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HomeMy WebLinkAboutbuilding permitMUST 8� COMP IF�� FOR APPI�ICAN10h1 -To BE ACCEPTED All APFL1C1�8tE 1l�lFQ Permit Number: Date �i ( �Y-ts- F"- ��k ro U E Building Permit Application Plana in are Development ere Building and Code Regulation Division 0 Virgin i o Avenue, Fort Pierce FL 3498, Phone: 4 -15 Fax; (772-) 46 1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEM G , Address!3 LA 03 -10�"k 0 1 V) Property Tax ID #: Site Plan Name:_ Project dame: Commercial ENT L rr_ c h rl` CV CATIOW.: )c) '.- - Li DETAILED DESCRIPTION OF V RK:or ktA.) 0 D)a L-0 P9 Y�-Lv New Electrical Meter Sec d Electrical Meter CONSTRUCTION INFORMAT N. Additional work to be performed u Mechanical r„ Gas Tank Electric _Plumbing r this permit — check all that apply: Gas piping � Shutters Sprinklers _ Generator tial F ri Lot No. Block No. Windows/Doors Pond Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First floor: Cosh of Construction: $.1br Utilities:: Sewer Septic Building Hight: OWNER/LESSEE: Name�ai Address: S 1 C ity: Zip Code: � y r/�� Fax:_ Phone No.-- F-Mail: Eli in fey simple Tile Helder on n+ from the owner listed above) if value of construction is 2500or or( If value of HAVC is $7.,500 or more, a R CONTRACTOR:.-. Name! Cow eroevAs d reS : Aft City: Zip Code: Fax: Phone No different I E-Mail I.a.. CdkLc - ndz���� State or County L'icense RECORDED Notice f Commencement is required. 'ORDED Notice of Commencement is req u i red o A� State: ..'. SIP, V2 SUPPLEMENTAL CONSTRUCT] DESIGNER/E Name: Address: City: Zip: NGINEER: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone:_ OWNER/ CONTRACTOR AFFIDVIT: € certify that no work or installation has ci INH _ '�'• '•— 4 } �•+' '''ti f "�:�. �'r. �t f.' ' — �}i '" ry y���, �•,r� �y U,�pc fr '�i" � _ }{'; +`i•9+c:.i� �x k _ x �_, r - :�..:r ��-. ti} , — ��c{�: ,i •+,�,�`�, _"+'•.7Y� r }:.',� �• ot Appli Cable Not Applicable I ; MORTGAGE COMPANY: State: of Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name. e Address: City. i P: Phone. placation i s hereby made to obtai n a pe rmit to do the work and installation as indi t . n nced prior to the issuance of a permit. St. Lucie Count y makes no representation at is grang a permittir�wild authorize the permit holder to build the subject structure which is in conflict with any applicable Ha Owners Association rues, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Hers Assciation and review your deed for any restrictions whEch may apply. Inconsideration of the granting of this req sted permit, I do hereby agree that 1 wild, in all respects, perf orm the work in accordance with the approved plans, th forida Building Odes and St. Lucie County Amendments. The fallowing building permit applications, e exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fen'c s, walls, Si ns, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure ' Record a Notice of Commencement may result in paying twice for improvements to your propert A Notice of Commencernenst be recorded in the public records of St. Lucie County and pasted on thebsite before the first insp-peelcti. If you intend to obtain ffnancing, consult wtti�nder ar an attvrnev befo commencing vuark or;recyour Notice o amrppncement. Sig ire of Owner/ Lessee/Contractor gent for 0wner Signat re o Contractvr/Lieense Holder S TE OF FLORIDA S TE OF FLORIDA COUNTY OFs K14�� � � � AUNTY OF 5Ak A ! Sworn to (or affirmed) and subscribed b . &! re me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online t tarizativ `9C' Physical Presence or Online Notarizationthis � day of ��.�;��; �Z by this � day of ��-� ���' '� , 2f�2p by Name of person making statement', � Name of person making statement. } N Personally l Known K OR Produced entification Personally sonally Known OR Produced Identification Type f Identification Type of Identification P ra d u can A P road (Signatqrt of Not Commis'slon No. I Commiss1on # Bomed Thru Troy 023,495 @R 1) 1 Insurance 800-3$5-7019 (S*1gAat'U-re' of No Commission No. *- , :%ti{ Expires Jully tpal) 01t *ti BmW T T PalaInsurance REVIEWS I � ' � SUPERVISOR PLANS � � VEGETATION E S EA LE COUNNT TER ER RO EVEEI REVI�IN REVIEW EV EW REVIEW DATA RECEIVED DATE COMPLETED MANGROVE REVIEW 2 a Certificate AHEM Certified Reference Number f 2044624 AHRI Type: - - (Split System-. ir- Outdoor Unit Brand Name., T Outdoor Unit Model Number (Condenser or Indoor Unit Model Number ( Evaporator and/. Region : Region Note, Southeast and North 11A, I O KS, I1, ME, Territories Central air conditions until June 30, 2016. B which they meet the n The m a n u fa to re r of this TGM product is res Rated as follows i n accordance with the lilt Air -Source Heat Pump Equipment and Cooling Capacity (A2) - Singfe or High Stag SEER: 14.00 EAR (A2) -Single or High Stage (95F) : '#'!. #"'dive" Model Status are those that an AHEM Certific marketed but are not yet being pro duced."Production selling or offering for sale. Ratln2s that are eccumpan Ied by WAS ind Irate are i n,F� DISCLAIMER -I! AHRI does not emiorse the product(s) listed on this the product(s) listed an this Certificate. AHRI express unauthorized alteration of data. I isted ors th is Certif« directory at www.,ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary pro( confidential reference purposes. The contents of thi entered into a computer database, or otherwise util p.ersonal and confidential reference_ Product Ratings Date: 0-4-01 d Condensing Unit, Coil with Blower) gie Package) ; CN14CN042A Model Status : Active kir Handler) .: CTA14CO42A R2 CSC, , E, FL, GA, H 1, KY, LA IVID, MS, NC, O : } TN, TIC, VA. AK, GO, GT9 Or ILs N � MOr SIT, ND,. ICE, NH, NJ, IVY, OH, OR, PA, R1, SID, UT, VT, 1 , WV, Wis WY, U.S. ianufa turd prior to January 1, 2015 are eligible to be installed in all regions nning July 1, 2016 central air conditioners can Daly be installed in region(s) for anal efficiericy requirement. isible for the rating of this system combination- Jition of AHRI 210/240 with Addendum 1, Performance Rating of Unitary Air -Conditioning ct to rating accuracy by AHRI-sponsored, independent, third paw to tin : F), btuh : 4 000 ion Program Participant is currently producing AND selling or offering for ale; OR new models that are being gypped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still untary re -rate. The new published rating is shown along with the previous (i.e. WAS) rgCiuq tificate and makes no representations, warranties or guarantees as to, and assures no responsibility for, disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the .. CertJied ratings are valid only for models and configurations listed in the is of Ali R 1. This Certificate shall orily be used for individual, personal and ertificate may not, in whole or in part, be reproduced; copied; disseminated; Fir I' � . t ire any form or manner or by any means, except for the users individuai, AIR- O DMONIN , HEATING, CERTIFICATEVERIFICATION i I��FI�� r� ��l �l I�� E The information for the model cited on this certificat; an be verified at www.ahridirec or .or , click on "Verify Certificate" link�*�e make life betterTo and eater the AHRI Certified Reference Number and a date on which the�rtificat was issu dT which i listed above, an the rtif at No., which isted at bottom ri htT - - 1 Air -Conditioning., Heating, n f rigor ti Institute CERTIFICATE NO.: 132586771430281982