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Home My WebLink Aboutbuilding permit ALL APPLICABLE INFO MUSS BE COMPLETED FOR APPLICATION TO RE ACCEPTED Date. r Permit Number.- yu rig Permit Application Planning and Development Services Building and Fade Regulation Division 300 Virginia Avenue® Fart Pierce FL 34982 Phone. (772)462- F ?2)462-1578 Co fi m ,rc;W _ identiai� PERMIT APPLICATION FOR: To Select frorn dropbox, click arrow at the . z I i w ;3 i $�"' '. � \e''�?i...f.n-vx=.I .-i�` ,, ,�-,;;?-,.s' �i f 'a.m-d-.m�,�c ,.Anaa--nw.•:-. max _._�,„��:�.,..,,�..�.. _w }-, ��d�'Jt",�,,,.?:�, .r`.�Address- Z(oo ,. F Legal Description; Property Tax ID :� N 2_1 - -cc Site Plan Name: Lot Project Dame: �� ° _ lock o® Setbacks Front Back.- i ht Side: _ _t Left ides D I r SCR x= aen(�e IIU4�_ 0 K(-.0 4?., z a �I w . , A + 1 ,e R , y A J _Q C+ C-1 Q -77- .y y . ,1 �_ w , itional wor to e er orQ e un er t is e p rm it-- check al pp Y# oi 2fHVACGas Tan � E Gas Piping Sh ,.�... u t t e�r s � Windows/Doors ,..,,.,,.Electric Plumbing Sprinklers Generator � --- Roof �� Roof�I�pitchTata l Sq. Ft of Construction. S . Ft.of First Floor. Cost of Construction: � - Utilities- ]Sewer Septic Buffld'Mg Hellght e� � .. - " � waes.wn...e+we��vmecwew+a-� Name � r ° N a m eo s Address: a �3 niD city: � CP_ U,�_, Addressb i - - p e. q Q Fax a .., r city. I(T :S-�-Phone e �`lr v P - State' F- Fax- -7 Mail s ti ` O • - Phone o♦ I � -- � A Fill ..w S J n fee simple Title Holder can next page if different -Mai!.° ° from the Owner listed above � } State or County License, If value of construction is 2500 or more • RECORDEDtic n Is required. . v - ' a h ^ .J : n „ , s ------------- CON S M DESIGNER/'ENGINEER: Not App (c,zalb MORTGAGE COMPANY:Y: Not Applicable Name: Name: Address; Address: City: State: City: State 7�1 r L E H't.0",�E 1 Do N s App�1 b BONDING COMPANY, Not Applicable Name-. Name: Address: Address: C�t,y city.4— Zip: a Phone, Zip: hon p 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 conflict with any applicable Horne owners Association rules bylaws or and covenants that may restrict or prohibit such structure. Please consult ithp our Home Owners Association and review our deed for an restrictions which may apply. � Y Y � 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.of you intend to obtain financing, consult with lender or an attorney before commenc n r recortayRor Notice of Commencement --------------- Signature of Owner Lessee/Agent Signature of ontractor/License Holder STATE of FLORIDA� STATE of FLORID .� ` r� _ �o �T o� +t)ct � � � co �1T�`o� �.1 .. The Forgoing instrument was acknowledged before me The forgoing instr ent was acknowledged before e C-77 this day of '`)CIA) o b this day ofar,"Z 1. �20 by V--y U) /L."') f (Name of person acknowledging) (Name of person acknowledging) Sr nature of Notary Public-State of Florida J ig ature of Notary Public-Mate of Florida} � g y � Personally Known R produced identification. Personally Known OR Produced Identification Type of Identification Produced .. Type of Identification Produced +1 t/ YYYY►tJd/1//. Commission No. •.''' , `" ,. LI "ARIE o CHA+R Commission No. :,`��`�"��'''°•�M�, t�A w& ARC! , •' :► MY COMMISSION#FF1 25526MY COMMISSION#FF1 25526 / ` i r, 1i► YN 1 i 201113 ►►+a4 t.0 V , (407)398•0153 floridaNQtaryService.com (407)398.0153 FloddallotaryServtcexom Revised /15/ 01 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER RFVIFW RFV1EW REVIEW REVIEW REVIEW REVIEW T DATE COMPLETE INITIALS inwMW This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. CERTIFIEU Ct:1"L1ficdaftttAft:L of rm"-o�- d mum tAft;k t R m-apm-m-t Ni n IN b AHRI Certified Reference Number :8936341 Date:03-07-2018 Model Status :Active Old AHRI Reference Number AHRI Type :RCU-A-CB Series :GOLD 16 Outdoor Unit Brand Name :AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) :4A7A6042J 1 Indoor Unit Brand Name : Indoor Unit Model Number(Evaporator and/or Air Handler) :TEM6AOC48H41+TDR+UF/HRZ 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 :42000 SEER :17.00 EER(A2)-Single or High Stage(95F) :14.00 IEER : (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."Prod uction Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratin s that are accompanied by�WAS indicate an involunta re-rate. The new ublished ratin is shown alon with the revious i.e.WAS ratin . DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)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 w w.ai ri irectory.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; ARM entered into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's individual, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at w� n °a f ryw r ,Glick on"Verify Certificate"link w make life bette m and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above,and the Certificate No.,which is listed at bottom right. U2018Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 131649080997677294