HomeMy WebLinkAboutBuilding Permit ApplicationMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578 Commercial
� Residential �c
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at
the end of Ilse AA/.,.I-
Legal
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Legal Description:
rwpen.y Idx lU Jr.
Site Plan Name:
Lot No. Z-
Project Name: Block No.
Setbacks Front Back: Right Side: Left Side:
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1 c SEE\ w +-ti Io V_v.i e\eC_tr ( (_ hec-.t
nvHc Lam( Gas Tank
Electric E-3 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 170 0 •0'
Piping L-JShutters
Generator
5. Ft. of First Floor: _
UtilitlestSewer gSeptic
City: _Pt;jr-+ Sa- 1 1 ) , - ' State: FI -
Zip Code: 3_ ai g L o Fax:_ ty (�
Phone NO.$L5
E -Mail: NYA
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
Is $2500 or more, a
nj'� Windows/Doors
011oof =1 Roof pitch
Building Height:
Name: :.;, •,• .F'z :;a i%a
Company.
Address:�y N 1 C I t�ni 1 1
City: State: FL
Zip Code: �i••Iq �{ L, Fax: -1-r� -
Phone No,N _ M_ Z'2.
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E -Mail: NJ reYtvtnPG�� �!,
state or County Lic(Fnse: [Z q n�—
Notice of Commencement is reaulred_
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DESIGNER/ENGINEER. x
Name:
Not Applicable
t'k'••••
MORTGAGE COMPANY: x
Name:
Not Applicable
Address:
EXPIRES: APd 2.2021
Address:
E,t
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
BONDING COMPANY: x
Name:
Not Applicable
Address:
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Bottom ThN Notary Public U
Address:
City:
REVIEWS
City:
ZONING
Zip: Phone:
PLANS
VEGETATION
Zip: Phone:
MANGROVE
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St. Lucie CountyY makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is In contlict with anJ applicable Home Owners Association 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
C_
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S r_ c t E COUNTY OF ST _ i X 1—
The forgoing instrument was [gacknowledged before me The forgoing instrument was acknowledged before me
this � day of n f r lt*yi VJL . 20 11by this _a day of 1) e C P vinb f 2 1 l by
11A-YAT�_s C ,1FyMES F c,i\ACS
(Name of person acknowledging) (Name of person acknowledging )
-(S<'gnature of Notary Public -State of Florid ) Signature of Notary Public- State of Florida
Personally Knowrj>._�_ OR Produced Identification Personally Known OR Produced Identification
SUSAN MONTENEGRO Type of Identification ladtl Type of IdentiFlca on Produced
. flp:;6'•r•,,
Commission No.
_`� : • MYCOA(UINI�UN #00089099
Commission No.
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SUSAN (F@NMNEORO
EXPIRES: APd 2.2021
E,t
MY COhIMISSION#GG089099
Sr:9andeoThmNoeY Under s
, PYPIPMAM12.202i
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Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
This combination qualifies for a Federal E
Efficiency Tax Credit when placed in s
between Feb 17, 2009 and Dec 31,
Certificate of Product RatincIs
AHRI Certified Reference Number: 8875426 Date: 12/18/2017
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number. 4TWR5049E1
Indoor Unit Model Number: TEM8AOC48H41+TDR+UF/HRZ
Manufacturer: TRANE
Trade/Brand name: TRANE
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 Unitarryy Air -Conditioning and AirSource
Heat Pump Equipment and subject to verification of rating accuracy by AHFJ�ponsored, independent, third
party testing:
Coding Capacity (Btuh):
48000
EER Rating (Cooling):
12.50
SEER Rating (Cooling):
15.00
Heating Capacity(Btuh) @ 47 F:
47000
Region IV HSPF Rating (Heating):
9.50
Heating Capacity(Btuh) @ 17 F:
30400
Frn-ra lot-- by anarierlil l') indicate aro.nary mala alp moYyy pum,enea sale. snails recomonlM w,ha was. wl,lc, Inalptea en Inwlunlars r. In
ARM foes not andolw the pro kaida) III oa this Cenigcate and makes no repleseaddh ns, wamentles or guarantee As to. ane assume no responsibility hot,
Me prodarth) llstea an this Certificate. ANNI eaaeasly di.s alms all11,001111 Sar damages e! any kiM ersingout of the use of performance o1 Me produnpl. orihe
mitthe
nauthoeaee aLLerelion of data listed an this Certigwte.lelifiet ratings lar
are rend only models dna ml listedInthe
directory at www.ahrldlmetory.org.
TERMS AND CONDITIONS
maconfidGmalefeand Cortone are cts Crelfficate
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shall only beusedfar Individual.personaland
coneetary this erof ate yhol,Inwholhis
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afermcepnrposes, lllecantenta of Mliit,
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CERTIFItaillCATE VERIFICATION
AIR tONmlambG
e lim-aCATE to''a.CA de
IRC Inle,MA nfor themodeldara
c1iCN nn'VO/i1y Cerlltl[a!e'OnR
-,,.addh wnw,aficate
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Numbsand Misdate on Ne cenlgraM was ISsued.
andenar MAAHRI Claimedthe
Carathce
which b listed above, and the CertMcea No., wM1lch N listed at bottom rght._-
than
C-02bi4 Air -Conditioning, Heating, and ReMgeration Institute CERTIFICATE NO.:
1315807681658NSSI