Loading...
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: PROPOSED INPROVEMENT LOCATION: Address:l Q� /"-L L- "-L 7; L Legal Description Property Tax ID #: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: 2 14-4a .-gyp CONSTRUCTION INFORMATION: a w ar to e pe Orme un er t is permit- c ecx an Lnat apply: Yichanical _Gas Tank _Gas Piping _Shutters —Windows/Doors Electric _ Plumbing _Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: $ 3m13 7Z oo Sq. Ft. of First Floor: Utilities: _Sewer _Septic Roof Building Height: OWNER/LESSEE: R CTOR: Name fe4-,CJ AJAJI Addr s: S �ti1 ny: Q t rAddrWs: .�J City: �k,�r�, CL State:/;'-_ Zip Code: c("!C/ Fax: Phone No. LL - / .fit w��st �[ Zip Code: Phone No. State:_ E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) iI- L' r JGeJ f4L C6>0--( State o County License: 91 value V i wnuI uuwn a cwo or more, a newnueu Notice or Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: Uwrvcrc/ CON I RAl I OR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. which is inoconflict with any applicable lHome Owners Assoclationl rulesabylaws or and covenants that build 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 work or recording our Notice of Commencement of Contractor/License Holder Signature of Ow gent/ Lesseetgnature STATE OF FLORIDA�r p COUNTY OF ��� /ten C _ STATE OF FIL IDA, ` ,� COUNTY OF �..1._.t e The f r oing instr ent was acknowledPe�j� efore me thi day of/i�jJ(I-� E ZdL�by The for going instr ment w cknowledgfore me thi day of) 2p y L�ENAJ i S Cues+a Lu6s N u n lit (Name of person ackno dging) (Name of person acknowl ing ) (Signa ure of Notary Public- State o orida ) (Signature of Notary Public- State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced' Type of Identification Pro c Commission IN �� r+(gljueucsataaFgge * Kathenne Caldero CommissionN r�or€,q,6s My Commiuion GG 179677 6 ' fTIRM REVIEWS FRONT ONI G SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. AHRI Certified Reference Number: 8714903 Date : 08-22-2018 Model Status : Active AHRI Type: RCU-A-CB Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR402411 Indoor Unit Brand Name: TRANE Indoor Unit Model Number (Evaporator and/or Air Handler) : TMM4AOA24S21 SA 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, NO, NE, NH, NJ, NY, OH, OR, PA, RI, SO, 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 region(s) for which they meet the regional efficiency requirement. The manufacturer of this TRANE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 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 : 23600 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.20 YActive- 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. Ra(ings that are accompanied by WAS indicate an,i re_ rate. The new published rating is. shown along with the previous (i.e. WAS) rating. 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 productis), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at.,.. -... iiiiidirectory.arg. TERMS AND CONDITIONS a - This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and v. confidentlaI 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 fano or manner or by any means, except for the user's Individual. , r, personal and confidential reference. AIR-CONDITIONING. HEATING. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at vnvw.ahridirectory.or„click on -a ”- link and anter the AHRI Certified Reference Number and the date on which the certificate was Issuetl, - `�"�' :-"- r•e make life better - which Is listed above, and the Certificate No., which is listed at bottom right. -- ---------- ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131794179753575983