HomeMy WebLinkAboutBuilding Permit ApplicationCOMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit is110P9. �ti®n
Planning and Development
Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Plerce FL 34.982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Legal Description:
Property Tax ID k:
Site Plan Name:
Project Name:
Setbacks Front Back:
Commercial _______ Residential
To Select from dropbox, click arrow at the end of line hn
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Right Side: Left Side:
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Sys1ewi Is SF_ECz wI g Kw etectr%C_ hea
nvHt. Lam( Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3 g q 5 - pD
V0.Y
Piping 4=j Shutters
Generator
Sq- Ft, of First Floor: _
Utilities:Sewer Septic
City: fit_ �i P YC a State: F L_
ZipCode: q 1 Fax:
Phone No.
E -Mail:
Fill In fee simple Title Holder on nept page ( If different
from the Owner listed above)
Is $2500 or more, a
Name: l)Q�1_ nnc-&_�_
Company.-
Address:.?,htiu
Lot No. 3
Block No. 3 1
(-.-V(C_
F—] Windows/Doors
0 Roof F—D Roof Pitch
Building Height:
Zip Code: 3149 410 state: L
Phone No.
Fax:. X7 7 _ k4 Ip`7
. -
E -Mail: Krtry . l!.
.l i ra _ :$17_1 -
State or County License:
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
ZIP: Phone:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
ZIP: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
no
Not Applicable
Applicable
:e theermit holder to build the subject structure
or andcovenantsthat may restrict or prohibit sw
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 recordine vour Nntirp nF
i-
I_'_'_-•x••11=,« =c/�vncraccorasagent for Owner
STATE OF FLORIDA
UNTYOF_ ST- LU IL
The forgoing instrument was acknowledged before me
this -aday of 1�) t C_ . 20 Mby
R��q�s G�f N4T S
(Name of person acknowledging)
rg
(Signature of Notary Public -State of Florida )
Personally Known
Type of Identificat
Commission No.
Revised 07/15/2014
REVIEWS
DATE
COMPLETI
INITIALS
OR Produced Identification
GG 081780
FRONT I ZONING SUPERVISOR
COUNTER REVIEW REVIEW
Si ure o{ CoMratto ansa HolderSTATE OF FL
S
COUNTYOF_ORIDAST- LUC.k E
The forgoing instrumentwas acknowledged before me
this -a day of 17P r 20 IZby
(Name of person acknc w� ging )
(Signature of Notary Public- SState of Florida)
Personally Known OR Produced Identification
Type of Identification n�_�..___ __
Commission No. ��'' -s -6---_...._ _,,.. ;. , �„
W COMMI¢$ggJ)t GG 081780
e4 EXPIRES: January 11, 2021
'•.;°o1n„.•° Banded tiuu NWety Pudk Urdenhilens
PLANSVEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
Certificate of Product Ratings
AHRI Certified Reference Number: 8183124 Date: 12/11/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: CA14NA030'0'aAe
Indoor Unit Model Number: FE14CNP030L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA, RI. SD, UT, 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 regions) for which they meet the regional efficiency requirement
Series name: 14 SEER AC
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 AHRl,sponsomd, independent, third
party testing:
Cooling Capacity (Btuh): 28600
EER Rating (Cooling): 12.50
SEER Rating (Cooling): 15.00
IEER Rating (Cooling):
Re4ng3 bllawaU by an a6leriek (') mOicale a vdunlnry remla of prs+0u&y pub45M1eU Uala, unlCu eCCmpenletl vnih -WAS, wNch iMieilea an inwlunla,v,emlx
not entlmse, the laddie l listed on In' Certificate end,
Its) Baled ad this Certificate. AHRI media ly disclaims all
no m, and assumes no reepansibllily IDT
ese or Ponfery.nee of the emd.t1a). Or 11.
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rectary.erg.
TERMSalwww.NDITI
TERMS AND CONDITIONS
This CONficahantl NsPusina is arepropNeWryr ofAnimay his Carldil.tV only beaand
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CERTIFICATE VERIFICATION
CERTIFIandE VERIFICATION
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AIR�CONDRIONING, HEATING.
The Information
tan lm the model AltononINN tan dick on Went, CnrflH..W link
at www.aMWta
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0 REFRIGERATION INSTITUTE
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02014 Air -Conditioning, Heating, and Refigeratiun Institute CERTIFICATE NO.:
131574682840005686