1NG.
CERTIFICATE VERIFICATION aflEFRWERATION INBIsIIrt£
Me mromdtion to, the model cited on this certmcafe can the variaed at www.anrinectory.ary, click on-Vonfy Cnrrrn im-link
and enter the AHRI Cer tilled Reference Number and me date on whMd the CertlfiCkle was Issued,
wnnh imted clava, and the ce,9ficente rlo-wnleh is listed m oodson right
®2014 Alr-Conditloning, Heating, and Refrigeration institute CERTIFICATE NO.: 1315703414811e3z3f1