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HomeMy WebLinkAboutbuilding permit ALL hPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Elate Permit IQumDer: Builaing Permit Application 1� Yl.....,...y P..a Uctivwnrc,rt.5ci rrcc� liald...y p..(I vac HcyRlut,vrr U,rr�,vr, Z3UD V.,y:,..cr A4tr,v., Fort Pic,cc FL 34982 PRonv: iiil)46z-1553 Fay: (7i2)zt62-1578 Commercial Residential PERIVIII APPEIC:AIIUN FOR: Mechaiiical FKUPu5ED IIGIPRROVEI IEM i 10CA-i lUN: Address: O Legal Description: _ . 192-S, &k =a 4 +?- Property Tax ID t#: S C 70 [ot ICo. t` 2 Site Plan Name: nlocR no. 1 Project Name: Setbacks Front Back: RiehL Side: Left Side: DETAILED DESCRIPTION OF WuRR: ��— ��-ItnZ©'.l"� NU �► _ WC��� CAS-a�r - S -�� , 2 v� v:S z -- V U U� c -Yo L [LON5TROUrION INFORMATION: Adcliti.m.1 rork to orme un er t is permit--check all apply: 13RvAC 71 Gas Tank ❑Gas Piping In Shu«ers ❑vvindows/Doors Elcrtric 0 _Plumbine Sprinklers GeneraLor roof Roof pitcll iotaI Sy. Ft of Construction: 5 FL. of First Floor: COS►of ConSLrucdon:$T t Otilides:O�ewer Obeptic 6eijai,-,6 Flci-6Rt: O Wla EK71E55EE: CONTRACTOR: _N Name a Ct`� Gjrl Name: S Address: Company: Ac City: _S7— Lqe g-_ State:EC— Aaz1ress: ' VUS _ Zip Code:3 L(g S�� Fax: City: �V j!PL SLa.e:_LL�-- Phone N . 0-5 ZZ -Q5 3 Zip Code:-3�7 9 Fax: E-Mail: - r�e� �,_��S ` C-f)`1a'L- Phone Rp. 1 QL Fill in fee simple Title Holder on next page(if different E-Mail:�� � k from the Owner listed above) State or County License: -q _.la + I S IT value of consiruttion Is$ASOu wr morc_ o xECUmDED All.tire of Commencemen,is required. ac. w t-ow �J'� 5UPPLEMEN IA[LU195I RUUI IUw Ohn CAW N-URMAI IUN: DESIGNER/ENGINEER: —Not Applicable, MORTGAGE COMPANY: _Not Applicable Name: Name: Address: AddrE,,: City: ate: City: State: Zip: Phone Zip: Mal - - FEE SIMPLE TITLE HOLDS . —Not Applicable BONDING COMPA Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/Cola I RA71 UR MFFlDV 11: Application iz nare6, n+oae to o5t r a p=rnmit to do LRu wvrk a,-.a installation as indicated. I certify that no work or installation has commenced prior to the issuance o a permit. at.[ucie County manes no representation tRat is grating,.rcrrmii.ill-etRa.ico tnu orn,it Roller to build tR=3at);ect structure which is in conflict with any,W7plicable Home owners association rules,Bylaws or and covenants that may restrict or proRieit secR �tre�terc.Plep�e cvn�ali fi roar Barrie Mr.mar.Assoc;ation and review your deed for any restrictions which may apply. In consieeration or tR.sronrng of tni.,reyee,toa per.-.,.it,18a Rcrc5y Psrca tRat I will, n all respects,perform the work in occ.idance with the approved plans,the Florida Building Codes and St.Lucie County Rmendments. The following building permit applications are exempt from undergoing a full concurrency review;room aaaitions, .. Ccn.,e.r,:itrecterrn, �immr,ing Paul„Lin«„ 3ign3,3rrccn roams and accessory uses to another non-residential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may resull.in your paying twice for improvements to your property.H laotice of Commencement must Be recorded and postzd un the lobsite brfure the first inspection. If you intend to obtain financing,consult with lender or an attorney before commencing worn or recoraing yoor Notice of Commzn4lment. Signature of ner/Lessee/Contractor as Agent for Owner hisnata.a of C rector/License Holder STATE OF FLORIDA STATE OF FLORIDA — COUNTY OF The forgoing instru nt was acknowledg d before me I Rc Lor oins instru ent was acknowledged before me this 2rlay of �L 20IY by tnis aay or t 10 Br Name of person eking statement Name of person making statement Personally Known OR Produced Identification Personall, Kno-n " OR P.eaeeea Iaentitic.tiun Type of Identifica on ype of identification Pr du'ced Yroaaz�a 1 VO (Signature of Public-State of Florida 4- OMpSti-D (s:a .terc of rvuta.►vaBlic-state of Florid ' g1.1G Tkl Y pLiaL1C PAN fOt,11D Commission Rp\l-/ OT—Atha OFt1B Commission ! �g `� 0� Ca��12RA a 4� rao4 elm REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED BATE COMPLETED Rev.8/2/17 sltart Date F (�f ►,ra�alla�r0,r rK �rl7Er l::,t_i.v...plchar Date 90-n1b.pig �IIL/ t3�/-31VU Corporatei,ustomer p 'A" ��� 2600 US Hiyh..ay 1,Vero Beach,FL 32960 Relations H aar'Pg• frerp=Res iential Sety m of FlortU inr-License#CMC124975a CAC045=CFC1428283 j9661 B03-C879 CUSTOMER EMAIL CALL=1111 ADDRESS/ C P •� HOME PHONE C �7 YJOR HONE K•P OPTION 1 OPTION 2 OPTION sl I YPE 51ZE`r11TYPE Y i IZE J y TYPE EFtI IENCY EFFICIENCYCIENCY $ $ WOO— UV $ 5 L) Pf.Z $ $ L .UtJIL 5QBIOIAE $ SQBTOTAL 5U TOTAL MOMFILY T.* MONTRLY EST.` L M NTHLY CQ51U H INI11A COSTONIER INITIAL USTOM INITIALS Werra 10_ Pena ti iio+ Warranty: C Parts2130r vrarrant . Parts f or Com f rc.sor U R i Excfla er �v Compressor t�f'leat Ra er a ompressor Iv I�Pleat anQ a R.Tritizrant reea:area Una Mspa a UT.., e;raa 6,L..:.Camplata cicon V i ad rig aac vt tivor savors.o protect your home and removal of existrny equipment All ark com is done in accoManc existing cMes an'u permits as require'o. OF SELECTED OPTI�N:a❑1 ❑3 ❑Wv..thc.—vrbvt ZCvnncct to Lxiat;n$ ❑Xdifiierr _. SUB I OTAC y1t I{ Disconnect Electrical p Kfatimv t:quipmaat Slob at7•No:P1y..00a Dock ❑ $ gwounaa Isolation Pads OQe--onnect Drain Cine ❑Miqui0' rite Con'uuit ❑Ceiling paver Rit p $ ❑Start Kit ?Pail&Reet) ❑ Ivr3[C ; 1 Ii cfnnc.—t CC D.-,er_ detain Drain 3afecy.Swltu7 ❑Outdoor Unit Pad QMefrigerant Pipe 06eal New Co..nections ❑Rae Veniir;y ❑Nw- Reconnect ❑Support Attic Ezpi rmurit 13 DuctworR Mrineetions u CAsA ❑CFIECx# _ Q"errigerant ripe Cover CIFSupply Plenum Ci Foci Hpina OFExpnr,sion Valve 0 No- 12"eevnneet ❑Electrical Whingg u CREDIT ua.KI3(1751 4vul Return Plenum _ ¢f-lF-at..l-type }' hlerrl Pl�Ser�iee an- 0 Now Waco., cc l +�1 Toms(364 d..yu) Exi- APPROVAL. OUR GUARANTEES VK �{IFIAAACIAG" ;omTvrl C�eansnlev yrJ-'Iomc P...teetivn Cyeansntve b 724-Plour Service Guarantee 0:10U�o vnconMitionm moneySaUR Guarantee 'Payment apt vnc ..ilabla-rth approved credit •vv.,lterl csstome.Qethonzation-11 1%vI1t—invl3 l3.fapa 6caineien_N7 e..terccevm aa8rtienal er extenacd-erK. •ANY C IM19IS FOR U0195I RUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CORE PROVISIONS OF CHAPTER 558, FLORIDA STigr v i ES. •aD t Ex`5 RIur1T I it uyACEC r nis 15 a Home solicRatlon sale,and IT you Bo not want tRe goons or se:ices,you may cancel thh agn:ernc.-.t by pra.iaing:rittan notice to Me-allar In po.-on,By telmara ,or by mail. Thl.notice most Inaimtar t6at,oz do not want the goods or services and must be deliveriin,or powtmarRM Beisore mranlgllt or tRe&RIM Business nay aver you sign tRls agreement. IT you cancel tills agreement,the seller may not Keep ail or part or any casR sown paymenr. see the rFam.Zia.Rviaof for an a..pl..rfotlon yr tfil-right •1 acknowledge that my right to cancel has been explained to me orally anu in writing,an'u witRout waiving my right to cancel,I autmorize the peRormance of tRe worn suBject to all terms anaa con'aitions set iortR on tRe reverse s:11e hereal,plc.,-y t—am open vomp'ehon. Notice To a,wner-Do not sign tRis home improvement contract in blank. u a entitle'a to a co of tree contract at tRe time you sign. Keep t to protect Tear legal�ghla. I nip f1�.-e n+p e-en+eRl eamtroa!�,.7 a nlai- —art;otle ere m lea e.eate v lion e-Teer propart7 Thai aveld 6e Toi cGlvacd vn If a dv nvi pay.B mare you an&rsi.nd a I ovi na of irle contra t of a yo R. STOMER SIGNATURE , DA7 PANY REPRESEN,... (003 �- (� ti n lia- CUSTOMER SIGNATURE DATE DA A I Mis comoination qualirles tor a Federal Energy Eniciency tax Creail.w,Rzn Am "IMP CERTIFIED" . PLOV0 ;inaervico Detworrn Feb 17,2009 and Dec 31,2016. ad Certificate of Product RatinfiS A-RI Certired Reverence Number:9156773 Date o1-22-201t1 Model Status :Active Old AHRI Ref.renoa Number AHRI Type .RR%,.u-A-LB Barium . outdoor Unit Branil Name :CARRIER Outdoo,Unit Moat/Number (Condena.r.,r Single Peckaye) -25HCB660A'032' Indoor Unit Brand Name Indoor Unit Model Number(Evaporator and/or Air Handier, :FV4CNB'u064 Famase Model Nawtber' : The manufacturer or this,ARRIER product Is responsible for the rating of this system comOinativn. Rated c3 follotirs in aucord.nca with the latest edition of ANSI+AHRI 2101240 with Addenda 1 aM z,Pelllormanee R9ung or Unitary Air-Conditioning &Air-Source Real Pump equipment and sulslect to rating accuracy oy AMR]-sponsored,inl]epenftnr tnIM pally testing; Cooling Capachy IA21-Single or High Stage 19SF1,btuh 56500 SEER:16.00 EER ZA20-.jingle or nnA'yfl stage 1951iiI :12.50 HeaCng C-perlty(R12)-5;nele or 17115-H 5I5ge(47F) :570L10 HSPF CRaHlon IVt :9.w I I T'Acti-e'Mod./Statu_era then.th.t.n AHRI C_Nfi�tion Pregrarw P-rticipant In vawently producing AND eell:ng.r efferi..g for=to;OR ne.r mode a th..t.re boirg rnammea But are not yet being produced"Production Stopped'Model Status are those that an AHRI certification Program Participant s no longer producing BUT Is st II se ling er etf ring fer male. Rp.tings Wit iprip.ipccorr nied b' WAS Indic le pn incolunt r•re-r is. T he new ubll I-ud FoUna Is airam�;with IRe prey,nus i I.s.WAS ling. 01-CLAIMER AHRI d—net aad�—th■prudu_t(e)Ii_ted■n thin Certificate and At„k_me ra,resent den„-arrentles or go-rant——W,and„.a»mod no r..po nzibllity for, u,o prou0ugsj 16teu an this Certificate.AHRI expressly disclaims all liability for damages at any kind arising out of the use or performance of th=producIN),-r th= enoa:horl.ed-fierQdon of d.w.Ilowd on.his C.-lfi..te,C.nified mangs era olio only ror m...ls no Ganrgor.tl.ns Ilatoa in ME dlrectary at www.ahridirectory.org, TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI.This Certificate shall only be used Ire ladl-ldeal,p..o■n„I„nd eonRdon.ial rafere..Are purposes.-.oo.,tenz3 or tech eenra�ra may net,In wRolo or in p.rt,oa ropr000ccu;wplw;.inseminated; AM e=tepud Int-a■wrnpter d„tab._.;up■therwi-_till-.d,in„n;f_rrw.r nr.nnar.r b;..n7 rwa„no,a;;.apt fer the u=e�n L i ividael, personal anu unnoontfal reference. ntn..va01T1o111Nr,HEATINu. CERTIFICATE VERIFICATION 6 ,�-e intarm.dun-,or one moacl uteu.n tRis wrtlucate can be verified at www.ahridireetory.org,click on'Verify Certificate,link we m„ke Lf_hett.e' and enter the AHRI Certified Reference Number and the d„..u, which:ho aenlfl—r.ws I=e.d. which is listed above,and the Certificate No.,which Is listed at bottom dgnt. — ©2018 Air-Condition Ing,Reading,an'u neirigeration Institute CERTIFICATE NO.: 131611013484146422