Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: N 1 - i I 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION:: Address: , 2 1 .7 c,' �-i % ea -S 1� L Legal Description:. ! (C eo z_ , " I Property Tax ID #: 5_3 i-='_lLot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION. OF. WORK: CONSTRUCTION ,INF.O;RMATION:` Add i na workto e e Orme under this permit check a appy: WHVAC Gas Tank OGas Piping _ Shutters Windows/Doors 1-1 Electric O Plumbing OSprinklers Generator hoof Roof pitch Total Sq. Ft of Construction: �' �. S , Ft. of First Floor: Cost of Construction: $ �o� �m Utilities:Sewer Septic Building Height: OWNER/LESSEE:' CONTRACTQ t: Name Ac -i ro r Name: Address: 2i Company: C o o L , °. , City: State:L Address: /':l S,�_ e✓: Zip Code: 3 tj s -f" �, Fax: City -'42,2, I f State:�L- Phone No. �%� '- l/ Zip Code: 3 `d f -r— 3 Fax: E -Mail: Phone No. ? l - -� -f 0f- c--(Jc S j_ - Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: I f—i If value of construction is $2504 or more, a RECORDED Notice of commencement is requirea. SUPPLEMENTAL CONSTRUCTION LIEN. ATIO 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, 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 commencing work or recorclina your Notice of Cum of Owner/ Lessee/Contractor as Agent for Owner '"Signature of STATE OF FLORIDA - STATE OF FLORIDA COUNTY OF y f-:�-�r_c�_ COUNTY OF S .f The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this / day of _ n--�— ----_, 20� by this r day of 20_±jby Name of person making statement Personally Known OR Produced Identification 4y� Type of Identification Produced L_ (Signature of Notary Public Commission No. REVIEWS FRONT COUNTER F ED ETED Rev. 8/2/17 LOR GAGNE No ublic-State of Florl Commission # GG 29316 My Commission Ex.pirei Name of person making statement Personally Known OR Produced Identification Type of Identification Produced I- i— (Signatu a of Notary Public- State of Florida j ZONING SUPERVISOR I PLANS REVIEW REVIEW REVIEW IVO. ° R� L®�f ° -`= TA FJ �'a, %GAGIYE Notary jlrr�J -* *" { tate of Florida Commission o GG 293167 MY Commission Expires VEGETATION I SEATURTLE I MANGRO REVIEW REVIEW REVIEW Certificate of Product Ratings AHRI Certified Reference Number: 7615287 Date: 05-01-2019 Model Status: Active AHRI Type: SP -A Series: NUTONE P71RE SERIES Outdoor Unit Brand Name: NUTONE Outdoor Unit Model Number (Condenser or Single Package) : P7RE-036K Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, CA, HI, ID, IL, [A, IN, KS, KY, LA, MA, MD, ME, Ml, 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 NUTONE 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 : 35000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.00 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 stili selling or offering for sale. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous i.e. WAS ratin . DISCLAIMER AHRI does not endorse the produc(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 www.ahridirectory.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; copied; disserrlina#ed; entered into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFiCATE VERIFICATION The information for the model cited on this certificate can be verifled at www.ahridirectory.org, click on `Verify Certificate" link we make life better" and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right 132D12241)336$04330 02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: