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Date: t �� SCANNED BY (, St� Lucie County Permit Number; V ,()3'� Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce F4 34982 Phone: (772) 462-1553 Fax: (772) 462 PERMIT APPLICATION FOR: Mechanical Address: Legal Description: Commercial Residential +f Property Tax ID #: Site Plan Name: d ` MEMAC� . Project Name:rn `�► t"'C. �5 Lot No. Block No. Setbacks Front Backs _Right Side: 7 Left Side;%...n� i Jh9,[2::a.�i'::tOkkf 7u1:n11 P.-,� 'Jn'P,u;.N:U:f!`.y.i{c7u,c'ii1NLv.}n ,1Pw:Rx�'NtflQ2;`::,`--"n,(,:Sn: Y,,,�• tll•tiv ,1 , �Gt.!:! ".1'{I R hhlr^:fi: �ti`•"ell:• V) uN{.�.,G`,�]'$ .�Srr 1. ': t t.. 4 r<.> W rG)�iv`^ST;L;ht`i'tCE loll• �. y ; v? \•.1..ti sit t,r,- '3tt;k45:., t tga,or �4 C f' l: hr. 5�`f r t+ iJ' i f:<9�/'tj�1 • IYh=3i \,G�i l' ..{ti,[hC, rft, 4 v� lien}Yr ~'f' (,�f (Jt ^i 4P yhl `.,v�'cl1 IL .S - ar;1, � : l,_1�..{i.l, „{.. •t,c:.,i.. f„ \ ,,..,(yS, �c,.rin•„'.',;-t'to, t?�. f 7�. ,.•4 ,al„s D,TAtL!D,D,ESCRIPTLO.NrQ...W(:7.RK..,,�•„/,t�.,,,ti,•. . t! .. l�� t . _. , �,�(( .. l• tt n ,.. �(...)... J<,. _ ,_ c 1.R.�!,!,: La <,,,n. r. :::,-,:.: �' S t. , •�.: r,,r - ..,. � ! ,:r•u, .. h� t ,..,,; ... .,�, , ...-,.. �. ) 1 , 4.. .•.i . . S .\ „i. r..: }..r..'roo . 1 :•� ., f,.a t.:.(�au rL.�n.a unh.,M?n•3-,an.lrrL,.,c.�ih Jt.,a,nh,,,qn:�.,�o.6T..,a.o..lr,.u.i14:,c.!1V�..r„i.nen.f.,rJ�G �..�.u.�,a.7/•.:a4,t.,.,P�Snr).ri!«rnd.,.h,,�e,.nay..•\„�::,.;o�a�e,,l�.,f,b,ua..,g�,,...1,Sa.�ldi:,,�,.,)<o1a.>.,:<1>., waamonai worK to oe errormea unaer Tn£s permit — cnecK an apply: Z✓ HVAC Ll Gas Tank E]Gas Piping _Shutters Windows/Doors 11Electric 11 Plumbing Sprinklers QGenerator � Roof Total Sq. Ft of Construction: S . Ft. of First Floor: Lv�, Cost of Construction: $ Jew Utilities: Sewer Septic i3uilding Height: r,;r � .sa,a,,; .; ��•.•m.,:,-Jru;e•:,,.,:� r>@' •i!C .t ,('^ �'• - u ., W ,d::::!r.;.. �.•,,;';ti,: \ a'? ,<,u._� t, 'b'r.:-� ,;, {1,R, r.;'� ur; :�'OW.N���R�/;L�SS���;:-�.:•,,,�:� .,1� . ,�...,1.,,.)�;! _.1(. qth nt ,S ,,,. ,•r:•, ,s,a.s-,1'�)..,,;�.—,Sca;ci.,..�1ta.�rn2i-.d�,-,,:t��{,-�.t,(,�,.;aa,�; . 1_:').1:Pr:�"A `;i, :.(ay,.r, 7.1• 1. � �,e, ,�., :4: .•;;"c':;Sl, �,\( .) •�,� ,dh :',t,._t,i.. 1';_�, `!ir`�:i l,., „ir- �.:(' - `..r'< D: v?�>ii, • •l:� •.r„�,:'c„a(r•- c;� �. tM: ,,,1... :"(tKF`:sn•t� ,..��h. l �•...f": Jb- .1�e n°'1 .r t7;:(": ,i.�.,� r .,, ,,,e-.l, . �._;-.\.:,•,.,s.rhh;r,'�,.a2"��:;.: „xV� ; . ,,, : ,,'•, � .. '�. , M (u. , 1. , 1, ,i_ i ,., r^u ,,,. .•�.,4{,_ ,�r,„ �1y!-, �� .,�,,, .,4-,.-,'. t.(�r�!yi';>,•%\u,rr>�;t7\'!°.), ,,2y rF.. r g W r•,�,. �.P.. i� 1,1,r•_)u,,, {_ -,. C" - c`�.\, .GONTRACTO.a`.,i )j ,,•,-,,;•,�:,,i, ,!�:,•-,.(:46�_.,,,,��,;`W_, '-,si. r(2 •�,-'uF<::c .,;`•(:-tL�U 4�i•.,•rY;t -.t� .,�>a,.. �'.u::,i��r ;.(i(•.r..-_.i.l,,,..t,,:,,.-13..,ti,�.L ,q� nS,.(as) Namer Name, ti c"L a f s('Y1. Address: PL�U 1�-. Company: City: i -�e X State: FL Address: 3054 N US HM 1 Zip Code: f Fax: City: PORT PIERCE State: PL Phone No. `% 4Ca UIU 1�1O Zip Code: 34946 Fax: 772-461-3722 E-mail: 1 A- I Phone No. 772461-8711 Fill in fee simple Title Holder on next page (�f different E-Mail: shannag(mesac@aol.com from the Owner listed above) State or County License: If value of construction is $2500 or more, a RECORDED Notice of commencement is requirea. Z /Z # UL819tZLL � 8LS � Z9ti : Ol : WOJJ ; 96 : HZ t �-9Z-01 Date: \ �0 " I ` I' Permit Number: r`,.• �m"fit,. • +•� �v--,u;�'-.., M1 UM 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 APPLICATION FOR: Mechanical I Address: Legal Description: -t"Oto� ho«SeS -A - l/t/h I (' 'P.Lcr1- ` 13.2 f2hi-a J:l:)% Property Tax ID #: i , 'Z '7 LaO Lot No.� Site plan Name: _It�trl; �-rr"c2.0 Block No. Project Name: Setbacks Fri ( iflS+A-L( `...1 e&V+.-r-_Q C-0 -7io Back: ,,:�2� Right Side:, ` Left -t�or-ti t L-IJ r -rw, 15 icy perc. /-)e0' NUGILMIdl wurK L'o De errormea unaermis permit —cnecK an apply: ZHVAC Gas Tank Gas Piping _ Shutters Windows/Doors 11 Electric Plumbing ❑Sprinklers ElGenerator Roof Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ 4)q Utilities: Sewer 0 Septic Building Height; %•��` ?,_On.',,.•.Wa•�. ,..f•'N„ :E,:....R.,��:'_.o �a.:.:•,,,,;S_,raS,.aE-..-xe.,a.!,?•}t�'l4a:,.ql":..y-1t,•�:-� ,r,3• �iI n�Q!'Z•`x`_1E.,•1,.f,•�:{{r,.t�:�,,. . j:C',FG��f._;, '.a".•ia'{/.:.•7c.i;.nh,w1�i.-L.t:���.'.�!�;,.".4.',yt.�'e?.',!/r�t, „ ,.3i4a9,"t,1.,,7._.,t..i S5..<„'.l�•-.,' sEu.lc'. ;..�rr'o,;�h.b.,I '�,.." _.c tt��,.E_.rG:::,MrC,:n..,.<:N,.:4..a• .y.<:�.�,.:,•yRd,':A...�»449cil•C��yr;,.S\C�(rU-ysti,e'�•:r;,..�•a-,�.�.-',. r-,;•,,t.,•i(z:,. `•„>�t1i>.:1_r-�.r(TR AC'Two G-1:' .zn,�—'1�r.t.p2.plMry•CfyS•...��'•.,•S.,•.:d.,17l.;-V,1,�r•.•.1.re•.h�:C.,`•i,...rr),/ ,r1ry�:',',,rfc.t!;;. �'f3:"•1,, fl.(E'•, ar..�,iy.,rY,.���-rr,' �`:.1,.' _•{t�)-_a. :y,f`,r,t, �4l,:•4,'�.•Gl':p�i_i.!�`''%r.,i,7,`'i`d`^„,�,Wti1..,7r�c„,_'r�,e,. L..►.C,Y[ZLI Name-J�ca,amm Name: 1--n - fI Address: rG%�� �S '.t,ti-� st _ i- IR 5 1 Company: tie City: P_1 eALe State: FL Address: 3054 N US HWY 1 Zip Code: 3 Lf Fax: PI-) / rA City: FORT PIERCE State: FL Phone No. `� ^- 4(PS7 — (. OIQ�O -- -- Zip Code: 34946 Fax: 772-461-8722 E-Mail: P i T i........... Phone No. 772461-8711 Fill in fee simple Title Holder on next page (if different 5-Mail: shannagrimesac@aol,com from the Owner listed above) State or County License: Q p 13r6 -7 it value of construction is,;2500 or more, a RECORDED Notice of Commencement is required. 6 /9 # NL8 [WLL ! ES INt:01 p\,� ��WOJJ! Zti ZZ ti �-9Z-O l shF.�m�A'?,n2:�.d£e,.\KN�,n�eS ��r. {,S r,,t ,e ,t+�— .,..L. _..�rc,'i '�t•l-P,( 1p C4�,_ •;Y.• �,'5s, ...,..=1e',; ,� ••.:n•�•,r '..�.a... iA,.,_.;�•fi '1�e�e4�R � t: a, ¢ Ri';a a�q n.e n ,;.r....,� 5•,,� t=nr'N+...,ems-,_•e(at �.,,. I. )._(,i.,�`;F�S�w,l.,,,-Md,za-r +tt}y7R,,.... S-".,d.. 1.5,tc'�;i�.� tiar:�a;-rax� n.u\,i5�,554�^ti,,l"3ic_n,,.s�lv1.L•i,,..mx�,_1�;��._.i,.li:,�;��_:Si,S\4b}..v1�(...�,ti1,,.aE.,,,,,,usEsiti,.f�„Ga,a.1,.,�\.r.,,c±,..z,,,�„-,-...1,tfS.4 DESIGNER/ENGINEER: X Not Applicable _ •...,...., ... •........-..... _ • .._..,--..__....,.,.'.:,.... MORTGAGE COMPANY: x• Not Applicable Name: Name: Address: Address: City: - State: City: Zip: Phone: - _State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: ._ Address: City: _ City: Zip: Phone: Zip: Phone: 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 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 CommenceM,-q ust be recorded and posted on the jobsite bef the first inspection. If you intend to obtain financsult with len er or an attorney before co nencine work-b? recordine vour Notice of Commen_ re of Owner/ Agent/ Lessee STATE OF FLORIDA � ����� � J$ATE OF FLORIJ� COUNTY OF •l - COUNTY OF SV-U'� The for gi g instru ent wa acknowledged before me this 'Z r"zhay of a 20 1`t by JdMe5 7rJMe_5 (Name of person acknowledging) re of Notary Public- State orally Known -Ae of identification Commission No. Revised 07/15/2014 0to xpublic • two of FM@i)Mm. Expires NIii+1•4.21 Commission if FF 07111110 The forgoing instr m nt was acknowledged before me this aZ day of 20__1A by Joe? e 5 Z'&veed - (Name of person acknowledging) Notary Public- State ,nally Known of Identification Pro mission No. MY P bllc - $10 01 FkNM2 M expires 1l i-% Z011 commb:im I F•F 071"a REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REViEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 6 /9 # :Woad, Zt:Mt�_K_0� 71 www,AhT dlrectar•y,;erg":;: ' 91ficiency Tax Credit when placed in s between Feb 17, 2009 and Dec 31, Cerfifica e o roct Minas AHRI Certified Reference Number: 5698212 Date: 10/27/2014 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number:14ACX-036.23V* Indoor Unit Model Number: CBX27UH-036-230*+TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: MERIT Series name: 14ACX SERIES Manufacturer responsible for the rating of this system combination Is LENNOX INDUSTRIES, INC. ' Ratings followed by on nstodsk (') Indieato a voluntary rorate or previously published data, unless eccomponlod with a WAS, which indleates an Involuntary rorate. 2013. DISCl.Afi9I:R AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, And assumes no responsibility tor, the product(s) Ilstod on this Cartificate. AHRI expressly disciaims Aq liability for damages of any kind arising out of tho use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and Configurations listed In the directory at WWW.ahridir6ttory.org. T1:RN15 AND CONDITIONS This Certificate and 1%contents are proprietary products of AHRI. THIS Certificate shall only be used for individual, parsonat and w confidential reference purposes. The contents of this Certificate may not, In whole or In port, be reproduced; copied: disseminated; entered Into a computor datnbaso; or otharwlso utidzed, in any form or manner or by any means, except for the user's individual, personal and confidontial reference, AIR-CONDITIONING, MATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information forthe Model cited on US certificate can be verified at www.ahridiractury.org+, click on "Verify Certificate" link we make))fe better"' and enter the AHRI Certified Roforance Number and the data on which the certificate was issued, which Is listed above, and the Certificate No,. which Is listed at bottom right. ©2014 Air -Conditioning, Heating, and Refrigeration institute FICATE NO.: 130588907612377040:1" /L # ZZLMtTLL! 8L9LZ9V:Oi :Woad: Zti:ZZ't6-9Z-0� Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. Uurlffl%cate.Product- Romfinas AWRI Certified Reference Number: 6698212 Date: 10/27/2014 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14ACX-036-230 '* Indoor Unit Model Number: CBX271.11-1•036-230*+TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: MERIT Series name: 14ACX SERIES Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC, ' Rulings followed by an osteltsk (') Indicate a voluntary rorato of previously publishod doto, unluaa accompanied with a WA$, which Ineleaton an Involuntary rorale, DISCLAIMER AMRI does not endorse the product(s) listed on this Certificato and makes no representations, warranties or guarantees as to, and assumes no rQ$p9mS11billty for, the produc(s) listed on this Cortifiaato. AMR[ expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), orthe unauthorized altaimilen of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahrlolroctory.org. TERMS AND CONDITIONS This Certificate and its contents arc proprietary products of AMRI. This Certificate shall only be used for individual, personal and _ confidential reference purposes. Tno contents of this Certilleato may not, In whole or In part, be reproduced; copledi disseminated; ppfih4' IaJA entered Into a computer database; or otherwise utilized, In any form or manner or by eriy moans, except for the user's Individual. personal and confidential reference. AIR°CONDITIONINa, HrAnNG, CERTIFICATE VERIFICATION & REFRiGIiRATION INSTITUTE Thu Information for the medel cited on this certificate can be verified at www.ahrldirectory.org, click on "Verify Certificate" link we e1a4. fife, bgmr"' and entorthe AM RI Certified Reference Number and the date On Which the certifidato was Issued, which Is listed above, and the Certificate No., which 1911sted at bottom right, :.: ^ ^°^°^ ^ "^""^ °°^^^" °°° °°°°"^°°° ©20:14 Air-Conditioningr Heating, and Refrigeration Institute :::CERTIFICATE NO.: 130588907.812377040;2: 6 /8 # NLMt LL� 8LSH9ti:0l ,uloa�, Zt:Mt�-K-N