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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: 1 50(0 k Legal Description: LRKEhI 2ggz-411%I ;36)55-zyg ) Property Tax ID #: 002-7- 000 Site Plan Name: w e 13/0ZO (tie, I R -w - Project Name: Setbacks Front Back: Right Side: Left Side: Ll�� N QcIT I,r coo k .,,' w \kms 0 41\(A-) 4-4 z e4 -r; c h� I®.I! IN(�QR°ISI Itlona wor to a er orme Under tis permit—C eC a HVAC Gas Tank E]Gas Piping 11 Electric Elplumbing Sprinklers S ,'Z�tS-1�1`l3 Lot No. Block No. -�-D tx 31-0k) 1416e -ear' S�-c^► QS a Shutters Generator Total Sq. Ft of Construction: S Ft, of First Floor; _ Cost of Construction: $ j,3gO , C74 Utilities:[]Sewer Septic Name_ Te C(U 2 e« IS Address:mg7 �So Kobi es gJ dd City: T4-. V w ,r l"Q State: L Zip Code: Fax.- Phone ax:Phone No. S E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Windows/Doors Roof Roof pitch Building Height: __ Name:v- Company: v p I Co Lt el Address: y�Q�� ��`�-t �D X111 city:�T State: �F �-- Zip Code: gaa0 Fax: -6j3q Phone No. %%a -g7/ - t StoO E -Mail: �Sp-�YftG Sc�-►'�1C1LQ yr -,,SIL 16 State or County License: (� ( l �) ►� (n If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: Zip: Phone: State FEE SIMPLE TITLE HOLDER: — Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: 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. Not Applicable St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants 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 commencin or recordir awr Notice of Commencement------- - ommencement,---- - _ Signature of Owner/ Lessee/Agent ure or contractor/License STATE OF COUNTY OF FLORIDA n rt S+ `� l COUNTSTATE OF FLY OF ORIDAp�_� !�+ 'e The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this Fa day of biVCt ( _, 20 LLby this is day of _ VP—k(L)2,14 20) by -:binV l 0 (�� 1 �� -eg (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Ig ature of Notary Public- State of Florida ) Personally Known '� OR Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 1 (407) 398.0153 Personally Known t"'_ OR Produced Identification Type of Identification Produced LINP"ARIE BOUCHARCommission No. >''� ..'" -UNDA MA&416UCHARD MY COMMISSION #FF125526%" MY COMMISSION #FF125526 (407) 398-0163 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 Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. AHRI Certified Reference Number : 8676068 Date : 02-09-2018 Model Status : Active Old AHRI Reference Number : AHRI Type : RCU-A-CB Series :SILVER 16 Outdoor Unit Brand Name : AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4A7A6036J1 Indoor Unit Brand Name : Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOC42S41+TDR Furnace Model Number : Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, 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. The manufacturer of this AMERICAN STANDARD product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 36400 SEER :17.00 EER (A2) Single or High Stage (95F) : 14.00 IEER t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinqs that are accompanied by WAS indicate an involuntary re -rate The new Published rating is shown along with the previous (i.e. WAS) rating DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual. AM personal and confidential reference. AIR-CONDITIONING. HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link het e' and enter the AHRI Certified Reference Number and the date on which the certificate was issued, „e ❑;t, iife which is listed above, and the Certificate No., which is listed at bottom right.— — -- -- --- - -- --- — ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131626844306832130