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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � Date: 1' - Permit Number: � " !. ; 8 • ' NOV -7 2019 - Building Permit Applica ion Planning and Development Services Permitting D e p a rtm e n Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Vit• LU OU nty, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial Reside tia PERMIT TYPE: H v A n k P t�7FOSED`I IVf RtV'EM ,�:,. �,.n•tea, ...,� _. �F Address: 6 L o.y-e. y 1 !54 r-4 Property Tax ID#: 3ya R -5cxo - 'D b 7 4 - C7 00 " `i Lot No. Site Plan Name: V15±5-t C.'. 5'�" Lu C-.&NE Block No. Project Name: VLft CL- G1e- ' �4' "DTAII.ED ©ESGRCPTIDN QI"WQRK x s _ N C :, 8 __. , � y �. ke,1?l C.1 C.-e— Com_ , I�s t'in c a Pc 1 c Cto w A e0'J s ry P i Q, Ci A l P�4'` 'cam - A r* ,c r�5 NrL r%&LAA C 4 o ay, t- -rirr ►w Ll. No ft CR L P6 3 4-6 oL 5z , r Rvj a s f 2y, a d s�z? 3 ,k 1' CON5TRUCTIb09' N VI�TIQN u.� ..�..,.rc^rrasta s.,. ._..__� ,�,�,� M, .z. .✓yi� ^,.�€.A-,�.a., .�.�" �r .:'e„r q.' ,ble.,;a5??x...�; Additional work to be performed under this permit-check all that apply: Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: r� Sq. Ft. of First Floor: Cost of Construction:$ ��p9,7 `�% Utilities: —Sewer _Septic Building Height: OVER/i.ESSCC?NTRACTaR x :: F � ; Name���t, (�f��t�rS Name:\�-eor►►C�G,S �'• "IL>rulh 0� S Address:13Iy0 Crt f+41 Nraue -5 �7 rt. Company P, 010404-1 -k�.g City: FA-bPt 16e.A d, &v4yLY?ens:State:�1. AddressO S G a tc 0 e-rro*.4 p.0 e. Zip Code:33 Lf L 0 Fax: State:' Phone No. a d 3- 1 y cZ S Zip Code:-S`(Cl TA Fax: 33 5'-4,g 12— E-Mail: 2E-Mail: Phone No "1'7 a►- S,7 q 7 113 Fill in fee simple Title Holder on next page(if different E-Mail$17(1erGCvl S-e yY-Jb Le. (V q rva` �—co IM from the Owner listed above) State or County License CAC-01)a(; 5 D 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. SCJPPLEMENTAL CONSTRUCTIbN LCENE1 " V lNFORMATiON pp MORTGAGE COMPANY: _Not Applicable DESIGNER/ENGINEER: _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 thepermit 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, 1 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." Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA ' ^ STATE OF FLORI COUNTY OF COUNTY OF o The forgojng instrument was cnowledgefore me The forgoing instrument was acknowledg d efore me this day of 201Mby this�day of by L,Z.orl.ld�t3` J . �.Er+s.�lJ�ULnl L.ecr�l��i.s' cT. �t?�-�QU�OL Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known v OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of No a Public-State of Florida) (Signature of Nota blic-State of Florida) 2 t Y Po FRANCES V.JW pua FRANMMI E V.MANS Commission No. G 30 rrr MY COMMISSION# rissiorrNo. G 3 3 j (Sea .•••••. MYCFRANOMMI E N#GG 0301 * * + m„ EXPIRES:Octobert 20 N„ Q EXPIRES 0 r29,2021 ST FaF�p on ru get rye ces OF F�� �nd�T_ ud t Notary Servli REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.2/7/19 Ulm uertificate of Product tiro s AHRI Certified Reference Number: 10346014 Date:11-06-2019 Model Status:Active AHRI Type:RCU-A-CB Outdoor Unit Brand Name:AMERISTAR Outdoor Unit Model Number (Condenser or Single Package):M4AC4024D1 Indoor Unit Model Number(Evaporator and/or Air Handier):TMM4AOA24S21SAA Region:All Region Note:1803 The manufacturer of this AMERISTAR product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 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:22800 , SEER:14 40 EER A2 Sln le or tii h 5fa a 95FI2r2Q�..._..__ t 3 t a _ x { A i a { -- m. ..Ate.....�,.,,...�...�.,...�,.,._,.,.....e .. .. 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 still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re-rate. The new published rating is shown along with the previous(i.e.WAS)rating. 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.ahridfrectory.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;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. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.abridfroctofy.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. ©2019Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE'NO.. (32175289389309214 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date € n17 COLUNTY F L.0 R. I a 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:�,� NT IACAfi6N Permit Number: Building Permit Application Commercial Residential >� _ Address: G Lw�, V jsAga 1:�y" c; A_ Property Tax ID #: 3 - :5 y u - © o _ -19 .-..(0 Q o Y l Lot No. Site Plan Name: Block No. Project Name: ��,����� 5-h,:� �, � ti r C� n�.►'�i' �yt�,r � .ifti� �� ,�^ `� 1�lYi: %��, Y1� �, 1.a,] 1 ti, �;�, -�- +� �-(� � 2 T 0 , V7{, 5 E f —a t.,,7 L) JA 5 >r ter " - Fock� LuAL3 VM- tog CONSTRUCTION INFOV Additional work to be performed under this permit -check all that apply: Mechanical _Gas Tank Gas Piping Electric — Plumbing Sprinklers Total Sq. Ft of Construction: _ Shutters Windows/Doors Generator _ _W Roof Pitch Sq. Ft. of First Floor: 1ca� Cost of Construction: $ (_'nom' Utilities: —Sewer _Septic Building Height: Name (-y 6. i,1 Address:13kL+o CrI5-6a\+D'Rr6�j-es City: rw_1 C�c�.0 n (_o AyL4 r-.yu C State: Zip Code: 3-5,4LCi Fax: Phone No. AS I r {` E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Company:. u ,o2ool, J Address: t Q"J tie, City:? -VCA -94 "g- ® Stater. Zip Code: 3q C(5 a Fax? 7c? - 3 3 5 -y. ` j. a Phone No - _ 711, 3 E -Mail �e;- — 71 �c.� IV C�YJ� State or County License S c 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.