HomeMy WebLinkAboutBuilding Permit Application 02-21-19;01 : 52 ;From: To:7724621578 ;7724618722 # 2/ 7
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTLb 9
Date: z Permit
IVELD
Building Permit Applica ion FEB 21 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort pierce FL 34982 St. Lucie Co ty, FL
Phone:(772)462-1553 Fax:(772)462-x578 Commercial Resl en 1
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
�t •dry, alt 1 •�,�w ,'p c�,�,/r�' .�.x r=S' A _ i�F,'+K11.�. :, t' Ort +_{;.J;,, •Ya xN• ,,,;",r,�Yg9j4oJ{+;tia'n'yrr�;.rt;•r,::f,•r,.;.:.-
7>!'rL!TTJYII�,'�,��^! n.!I �,i1 � I,Y.'1•�: ����yy�yJ.�„J• � �!1• �rr��k �'� �ip���:� �.r �j i i ��4,...i'ryl>1r��.qiA,t1'''ri�S';ti5r:`t'�,'lc::�i":$�:I`';�A'�',1:�rxi�'•�'11"�4ir�.
>', 1. ..1...�'.?k/.sl+!. .;! 1 �,nY°4J�r.n'friM���1C..�la!tih;MJ.#�.J(,.i J;.,';;C�.� j;lJ;��7yrt,r�r.,�,��,��.rel,,;�t,,)1C.�.,.;;�:�:r:,'�:.'•1;4',.J;�;"•+:r�'rryl?i.� ,
Address: NOQ�
Legal Description:
-1
Property Tax ID MA L-Aat-77 — Lot No.` _
Site Plan Name: Block No.
Project Name: &C
Setbacks Front Back: Right Side:_Left Side:
' r 'na+teW k J'uYr"errv�Jd:x ser •n•.tlifxa!st>~S ',.v.•�rrA, dg +ur i re� -vr
� '� � � , f � Q`4 ^�• �,� ,F ,r�r;,. r,�.9 �¢t ��•„�,�rZ :1��;1:'{':�1� "�S'i"t','r�r:;, ,:�;rrr
,�, ��y : � 5u. t U�'`j�J?�' ,' Jiu i,,! .{�d',t)�,7ns;.+�!si� 1',�'y,i"'�'=iv'!Yid",4,.rjl;n!'i,i:':i,�ir91�''�"� •:�;. •'•
�1.�� '� .lr 1rr. 7 T i,�''� � ! 1.r �'�f�y •If �: � �h,/ J• �•�:.,.I�9 rLy1 ,1�1�.r�!:r!f.::.'l,+fel. `i..r'i.:!r.� ::'1;:1�'�?i
�r'1r.,�fA,�Ji�tri'�:c6 +�`y,9 ..r � � �, '� �„-�; a �,��,1;�,��,;,Mt ,J3��a"�„Yr,f3� rrc�.rJ•��•:fr�C;:tt;#�?cev:r:;Grt:,•f,.., ,;+;:-•,'� „?,,;
�. ! a. h .fie it e 1 J J•sl• J a„/FI Ltdrd ale,n o:+rkJNrn•t•.,Mi.A:er!!h•,4k'l'.r•�fc9 r�'1:>e? '.ir�}i:-r;Scr �;:,i;, ��ih`•i.1 rr•_
L.i�t c� t �1ce r�-p 1 ac�w4a.ti n r ,�� r► raJrle... �' ��s�?':���e�t
V Va
`:fi.<a�'i�.'�4:'7;-,�`J''�J;tt•�v. ry`rh.':1+J"Sl,.at � ��.'•,i�i%� ' Je °' ,,�J`r1 ��Ft '�''1, 'fi' '4 ' � fT• a ��. :SIJ t Jr a:�,.
.1 ` ,. � � .,±. � l: ,•� `t fh s 'F' r•�{;. :.��,• J 'J F,rf, N r.>+vJ`iY�.,k47,,Vii,lyiiJ�:;;�{,�.i"::�!q;+r, /.t+;:•
t��t�^, � �J�� r� � �11�I i,5"�, sS� ".�,1. r � ,,a ��,.� � U �«•! t � w�(� 3.r u-r t4r�,)J'r r,,�'r„';.;ti-',�,.n'�•,,'f.t a,•P;•r,�7�l,.i;•r;• ',:!.,.,,
e �r�,a.al.n r. ,;ru:,/ _�„,�r.�,.ui G �, n �},s, ,y,}x )S ..it S lilYrtp� -0� .�ih �” '� J•; '} ,"ar .y.,.�„�•'
"it- nal worK to []GasTank
� e under
orma v'��'��+wJut�.+�w�:���rl�r.:�:�tiwJr:,<;�v:car.;„�;s;'�,,f',7;;�,,;.",;.::J...,r,:;�;:.;'•.;;;:..,r;,
t �spermrt—c ec a appy:
VAC Gas Piping _Shutters windows/Doors
Electric 11 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ Utilities: Sewer Septic Building Height:
.•,.r:.`�„r., , ...,,,- ..ii.'NWi,.�l�`d I�1� {�'F,}9 i���R N!!.hx�',��z�:++t•7��,,��ro-✓�.1+!/r�4jfr1..,+.�7�r�”S{. r..G,,uJ '��i�?i�t�,:fr,¢;xt'3t[��,•+,re7YyS1+•��r'x.'',�i�,•rc".�}„R.�wl{;Sp•i„r,�J-��T t..;�r.jM�<rr;,gVMS,!ri'JtSOON
C��.An/�1' �''J�.h,p:.y r.Gf}ai?� .'7 ,..J.'3,'�.I.�,,�?g?'�IA4”�J�k1 7t�e„;ti,,.4.r�r�ki„,J�'r,a,a;;✓�,:�4,e.!w,r,J:y.t,;'.,Ki,,,.;,'?a,,�•..n.,p lp{,,�W'J;N'•1
Jl;•:�;c�.4r.R.^.aE't1'�.i,7,e.y4'/,',y•:%r�i.r.fi,,r;�.,.�.::,i.i;,:,',..:j..
.r�,i✓..1,.ta.}.r J.xf.,.inw„r,.. K:,Jv,: r,:•i:,,,.,J,•. -i:;'i.3..,°:rti:'.;:rl.?':�!•:`�r�i;?•e�:i:
Name rName- � IAA
Address: 4 R Le S<o Company: 1 - G
City: Et PjPrL;C State: Address: tA QkS %Mw%A
Zip Code: R W Z_ Fax City: State:E4 �'
Phone No. 7 - rJ zip Code:. ?2L421 -4 r�_ Fax: 1 UZZ
E-Mail: J`? , Phone No. CC
Fill in fee simple Title holder on next page(if different E-Mail:_Irbbe-� rdb
from the Owner listed above) State or County License:
if value of construftm is$2NQ or more.a RECORDED Natice of commencement k ranuirod
02-'21-19;01 :52 ;From: To:7724621578 ;7724618722 # 3/ 7
rf N'•c' INI
INI
g3+;rr' ,rr :r. �+.. ,trn
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State:, , City: Stater
Zip: Phone Zip: 'Phone:--
FEE
'Phone:FEE SiMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: —Not Applicable
Name: Name:
Address: Address:
City: City,
Zip: Phone: Zip:_ Phone:
OWNER/CONTRACTOR 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.
St.Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con Ict 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 work or recording our Notice of Commencement,
si ature of Own r/Lessee/Contractor as Agent for Owner gnature of Contractor License Holder
STATE OF FLORIDA - STATE OF FLORIDA -
COUNTY OF., ST / lir COUNTY OF / ,LL.cr
Theforgo g instrum was acknowledged before me The forgoing instrument was acknowledged before me
thisdayof G - .204 by this,dayof6!*6Cf e'r� ,20j ?by
Name of person making statement Name of person making statement
Personally Known X OR produced Identification Personally Known )— OR Produced identification
Type of identification Type of Identification
Produced Produced
{Signature of Notary Public-State a0lorida) {Signature of Notary Public-State of Fl rida)
Commission No. SU�kll}ONTENEGRO Commission No. „�';�+..,:
�.:• M4N7ENEGR0
;.: My COMMISSION#GG 089099 Alp,
MY GQMMl55lON liGG 0$90
EXPIRES,Apri{:.2021 t T EXPiRES:Apdi 2.2021
REVIEWS FRONT ZONING G� SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.812/17
..............._...
02-21-19;01 : 52 ;From: To:7724621578 ;7724618722 # 4/ 7
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31,2016.
Cupwrtificatef 'U'Li.m...duct .Ratings
AHRI Certified Reference Number:6936364 Date,02-21-2019 Model Status:Active
AHRI Type:RCU-A CB
Series:XR16
Outdoor Unit Brand Nome:TRANE
Outdoor Unit Model Number (Condenser or Single Package):4TTR6042J1
Indoor Unit Model Number(Evaporator and/orAir Handler):TEM6AOC48H41*TDR+UF/HRZ
Region: All(AK,AL,AR,AZ,CA,CO,CT,DO,DE,FI_,GA,HI,ID,IL,[A,IN,KS,KY,LA,MA,MD,ME,MI,MN,MO,MS,
MT,NO,ND,NP,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,$D,TN,TX,UT,vA,VT,wA,WV,VVI,wY,U.S.
Territories)
Region Note: Contra[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 rog[onal offlcioncy requirement.
The manufacturer of thls;TRANE product,1s responsible for•tho rating-a1`tl ih.system combination.
Rated as follows In accordance with'the latest edition of ANSUAHRI 210/240,with i4dderida_1:aitd;2;Peliormance;Rating'of Unitary',:::.:. :;
lair-Coritlitioriirig•&•Air�.Source Heat Pump.Equipment,and subJect•to rating':accuracybyAHRI-sponsored;independent;third•partylestirig:.
Cooling•.Capacity(A2)r Single or High Stage(95F�,btutl:42000
SEER f-17.00,'::
EER(A2)'=5inglt3,ai`Migti.Stage;(95F)' s.14.00.':::...:;
VActivo"Modol Status aro thoso that an AHRI CorUflcailon Program Participant Is currondy producing AND selling or offoring for solo;OR now models that are being
marketed but ate not yet being produced'Production Stoppod'Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offoring for sale.
Rannnsthet aro accompanied ny WAS_Indicato an_lnyetuntary ro-nlo, 7bo_now oubllshod_mtinals snown_alono with the orevloua 11.9.wA§2 retina.
DISCLAIMER
AHRI does not endorse the products)listed on this Certificate and makes no representations,warranties orguarantees as to,and assumes no responsibility for,
the product(5)listed on this Certificate.AHRI expressly disclaims all Iiability for damages of any kind arl5ing put 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
dimetory at www.ahridirottory.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;coplod;disseminated;
cntorcd Into a computer dawbaso;or othorwico utlllzcd,In 4ny fOtm Or mOinnor Or by any moans,cxccpt for the user's Individual,
personal and confidential reference. AIR-CONINTIONIN4,HEATING,
CERTIFICATC VERIFICATION
&REFRIGERATION INSTITUTE
Thn Inf—motlnn fns the modal Atari nn thin r,,.tltlrnta non ho.1-1Hn.l nt w,uw nh.fdl—f—n.K dirk nn�)(n�lfv Cn�tlli+-ntn"_llnl�