HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLIC L NRYMIUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �( Permit Number:
°S
■ Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:,, , , n-.1 1. Z J.
IPROPOSED IMPROVEMENT LO T N:
Address:
Property Tax ID ti: Lot No.
Site Plan Name: \ Block No.
Project Name: L' .Q
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION: I
Anal work to be performed under this permit — check all that apply:
7Mechanical _Gas Tank _Gas Piping _Shutters
_Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $VJ Utilities: —Sewer —Septic
Windows/Doors
Roof Pitch
Building Height:
,
r
VA
Fill in fee Ownerfrom the
i
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_Not Applicable
Address:
Address:
City: State: _
Zip: Phone
City:
Zip: Phone:
State:_
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Muuc.1 r Ar-'wn .
Zip: Phone:
--•-•v---•-•.�+�•�••�••I rr.e"HIedon is nereoy made to cocam 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 the permit holder to build the subject structure
which is in contlict with any applicable Home Owners Association rules, bylaws Oran 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.
Inconsideration 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 1 FNDMOMAN ATTORNEY BEFORE RECORDING YOUR NDT1fiTFiDTANPN FmN r,
of caner/Lessee/Contractor as Agent for Owner
Signa eof Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ` tl/f i- 11J Ci Q.,
COUNTY OF Qr1yin,`Ir RUC( e.
The for ping mstrur7L t wasJaSknowledged before me
The foDoing instrument was��cl5nowledged before me
Xl�ipll'ot
this�day of rof�T 2Oy�I by
this q day of 20 by
D¢n�15 C)egKf
Denncs2s}t0__
Name of person making/statement.
Name of person makingstatement.
/
Personally Known V OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary he State of FI iP, u =
afflgllrtur of Notary biP -State
NycmMvwm
Commission No. la�j Em.en
tzn5a
Commissi No.AN (J3 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Eligible for Federal Tax Credit
Certificate of Product Ratinas
AHRI Certified! Reference Number: 10093728 Date : 07-07-2021 Model Status: Active
AHRI Type : RCU-A-CB (Split System: Air-CooleO Condensing Unit, Coil with Blower)
Series : XR16
Outdoor Unit Brand Name : TRANE
Outdoor Unit Model Number (Conceptual or Single Package) : 4TTR6049J1
Indoor Unit Model Number (Evaporator and/or Air Handler) : TAM9AOC42V41
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, HY, IA, MA, MD, ME, MI, MN, MO, MS,
MT, NO. ND, NE, NH, NJ, NM, NV, NV, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA, VT, WA, WV, WI, Wy, U.S.
TenRanes)
Region Nobs: Central air conditioners manufactured prior In January 1. 2015 are eligible to be installed In all regions
unfit June 30, 2016. Beginning July 1, 2016 central air Conditioners can only be installed in region(s) for
which they meet the reglo adl efficiency requirement.
The manufacturer of this TRANE product Is marketable for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 21= 0 with Addendum 1, Performance Rating of Unitary Air-Condtioning
& Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored. independent, third perry leafing:
Cooling Capacity (A2)- Single or High Stage (96F), bluh :47M
SEER: 16.60
EER (A2) - Single or High Stage (95F) : 13.50
yMrve Model Seas are Maw Met an AHRI Certification Program Parhicipand Is currently producing AND styling or offering for eels; OR new models Net are being
marketed but art not yet being produced-Produccon Stopped' Model Status are those Mal an AHRI Canificetlan Program Participant Is no longer preduung BUT is IN
Rasdaegsake
accoor mmnled by WAS Indicate an Involuntary re -rats. The clew➢ub isnad mono is sham alorw with tM dray ous (I.e. WAS) retina
DISCLAIMER
AHRI does not endome the product(.) listed on this CenNkate and makes no represinnWimmi, wenantles ar pmrentees as W. and assumes
no responsibility W,
the prMuct(s) listed on this Certificate. AHRI e[preisly disclaims all liability for damages of any kind arlNng out of the use or perlormen¢ of the pmducan. or the
nauNwlxed alteration of data fated on this Certificate. Certified raings are valid only for mcdeb and -restorations listed In the
directory at www.ahralrectory.org.
TERMS AND CON DITcoNs
MS AN IONScontents
This Mend its are proprlNary Products of AHRI.11lls CeNflcate shell only he used tOr Indlvldual, pesonal and
AMI
wnfldentlal reference purposes The concede of Me CenNMate may not, In whole or In pan, W reproduced; wMetl; tltaemine[ed;
entered Into a computer database; or otherwise ullllrad, In any form or manner or no am means, except for the uwfa Indlvldual,
personal and confidential eferentt.
AIRL NDMOMW. MEATNO.
CERTIFICATE VERIFICATION
a NMlCMMcN INefIrV1E
The Im.on.donbr Me madofcited on us wrtive fishe can Wrsed at wow.ahridlrectory.org, oick on 'Verify Certificate' link
w n,ali rile benmr^
c
and enter the AHRI Certlaed Reference Number and the date on which the wrtlgeele was added,
whlch Is hated.1 , and Me Certificate No., which b listed M Whom Hall
02021 Air-Conditic ning, Heating, and Refrigeration Institute
CERTIFICATE NO.:
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