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HomeMy WebLinkAboutBulding PermitALL APPLICABLE INFO MUST BE COMPLETED F R APPLICATION TO BE ACCEPTED Date: Permit Number: y i. n _ Buildi g 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 APPLICATION FOR: To Select om dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION Address: c r j S Legal Description: -C C_ —1 S Property Tax ID #: L4 Lot No. Lle bs— Site Plan Name: Stock No. Project Name: ight Side: Left Side: Setbacks Front Back: .DETAILED DESCRIPTION OF WORK: /L- CL. c--c-/Cc- 6 c (-- c!- CONSTRUCTION INFORMATION: itiona wo toa orme un er this penft ff�JVACOGasTank QGas Eectric 0 Plumbing Flpri — check a apply: iping Shutters Windows/Doors iklers Generator Roof L—_� R f pitch Total Sq. Ft of Construction: Sao Cost of Construction: $ S . Ft. of First Floor: Utilities: Sewer t jlo_1 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name_. Name: Address: ci `�,� L City: _ _� ,.nS,­ 6 1-7r Stat Zip Code: 9 q � _3— Fax: Phone No. O : Le/— Company: ; °J Address: City /JS State: Zip Code: S �4 5,-5 Fax: E-Mail: Phone No. - 0 Fill in fee simple Title Holder on next page ( if di rent E-Mail: C�c> U '._ C from the Owner listed above) State or County License: _A C_ i F-( �z-V ' If value of construction is $2S00 or more, a RECORDED otice of Commencement is required. SUPPLEMENTAL CtlVi"RU;TtOIV DESIGNER/ENGINEER: Not Name: _ City: Zip: Phone FEE SIMPLE TITLE HOLDER: _ _ Not Name: Address: City - Zip. Phone: OWNER/ CONTRACTOR AFFIDVIT. Applicatiot i certify that no work or installation has commenced St. Lucie Countyy makes no representation that is grar which reacnut pyreOOrs.ue. conflict withany Home In consideration of the granting of this requested per in accordance with the approved plans, the Florida St The following building permit applications are exemp accessory structures, swimming pools, fences, walls, s WARNING TO OWNER: Your failure to Record improvements to your property. A Notice of before the first inspection. If you intend to of Commencing -we* or recordint3 vnur Nntiro r of Owner/ Lessee/Contractor as Agent for STATE OF FLORIDA COUNTY OF �3 The forgoing instrument was acknowledged before this day of S C_ 20.4- 1 by Name of person making statement Personally Known L/OR Produced Idt Type of Identification Produced (Signature of Notary Public- State of Commission No. REVIEWS COMPLETED Rev. 8/2/17 MORTGAGE COMPANY: Not Applic le Name: City: Zip: COMPANY: —Not App is hereby made to obtain a permit to do the work and installation as )rior to the issuance of a permit. �Ing a permit will authorize the permit holder to build the subject stru Usociation rules, bylaws or and covenants that may restrict or prohil i,ciation and review your deed for any restrictions which may apply. tit, I do hereby agree that I will, in all respects, perform the work Iding Codes and St. Lucie County Amendments. from undergoing,a full concurrency review: room additions, gns, screen rooms and accessory uses to another non-residential use 1 Notice of Commencement may result in your paying twice fc :ommencement must be recorded and posted on the jobs twin financing,; consult with lender or an attorney before TAYL 40 fGNE .&4ry Pub li . e of FI id Commission # GG 2931 7 My Comm;:>sion Expir s FRONT ZONING COUNTER REVIEW signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this,Xi day of _S �2QeLl by Name of person making statement Personally Known 4--' OR Produced Identification Type; of Identification Produced (Signature of Notary Public- State of Florida ) PLANS REVIEW --- 144 R GA G rAbeal Notary Public -State of Florid Commission # GG 293167 My Commission Ex ires Jahrvua21. AN I REVIEW I REVIEW I REVI such ■!al CERTIFIED° www.ahridirectory.org AHRI Certified Reference Number: 202717849 AHRI Type: SP-A (Single -Package Air -Conditioner, Air. Outdoor Unit Brand Name: BRYANT HEATING AND )duct Ratin Date: 09-21-2021 Model Status: Active SYSTEMS Outdoor Unit Model Number (Condenser or Single Pack e) : PA4ZNB036* Region : All (AK, AL, AR, AZ, CA, CO, CT, 3C, DE, FL, GA, 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, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manuf, until June 30, 2016. Beginning which they meet the regional e The manufacturer of this BRYANT HEATING AND Rated as follows in accordance with the latest edition of P & Air -Source Heat Pump Equipment and subject to rating Cooling Capacity (A2) - Single or High Stage (95F), btuh ; SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 1 prior to January 1, 2015 are eligible to be installed in all regions , 2016 central air conditioners can only be installed in region(s) for :y requirement. SYSTEMS product is responsible for the rating of this system combination. 210/240 with Addendum 1, Performance Rating of Unitary Air -Conditioning Tracy by AHRI-sponsored, independent, third party testing: t"Active" Model Status are those that an AHRI Certification Program articipant is currently producing AND selling or offering for sale; OR new models that are be ng marketed but are not yet being produced."Production Stopped" Mod Status are those that an AHRI Certification Program Participant is no longer producing BUT s still selling orofferinq for sale. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and I the product(s) listed on this Certificate. AHRI expressly disclaims all unauthorized alteration of data listed on this Certificate. Certified ra directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRi. TI confidential reference purposes. The contents of this Certificate ma entered into a computer database; or otherwise utilized, in any forn personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verifie and enter the AHRI Certified Reference Number and the date on wh which is listed above, and the Certificate No., which is listed at bottc ©2021 Air -Conditioning, Heating, and Refrigeratioi s no representations, warranties or guarantees as to, and assumes no responsibility ity for damages of any kind arising out of the use or performance of the product(s), are valid only for models and configurations listed in the s Certificate shall only be used for individual, personal and not, in whole or in part, be reproduced; copied; disseminated; or manner or by any means, except for the user's individual, AIR-CONDITIONING, HE A N( & REFRIGERATION iNSTI rUTl at www.ahridirectory.org, click on "Verify Certificate" link we make life better"' h the certificate was issued, i right. Institute CERTIFICATE NO.; 13276732247949 17