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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date NOW - COUNTY NN.- F L O R t 0 A Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Permit Number: Building Permit Application Commercial Residential Address:�Til) S lt,oc T:)f S C Property Tax ID #: =150,2 oo 3eq ?r Lot No. Site Plan Name: .i Block No. � Project Name: _�`fL2 zgI CL Z)d"2,- DETAILED DESCRIPTION OF WORK: CO CONSTRUCTION INFORMATION: Add=al k to be performed under this permit -check all that apply: — Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Electric _ Plumbing — Sprinklers Total Sq. Ft of Construction: Cost of Construction. $ J.3 !2 22:. 1 Generator — Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _ Septic OWNER/LESSEE: I CONTRACTOR: Name ta jt ; I r Address: . City: State: r" Zip Code: 3 Y Fax: Phone No. Q ' 9-- E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Building Height: Name:_ (a -e-1 Company Address: i 7 i/ S. City: ? -� State: -C% Zip Code:' 3 Fax: Phone No J 6r - 3 9 7 l E-Mail f_i G <- % s^c), j„ C��d�� � (2 r_.. (.4 State or County License C4,IC 1,V1 6 % If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION FEN LAW INFORMATION: 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: Nat Applicable Name: Name: Add ress: Address: City: City: Zip: Phone: Zip: Phone: nurwero I I"f1wTi'a A FT�e� wvwroint 4VAY i ISF7L 1 Li{ mrriuvi I : 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." a re of Own / L ' e/font ctor as Agent for Owner S n�ture of Contract rf t nse H er S ATE OF FLORIDASTATE OF FLO COUNTY OF �C l �. COUNTY OF ee _ , 0_e' The forgoin instrument was acknowledged before me The for instrument was acknowledged before me this may of 20� by thislWay of 20 1 C by '1 C) t �. cVl I Y) (D Name of person making statemen . Name of person making statement. Personally Known OR Produced Identification Personally Known _ OR Produced Identification Type of Identifi ation Type of identificati n Produced Produced (Sigr;kure_­of Notary Publi �� I orid AL4UIMBY (Signature of Notary Public- I "da )IYSTALOUIMBY !NY COMMISSION I FF 952495 ni s 4 ,:_ Y COMMISSION t FF 952485 Commission No. - `_ �3ailuary2U,2t120 Jana pp,2p Ban tarypul�Undarw61ers Commission No. ' . Bantary public Underwriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 9 Certificate of Product Ratings AHRI Certified Reference Number: 9193304 Date: 05-29-2019 Model Status: Active AHRI Type : RCU-A-CB Series: 14 SEER AC Outdoor Unft Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA14NA030"0—A' Indoor Unit Model Number (Evaporator and/or Air Handler) : 1~B4CNF030L 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, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, 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 CARRIER product is responsible for the rating of this system Combination. Rated as follows in accordance with the latest edition of ANSIIAHRI 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 : 28200 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.00 t"Active" Modet 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 Slopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratio s that are accom anied by WAS indicate an involuntary re -rate. The new oublished rating is shown along with the orevious i.e. WAS ratio . 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 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 Wo This Certificate and its contents are proprietary products f AHRI. This Certificate shall only be used for individual, personal and c 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 far the user's individual, 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 and enter the AHRI Certified Reference Number and the date on which the Certificate was issued, we make life better - which is listed above, and the Certificate No., which is listed at bottom right. ©2019Air-Conditioning, Heating, and Refrigeration Institute FERTIFICATE NO.: 132036187165195436