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HomeMy WebLinkAboutBuilding Permit Application . . ...-....—.—... U- ,— ,-........-......MNII ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: j -?g-- )— 1 9 Permit Number: I q0 • - ,,..t " ----------," .T.;5iFs;,j-,,;ti.f.:;i•it-7,':,:::-......:i• ----- - -- , 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: To Select from dropbox, click arrow at the end of line ,:-,--4-' -,----,-;., . ,-- :----,-'• -;c: .17--,.:`:'''''''',•.::-i'l.;,;;;;;;r:""k\';;;'K'''..`2-Y;i7:Zn.717;'--47,•:;;',Kiz*:;',5:''T;-,P-..fi.-,,-.4:1.,:z-z‘z.-;;;;?77,Y,--.. ...;%,..f.;:-..i.'.::'.7-7',..‘-_,:*'-'.;.'.,.77",. "" : ..,..:• . ,',.,. :..s.....1 . „.*-;-:::.„,-.,'•'-,--,;'',‘, : ; -‘!,*.;.7,.`;::,f-rA.--.7•:-'--)74-_-: z -'''`z;',: :'%--.2-""--1;-••'-:'.•:':::., • ',-....'•-:-.:: '-'''''...‘- :'..;• Address: ift .1 a t 7 C, los P,ii . Legal Description: .4 L a .. 1 Lpir k.. -11.,nt+3 - --- iN Property Tax ID#: 1 3 0 - ' trumiNG, -0 0 .1. Lot No.-APil ' F Site Plan Name: I Block No. if Project Name: I C/0 Setbacks Front Back: Right Side: Left Side: I . - ,r,- -• • . - •• •.- ...-: --••‘,..... '..7••:,-:., 't.'' ‘v,'-,i;'•"-ir,'::;-:''''';':-4.:" .''''t':'7?:::Y.:-''''''' :''':: •'..:,'''-*''' ';' '''•-•...." :77 ' I . , ... ,• .. • 7.,-_f: , ..,. •„ - .. • -' ,.J...,.7:-....:-;..-:,,---::: ...,.--.. --:.:-..-- .-,. :-.: .- .r• .. .. ,• . . ..- ...., ' . 0 4 W,,e -itY Ik,re i recoevi-Nott ra 56--)ent ,., telyi Zi5 -170n 51.0 htA- 1 r ,,..,.,_-7: .., ,,,---.7.--- ... --.7.77,.., ,,,..7,,E, -:':.-7.3:.-Lf,,,.,'-',r''':,,-"::. ' ' ,:;'.'„.:7' ..;-,..: ::..7-7....-:':7. ,'.--: -...'•.":.:..:7 2- . .''• . '-'•' •• .f'r.,:': .. . , . ' : . '• . . - :-. .."'' . ': - ''..':-.7.. "-...l'-•'"7"----.;-='.7:''.:, ' '7. i •• •na wor o .6 e orme• un•ert is permit-c ec a 'MI appy: • la HVAC Gas Tank 1JGas Piping - I Shutters Li Windows/Doors 0 Electric D Plumbing ['Sprinklers 1-1 Generator El Roof I___j Roof pitch Total Sq.Ft of Construction: — S Ft.of First Floor: tr Cost of Construction:$ W4-1-1 t). _ Utilities:i____I Sewer OSeptic Building Height I .- ,- : -• , . ., . .,...,... .,. ......., ,...3.:1;:.y....7.,,,.._,,,,..a•-•• _-:;•1:',.:-4,,,,..-',7" ,,•`.:i;•`•*'-';'-r:, -:::::!-,.•ri--:"..... 7.F:,.77..):,','.'77-. '1,::.*. -': . ' - • • '• - *- '- i" , Name - 16211M11116271 . Address: 4"1- 1.11t) I f'I — company: 4 05, MaYiri '1/- e.,,,,) - • . , City: Port 1 0 ' State; Ft.,, Address: . ' `IO i -Li.......evai- Zip Code: City:L.2 Fax:71 7i .3 q -epti.-7 City: Pryt-4: - t Ca. State.: .--1...-- Phone No.-770 --gq --91Z-..< Zip Code: 2_ Fax: 93 -=.71-- E-Mall: /MS5i/441'0(1 Ce.MniCga vi-ek Phone No.—17-Z-- • -"I' Fill in fee iimple Title Holder o ext page f if different E-Mail: C ,'Irt.) 11/1N1I1Cc.cr1l4c-ix rf- from the Owner listed above) State or County License: e•iv_. 0.5ce.1243ct if value of construction Is$2500 or more,a RECORDED Notice of Commentement is required. 41.1110110.1011..m.mmoot0000mmommooliiiimmuMIIIIIMIP— — ... on....-- —- I • —— DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable, Name: Name: Address: Address: City: State- City: State: Zip: Phone Zip: 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 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, f 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 jbbsite before the first inspection. If you intend to obtain financing,.consult with lender or an attorney before commencin:,work ori:cordin: our Notice of Commencement. Aar fear Sign-. Frio, ■ `er/Lessee/Contractor as Agent for Owner Si:• Aci.f Contractor/License Holder SY ''6F FLORIDA ) i► COAUNTY FLORIDA l A V eil C INTY OF ��(,tL�`.�'� COUNTY OF e Id,,t •The forgoing instru eptwas acknowledge before me The to going instru ent was acknowledged before me this 7 day of 1-7V(111(1 ,2011 by thi day of ? l ,20 i.l by Name of perso aking statement Name of person mg statement • Personally Known J OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced • CRAIG A.GROSSMAN CRAIG A:CROS fMAN 1'' 'a% Ai.' MY COMMISSION#FFS90902 a /y/� �`' MY COMM/SIMON#FT'9908Q' a_:. U. •,..-,.:- ''.'u-11.-•"7'.' -J.'' 1O. L, 6•. JJ N." Y� '� ,' (Signature of Notary Public-State,.•?+'?,•,.,k mug**, „ ,gnatu a of Notary Public-State • -0-r • , , Commission No. . (Seal) Commission No. (Seal) REVIEWS FRONT, ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW . REVIEW REVIEW REVIEW REVIEW DATE • RECEIVED . DATE j COMPLETED I Rev.8/2/17 • • • • • wvw,ahri.directory:dry '` Certificateof. •Prod uct.. . Rating ; , , • ..... ... ....... .. . • ••• .. . •••.... ,. .. • AHRI Certified Reference Number: 7491226 Date: 4/8/2015 Product: Split System:A€r-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number: RA1430AJ1 Indoor Unit Model Number. RH1T3617STAN . •• Manufacturer: RHEEMSALES COMPANY, INC. • Trade/Brand name:RHEEM; RUUD • Series name: , • Manufacturer responsible for the rating of this system combination Is RHEEM SALES COMPANY,INC. 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J(E,=11(( f x�_ , 'd .rSra, - A,_t.:-:. f pu ::kr: ..@I. _PI�lt,d.• : a"'r�. ..,,. ,1! „r. ..Y;; :'"�_ :•,., 1 . { i•t, .. - - ...:. .,,,.,�;,:�::1•`..., E�:;ri::s�"r•,:_�;'E:":;r` •�:5t:::- E!; • :;;p�,,>::{w;l .;_•::::. ,.::,r:,V!!;!:;;.ii.i.,,,..i,A,: Irl ^c.-F_::_Q4.::''..,:i%i..•,:•.,.....i i.:,:.;!.;.I........... .... ..., _ _ .•, . .:, :.�,.nn,�:un.-.:n�_�.,,.1n:rq ...__.,,,:::::�_<_�,��:i.i,��„�i.,,::rn.�.�..,���._,....n:l n.��1�„�p....:.:.:.:::...:.,.�_', �.:__-___:::::.�.�i:•. ::.�•a* -..:.:_.. .8..� • Ratings followed by an aatenak(")indicate a voluntary rerate of previously published data,unless accompanied With a WAS.which Indicates en Involuntary rerate- DISCLAIMER AHRI does pot endorse the product(e)listed on this Certificate and makes no representations,warranties or guarantees es to,and assumes to responsibility for, the product(s)listed on this Certificate.AFIRE 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 1 directory at www_ehridircctory.org, TERMS AND CONDITIONS '' This Certificate and its contents areproprietaryindividual, a • products of AHRi.This Certificate snail onlybe used for personal and b...•-:..,,;:,.„� r,.::.....,.1.,,..:.,.-"............... rdhfidential reference purposes."Me 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, personal and confidential reference. WR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INsTrfVTE The information for the model cited oh this certificate can be verified at www.shr)direotory.org,click on"Verity certificate-link we make life better” and enter the AHRI Certified Reference Number end the date on which the certificate was issued, which Is listed above,and the Certificate No which Is listed at bottom right_ t:.. r¢� , t�1,11!1 ' ,r '".°lP^^.p'n".2: r,';I ,. I`4 v 5 r.�iifSlll�,,r' i 'ig �t,r,1 i ^�. , =�i•,,- • 1 i Irul 1 dui' g t 1, oat ©2014 Air Conditioning,Heating,and Refrigeration Institute " '..--'4 @ 4r Iv r�u;�t it 11, :1 y5 y •1741,;:7- ., ". i.. f.,ti..,.I.!..r�r i_ct '✓0f.,.in.,.(:ti.i.?a