HomeMy WebLinkAboutBuilding Permit Application AII:APPLiCAB E'I1VF0 LIST BE C17MPLETED FOR APPLICATIQN TOSE ACCEPTED /].
Date r Permt-Nutnber. "/
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Build ing.Permit Application
Planrngq.o.nd Devewment:5ervices
eurldirig and Code t2egulotlon Dlvlslon
I 23QO Vrrgmla Avenue„Fort Pierce FL,34982
Phone j772)462-1_553 Fax;(772)452 1578.• Commercial Residential
PERMIT TXPE - ..
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A01dress ' 6° f :.t
{ Property Tax to,t_F
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P-roiect Name
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43e: sEx� �'`.�!^>,c•• se,'�` ; its• t
dtt nr;li work,to be=per-forined underthis permit–check;all-that apply".
Mechanical.= =Gas Tank Gas Piping _Shutters, Wi.ndowdboors
- —
Electnc Piumbmg: Sprinklers _Gene►ator- Roof Pitch
Total Sq .Ft of Construction _-. Sq:Ft:of Fust.Fhor.
Cost of[ohsteuction $ T`Qk '�' _-. Utilities- Sewer Septic Building lioight .
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Name
Addresi' ,�; ► = .�_ Gompany;2t +� -
Ctty � �i''lJ=i�•.= .. -_ Statel ice. Address- <'6 ( F
Ztp Code Fax:
City.-, Stater
Phone No :; Zip GodeGa- Fax:
_.
E-Marl r4,y, Phone No '"77 3
Fitl inee s� ple Title Holder on next pale`(if different tNlail Ai
from the Owner'listed,.above): State or County L'ii erase A ;�L'7� O'
if value ofsonstrudlon is$2SOD of moie,,a RECG�t�fD Notice of Comme_ncementis requtretl.
H _ moe,aOE ; lomenemerit's:requireIf vueofvDfrJ.
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-DESIGNER E111GINEER Y:,Nat Applicable �MQRTGAG UMPAN _Not Applicable
Nam.e.:,...
Name:
Xlddress, Address:
City: State:
ZIp ;.:,t Phone Zip: Phone•
k � '
'FEE SIMPLE TITLE HOLOER: _Not Applicable BONDIN tUIPANY: Not Applicable
Name:
Addressr .. - .
Address:
'City. ;-' City;
ZIp Phone'. Zip: Rhone:
OWNEi 'CON7RALiJQR AF�If�VIT:Application's herebyfiade to obtains permitto:do the work and ins'tallafiomas indicated.
1 certify tfato WArK ol`installation has commeAceo prior to the issaance of a permit
.... i
StAude Counttyy makes n*,*rgentation thJfls granting a permit,will authorize the permit holder,to build the subject structure
which is lit conflict With any applicable Home C►wners Association'rules,bylaws:or,and covenants that may restrict or prohibit such
sttucture Piease, ,onsulf with your°Home Owners Association and;review your deed for.any restrictions which.may apply.
In consideration of the granting of this'.cepuested,perinit,I do hereby agree<that,l will,in all respects;perform the work
in-accordal ce with he ahprove plans,th;e-Florida Building Codes-'and St.Lucie,Countq,Amen'dments.
The followir building petrdit applications are exempt from undergoing a full concurrency.review::-room additions,
accessofyTs rf Pictti�es,swimrrnng pools,fences;walls,signs,screen rooms and-accessory-uses to another:non residential,use
"1YARIWNG0 OWNER' YOUR,FAILURE TO_°RECORD A-NOTICE OF-COMMENCEMENT MAY. RESULT"IN YOUR PAYING
TWICE FOR1MPROYEMENTS tO..YOUR•,PROPERTY. A NOTICE OF COMMENCEMENT ;;MUST BE 'RECORDED AND
iPOSTED ON THE JOB SITE BEFORE THE FlRST INSPECT! It JF YOU.INTEND TO OBTAINL FINANCING, CONSULT
WITFFYO�IR LENDER OR Ai11 ATTORNEY.BEFORE RECORDING YOUR.NOTICE OIR COMMENCEMENT.?
Signature,of0 nerJlessee/Contractor.asAgeritforOwner Signature" ;.Contractor/License Holder
:COUNTY O�ORIDA � � j COUNTY iSTOFE OF C3RIDA: �
r
The forgoipg,instr ent was acknowledged b' The forgoing instrument was acknowledged before me
tbi `c[ay of 20 this day of 20- 'by
Namef,Etgrson�making statement` an. Norrie of person makiii atement _ N,
r- r J f C
Pe rsoria�fy�Known OR Produced,Iden i Personally Known ORProducedadentification ..
Type of lHen ficatr ,� $ - Type--of ldentifica$ien-'. `T
Protlucd f. Produced `�-'2: �'
}� f P ,, r a'cy 19
I 1 x Jcr.-;lr 'ZA 2 - - �'C
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(Sign tTe.�faVotary Pub11` tate of Floridv4-
a) (S nature of+Notary++tubi' 'State of`Flotida')
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Gomm�sson N 0 O (sea. Commission N4o4 (Se 'Av
41 NLA
REVIENS �� }t RONT : 'µZONING " SUPERVISOR'' PLANS. VEGETATION SEA TURTLE AN VIE
s. iCflUNTER x <REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATETit-; 1 - -
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REC6iv
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Akf CeKrfied Reference:Number.:&$45804 Date:10-28-2019 Model Status -Active
Ali Type,-"MPA
�Seies::R410A�iP'SPF?
Outdoor;Emit Brand Name;ARCOAIRE
OutdoorrUnit ModefNumber (Condenser or Single Package):PHR536"K`W
Thetnanuiacturar offhis ARGOAIRE product is responsible for the rating of this system�combination.
Rated as:fotiows'in'.accordanbWvdBlt_the latest.edilion of ANSUAHRI 210/240 with Addenda I:and`2,Performance Rating of Unitary
-Air-Conditioning&:AirSource Heat:Pump Equipment and subject to rating accuracy! AHRhsponsored,independent,third party testing:
`Cooling Capacaty(A2)-Single flr.fth:Stage(95F),btuh:34000
'SEER.:15.00
;Ei;R(A2)'Smgla br High Stage(95F) 12 00
r zw
1leabng Capaaty(H12) 5cngte or High Stage(47P) }34U00 r r 7 ��r
CSS�f(Reglan tV) "021] v 3 1t h J. y-i:2 I y L '4 k
{w 5 {{C 1 S+, F f•Y k Y3 h*i3 t3 i
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� �''.yk'x�,.-.� � v�°;7L,, x25 Kt.u:s Ftp't%tt i r^�i ....t..- z y-`s '} y� .�"y 5. � 9 {' .r 3• $� 't` x�'' �
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t'Adlve M dei Scotus ere those'that enAFtRI CerUflcaUnn Program Pert.apart Isecurtently product AND selling or.of for sale,OB new.modeis tturi are being
maitteted but erenot yetl>eing produced'P�roduction Stopped'Model Status arethose that an AHRI 6rfl8cation Prdgram Pertidpant is;nb li)hgef prdducWg SUF'is:still
F;eiliin9 or offering far sob.
Rainas that ate a nted 6v WAS irldiizite ttk involuntary reaate 'The neva t'kUs d retina-�..i,rriK n atrinn ;
®� ►ei4aus t e �NA51 iatln�C
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Df$cunliil:t ,
AHRI does net endorse:the products)ILsted;on this Certificate and makesno re presentauonsc wartaMles ar guarantees as:to,and assumes r�sl
no'respobifty for,
the;producd(sj'Sated onthls'Cettifleate ANtti ezpressry dlsctatjns aU liabltity far damages 6fony Wnd artilog out of the use Or performance of:the_ptodtict(s);or the ,
uaau(horize i akeration'ot►ate listed ortthis CeiWe'dta-C'ertMed ratings are valid onty for models and conflgwafions listed in.tha
dhectoryatrsRuwahrldirectorjtorg,
TEftRRS ANb.CONDITiONS
This'Certificate and its contents are proprietary products c?ANRi.ThLi CaitMcatc$toi only be used for indhriduak Dermal and
conitdertUal reteranee piuposes+the contents of this Certwiate
may not,'ln whole,er In part lbe.reproituted copled,dlis'&Wriated;
errt
'aa into a coin
puter`datehasa;or otherwtsa utUl®d;:in:any farm or maturer or'try atty;meatrs.except-tor tfie_user's'di .Individual
p�sonatand;contldenttalrefareneei R1R�pl�DlTtt)ldiltr3,HEATWQ,:
} TiFidATE VERtF16XT10t+1 &Rt-Ft1sERATroN tNSTmin
a rdomiatton for the inodet affect on this eottlt este can be Na ied at t r ah"tidirectoi -ofg;cock on-VeElf}CertiNm ato1:11 k amake r�� „
Tho, •
enDe�the
MRIC--Aed tfeferenee NiAber arid,the data_pn which the ccitiftcate was.Fsstied, N
wtilch is Ilsted.above,and tha CerUAcata No,which is`Bated at bottom doiL
02C �TFICAT`>£ .132167856W33568'1
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