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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPUC��►�,3LEfiN�FO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED Date: U11`1:f f_1 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34.982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line nn , ,.1,,, Address: Legal Description: Property Tax ID #: 141 D - Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: 1v1stolloption of 1-ke fur bce 9 -VON C0-Vr'i2x uw4 ILA SSE -1; wlfih (b Kvj e__teLkYic "VAC L,1 Gas Tank Electric Q Plumbing Total Sq. Ft of Construction: Cost of Construction: $ I-1 Lot No. Block No. :,...: . pas.kmo�e. Pp w - : ; Piping _Shutters 0 Windows/Doors nklers 11 Generator 0 Roof S. Ft, of First Floor: _ UtilltlestSewer 1jSePtIc Address_52110 nw mss r ., s city: r -ori t�l�c� state: FLS ZIP Code: 3 44 4 g Fax:_ Phone N0,1717-_2-1 LD -1, - 7uZB E -Mail N A FIII In fee simple Title Holder on ne4t page I If different from the Owner listed above) or more, a Name: U Company: Address: ': Building Height: Roof pitch City: F}F}- � e- ' Zip Code: 3l4q 4 V �— State: E=L Fax: -fM7 - --t 1¢1 - iC'1 ZZ Phone No. T"T-7=tl10 ( _ 4? -7.I 1 E -Mail: �('A� Ytt.nP�ni —n_ State or County License: O-_ __=_ UtblUnItK/Mbli ttK: x Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: x Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: x Not Applicable Name: Address: City: 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 ermit will authorize the ermit holder to build the subject structure which is in convict with any applicable Home Owners Assoc�atlon rules, bylaws or andpcovenants 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 c as STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST . LU C i. C_ I COUNTY OF ST - I_U C \ t The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this LI day of VQ CCaviSPX , 20 j1by this 101 day of p C_(_ . be20 �-7 by UA­rAnE5 F &V_1rAES JP� w\,=.S F- b \YV\FC (Name of person acknowledging) (Name of person acknowledging) gnature of Notary Public -State of Florid ) Signature of Notary Public -State of Florida Personally Knowo_ OR Produced Identification Personally Known >!52. OR Produced Identification Type of Identification.F. d ^_� Type of Identiflca otfi n Produced wr ....�....-.._.....wus.286R-16 Commission No. Revised 07/15/2014 Commission No. k".,, SUSAN (NEGRO fR. a, ,,'i t MYCOhIM188(0N0GG089099 handed Thor REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS CERTIFIED wcvw.ah ntlireclpry. org • • • �. AHRI Certified Reference Number: 7490503 Date: 1 211 9/2 01 7 Product: Single Package Air -Conditioner, Air -Cooled Model Number. 50ZPC036-30— Manufacturer: CARRIER AIR CONDITIONING TradelBrand name: CARRIER Region: All (AK, AL, AR, AZ, CA, GO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC,. U.S. errkor Territories) NV, NY, ON, OK, OR, PA, RI, SC, SD, 7N, TX, UT, VA, VT, WA, tNV, WI, 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 (Btuh): 35000 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): n-e....a w—1 lw m. sae" rl mince. a •Nmlery... Yl gnOpuslr Wmuned dale. arvess aCMmpaMxtl .,It a W.. wn;m indicelos an a-Itn rry. DISCLAIMER gdara ANRl does not e�Mmce tlw produc(aneed on this Coleco. and maNes nd oRezenlalions. aromm" Yr mees As lo. and assumes no responsibility Pr. amages of am find the apMmemaj anemlion of dataCertificate. lhled on Me certificate. Certified lacings are Valle only fm metals ed mnfigmathim stedI t eormance ofiM pmduttisl, or the directory at www.ahridtmcmay.mg. ■ ®® TERMS AND CONDITIONS "aa� This Cettlficam and its contents are mOpdelary Madam of AHRI. This Cedifkate shell wry M used for lndhMual. personal and ,anfldandel refereeurp . poses. tae..menta dl this CortlPute may not, in whole pl In Part, be "Ovem ed; copied; disseminated &IOU `■ -e amememaO a romptaindatabase: or oNe,wlse elllizad.inam form er manner or by mry means, meept for the users lndvideal aIF{OPOn1GNIrvG. xEAitNG. peRenal and confidential reference. &ara d £PATONINSTil11E CERTIFICATE VERIFICATION y.orK. ench a.. woery CerufluYe' nnM Me information to, me medh,1 cited On N s Rb nticale can o ranhetl at mvw.enelYhoetor and enter Me AHRI connote Reference Number and the dale en wblc) tbe certifsete was 1-0, whim is neted above, and the coffiff ld No.. which is listed at bpnom dgm i CERTIFICATE NO.: 13158155667361D507 ©2014 Air -Conditioning, Heating, ana Refrigeration Institute