HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
RQ77;
.NTY'
Builds 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
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Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
MMW
Address:
Legal Description:_ -r ks
Property Tax ID #: Li Lot o®
Site Plan Name:
Rinrk No.
-7
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED, DSSC RISTI
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CONSTRUCTION INFORMATION,
CONTRACTOR,
C) Name r
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Additional w ---or e ertormed a
HVAC: Gas
r this permit — check
a—ff FT. apr
a p r�
ity:ae:
As532-
Gas Piing
p
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Shutte rs
Windows/Doors
Electric Plumbing
SprinklersGenerator
Phone No. '7 2, -7 1 '6(�o
_i_2
Roof E Roof pitch
Total Sq. Ft of Construction:
from the Owner listed above)
S . of First Floor:
If Valuen of Cnngtrurtinn is 47rnn nct%r%nr%vr,,&
Cost of Construction: $ �D U
0 Utilities:tl
Sewer Septic
Building Height:
OWNE R/LESS E E
CONTRACTOR,
C) Name r
Nae:- Dcw*i(- -)4 ox,
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Address:
Corripany-..�E�f� AC �e' r LLCC
ity:ae:
As532-
Z i p .3 C;k Fax:
City: State t L
Phone No. 17)
Zip Code: Fax: lea
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E -Mail:
Phone No. '7 2, -7 1 '6(�o
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Fill in fee simple Title Holder on next page if different
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E -Mail-, 1*40 E'c- Cot^
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from the Owner listed above)
State or County License: C AC I %I
If Valuen of Cnngtrurtinn is 47rnn nct%r%nr%vr,,&
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I certify that no work or installation
IT" Application is hereby made to obtain a permit to do the work and installation as indicated.
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 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
commenci cordi9jyour Notice Of Comm encemenf*.O��.
or re i
Signature of Owner/ Lessee/Contractor as Agent for Owner Signaturk'/O'f Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA Poo
COUNTY COUNTY OF C-1
The forgoing instrument was acknowledged before me
this IS"
day of _L0 -+D6 04'_ 20.11 by
ty) C�
N
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced.
1"NI
�Signature of W6�ta`ry Public- State of Florida
P -M
mid*le Daniel
`50ion FF 906496
- FRONTZOM N G
COUNTER 1 REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Theoing instrument was acknowledged before me
this fEl day of CIN 20-L by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pub R15 -State of Florida
SUPERVISOR I PLAN'
REVIEW REVIEW
Notary Pubile SWe of Fiala a
MiChelle Daniel
,ff My Commission FF 906496
EGETATION r I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW
AHRI Certified Reference Number: 201285995 Date: 10-15-2018 Model Status : Active
Old AHRI Reference Number: 7942207
AHRI Type: RCU-A-CB
Outdoor Unit Brand Name: RUUD
Outdoor Unit Model Number (Condenser or Single Package): RA1636AJ1
Indoor Unit Model Number (Evaporator and/or Air Handler): RH1T3617STAN
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 RUUD 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 : 35400
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
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.
Ratings that are accomgaoied byWAS indicate an,involUDIary re -rate.. The
ew�ubljshed rating is shgwrialong with th2Rr2 ",ous i.e. WAS I ratin&.
DISCLAIMER I
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 ww'w-ah rid! rectory,,orig.
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, 091
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 e mak
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we life betterTM
which is listed above, and the Certificate No., which is listed at bottom right.
@2018Air-Conditioning, Heating, and Refrigeration Institute [CERTIFICATE Nf)---- 131840927819288228