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HomeMy WebLinkAboutSUBMITTED PAPERSALL APP 6�AB, E � NF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � CANNED Permit Number: IS) d ` —" Date: BY St. Lucie County Building Permit Application Planning and pevelopment Services Building and ode Regulation Division 2300 Virginia (Avenue, Fort Pierce FL 34982 Phone: (772 462-1553 Fax: (772) 462-1578 Commercial Residential_ I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED;jIMPRQVEMENTLOCATtQN. , f q Address: 1 � � e 1 t' Legal Description ndl� l l l b i l f7 0 IS t Sl 1- Lot No. Property Tax �ID #: -' Site Plan Narrle: Block No. Project Namel Setbacks FronII t Back: Right Side: Left Side: DETAILED 'DESCRIPTION OF W4RlC l� _ . ()M Y hw, o MO K gAgc, Ltmq-) 9 PC_ l3 5D44 u I� oolam, cD' 5 �' y i � J 5C21_- CONTRACTOR, Name Addre s: i(]I City: Zip Code: Phone No. E-Mail: Fill in fee simple from the O n Name: el +' Company:} Address: LSD �i'IarGf rote; City: ple G�'P State:� _ Zip Code: 13qqD2.__ Fax: 11 q(0 'ygiq� Phone No. 772- W06 R00(o 5l rt h State: _ �� —Fax: - 'TCA'gQ ) } ner Title Holder on next page ( if different listed above) E-Mail: Qdo- p rwi4S (e ma.i i . COni State or County License: 039 i0 if value of cd( struction is $2500 or more, a RECORDED Notice or Lommencement 15 requu cu. I - i d i SUPPLEMENjTAL CONTRUCT1dN .77-77 ry L1=LAlllr tNF�N1P►'tON Y DESIGNER/ENGINEER: Name: Address: it City: Zip: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: ! State: ! Phone: I I FEE SIMPLE TITLE Name: Address: _ II City: Zip: it HOLDER: _ Not Applicable I BONDING COMPANY: Not Applicable Name: Address: I I City: L Phone: Zip: Phone I certify that n8 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 cont ictlwith 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 b�,,uilding permit applications are exempt from undergoing a full concurrency review: room additions, accessory --- _ tunes, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING T OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improveme tslto your property. A Notice of Commencement must be recorded and posted on the jobsite before the first Inspection. If you intend to obtain financing, consult with lender or an attorney before commencink work or recording our Notice of Commencement. _ s*Kature of 0 ner/ Lessee/Agent / J%[IdW[C UI Ullll OLw/ul cu�c wuu STATE OF FLORID jj - 1 ��Q li'l-� (_C,,&" STATE OF FLORID COUNTY OF Q , COUNTY O The for oing!, 6M ns Ir ment was acknowledged before me The far oing instr ent was acknowledged before me �� !/ 20 /� by this day, of I i 1 20 Irby this day of 1 I uel 7 u` qam ,- acknowledging) (Name of person acknowledging) (Name of per'soni i Nota Public- State of Flor d ry (Signature of Nota Public- State of Florit� .• �MM(S •�9�'i �7o1L�:�� (Signature o Personally Known \6��0111�ti�r�1JJJ/ V OR P r@lr�ucer�.i��f�tr_ ;•wary Personally Known _� OR Produced3�otification ' °' �'' Type of Identification YP Produced ; •bM goy • �l �� Type of Identification Produced so �• F0j97Sc� y•�F Commission I � :�:a •20•�: No. E6h7y?6� ±ov Commission No. 9:o �r.:6UnQe - : #FF074269 +�0:•OQ�\�� STq ••• F y% :y • rCw 4111 Revised 7/15/2014 i�NS rAI1 1 JJrtr REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE, INITIALS Cert"ii �cate of Product Ratings �I AHRI Certified Reference Number: 5677879 Date: 4/9/2015 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: GPC1330H41C* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand aame: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR Series na�, e:l GPC13 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing ng Capacity (Btuh): 28600 Rating (Cooling): 11.00 I Rating (Cooling): 13.00 Rating (Cooling): ` Ratings followed by' an asterisk(*) Indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. UMULArmcrc AHRI does not, ndorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, AHRI disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the the product(s) listed unauthorized alteration on this Certificate. expressly of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at wwY'w.ahrldlrectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and in be reproduced; copied; disseminated; Md. 1iI ,� ,.,. confidential re ereoce purposes. The Contents of this Certificate may not, in whole or part, In form or manner or by any means, except for the user's Individual, CI entered into a�mputer database; or otherwise utilized, any AIR-CONDITIONING, HEATING, personal and �nfldential reference, & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The informati forthe model cited on this certificate can be verified at www.ahridirectory.org, click on `Verify Certificate" link we malce life better"' and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed ©2014 Air�Conditioning, above, and the Certificate No., which is listed at bottom right Heating, and Refrigeration Institute CERTIFICATE NO.: 130730662102230814