HomeMy WebLinkAboutbuilding permitMUST 8� COMP IF��
FOR APPI�ICAN10h1 -To BE ACCEPTED
All APFL1C1�8tE 1l�lFQ Permit Number:
Date
�i
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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
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SUPERVISOR
PLANS
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� VEGETATION
E S EA LE
COUNNT TER ER
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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