HomeMy WebLinkAboutBuilding permit app i
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date O ` Permit NumberUV
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Building Permit Application
Planning and Development$ervlces
Building and Code Regulation Division /
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
RERMIT TYPE:
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Address-
Property Tax ID#: 4�(�� Lot No. ,'
Site Plan Name: Block No.
Project Name:
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Addit nal work to be performed under this permit-check all that apply:
-- Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers J Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft,of First Floor:
Co nstruction:$ *59C2 Utilities: —Sewer _Septic Building Height:
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Name; r ��
Addr Company:
City: State77 ddre
Zip Code: Fax City: State:
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Phone No. t Zip Code: Fax r
E-mail; Phone N'A - -
Fill in fee simple Title Holder on next page(if different E- i
from the Owner listed above) State o County License,,
If value of construction is$2500 or more,a RECORDED Notice a ommencement Is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. !
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DESiGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: d _
Address: Address:
City: State: City: - _ State:
Zip: Phone Zip: Phone: II
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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.
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St.Lucie County makes no representation that is granting a permit V��rrlli 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 L N ATTORNEY BEFORE RECORDING YOUR NOTI MENT25 it
Signa caner/Lessee/Contractor as Agent for Owner Signature o—mractor/License Holder
STATE OF FLORI[� STATE OF FLORI A -
COUNTY OF SQ Ian �u G e COUNTY OF Lunt
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The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this I day of j—� .20�by this 7-day of u ,20jk by
Name of person making statement. Name of person making statement.l
Personally Known _OR Produced Identification Personally Known 1t OR Produced Identification
Type of Identification ype of Identification
Produced EN.tary PuhliC SlMtm of Fkwxma roduced
riafine :nd Notery Pulip Stah or F
Commi"Iml OQ 326704 Christine HollandIhse a/xzrzo �yjMy Commiml"0o 326�04
txplrss 04PM2023
�(Slgnature of Notary,Public-State of Florida) (S gnature of Notary Public-State of Florlda)
Commission No. 32 670 V (Seal) Commission No. 6 3101 4070 (Seal) j
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Certificate of Product Ratings
AHRI Certified Reference Number:203460808 Date'.08-13-2020 Model Status:Active
AHRFType:RCU-A-CB(Split System;Air-Cooled Condensing Unit,Coil with Blower)
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Outdoor Unit Brand Name:TRANS
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Outdoor Unit Model Number (Condenser or Single package);4TTR6030J1
Indoor Unit Brand Name:TRANS
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Indoor Unit Model Number(Evaporator and/or Air Handier),TMMSBOB36M31 SAA
Region: All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,QA,HI,ID,iL,IA,IN,KS,KY,LA,MA,MD,ME,MI,MN,MO,MS,
MT,NC,ND,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SP,TN,TX,UT,VA,VT,WA,WV,WI,VVY,U.S.
Territories)
Region Note; Central air conditioners manufactured prior to January 1,2015 are eligible to be Installed In all reglons
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until June 30,201S.Beginning July 1,2016 central air conditioners can only be Installed in reglon(s)for
which they moot the regional efficiency requirement
The manufacturer of this T"NE produot Is rospgnsible for the rating of this iystem combination.
Rated as tgilows 1n accordance with the latest edition of ANSIIAHRI'210/240 with Addenda 1 and 2,PHilbfttligttbe Rating 61 Unitary
Air-Conditioning&AlwBouroe Hest Pump Equipment and subject to rating accuracy by'AHR1-sponsored;indepiondsi f,third party taitift�r
Cooling Cepticity(A2)•Single or High Stage(95F),btuh:34400
SEER!45.60
EER(A2)-Single Or High.Staiga(ice) ;12,60
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7"Active"Model Statue are those that an AHRI Certification Program Participant Is currently producing AND selling or offering for sale;OR new models that ere being
marketed but are not yet being produoed,7Productlon Stopped?Model Stah16 are those that an AHRi Certification Program Participant Is no longer producing BUT Is still
ilin or ofMnn for pale.
VO nIga writte, In@ now Qu011shod rating Is shown slona Mtn imp previous a,a,
PISCLAIMER
AHRI does not endorse the products)listed on this Certificate and makes no representations,warrantles or guarantees as to,and aseumoa no responsibility for,
the product(e)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arlsing out of the use or performance of the product(s),or the
unauthorized alteration of data listed an this Certificate.Certified ratings are valld only for models and configurations listed In the
directory at www.ahrldlrodtory.org.
ThisCer AND QONDITiONf ,l
This Certificate and Its contents are proprietary products of AHRI.INS Certificate shall only be read for inpsvlpuel,personal and
confidential reference purposes.The contents of this Certificate may not,In whole or In pert,be reproduced;copied;disseminated;
entered Into a computer database;or otherwise utilized.In any form at manner or by any means,except for the user's individual, AHM
personal and confidential reference. AIIt-QONOMONINO,HEATING,
CERTIFICATE VERIFICATION aRURIGIRIATION INSTITUTE
The Information for the model cited on this cortlficAto can be of rifia,d at www.Ahvidifectory_org,click an'Verify Certlficate"link vv 1110,6,1�Iif'r hrt,rr'•
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued,
which Is listed above,and the Carl:11101e No,,which Is listed at bottom right, P
r,:" 7324179111974Q7738
02020A1r-Conditioning,Heating,and Refrigeration Institute ," O'�NTIFiCATIE NO.: :; i