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HomeMy WebLinkAboutSUBMITTED PAPERSLA y oat SCANNED 15 y - d ail Permit Number: BY r - - � µ MhH,•`•""Wtyt;:J St. Lucie COUnh; RECEIVED Building permit Application APR 13 2015 Planning and Development Services Sullding and Code Regulation Vivision 2300 Virginia Avenue, fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line ... .. ... ... ...� .., ,� .. � „•. ..,, ,.. .,....,,.., :,..',...•,,; .. ,'„•„ �, yr 111,11 e,:ac;•:,!'„!, ,a„n,,,.. ; ,a;,n �,>•px.; n, .:_, (t v .,.t •,. , ! A .9 r ,, (i:, ,. ,„z, ,._l.pt,{y(4 jV ;.q!'1,?,,,�4.q.,.t�l.`I%`tf,!•,t:,:.(..i, car✓',.I f . Ir,ll,•;•Ji;c d : �... c ; , � ! .) ,. 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F.I Y I'! 1 �1 4.11,,411.1�i� t:. 1 d f>:iY�12,!V A)iil�\Qi„n: ctid,(t�:.b�l7 �,t$:, 1i�, 4jlla_' lr u�\dlA{ua�rA,i ,l.<,(<., t112 �,e,,,,l�,.,...r,,,,....{ ,U,..lile•!..a,i.�,,,1,q.1 . ,�,,, ,1.I �t ,:. >. , Sxl s .x ,L',S,_„� ,I i„ zr:, r. „_n,1< t 4 /�. ,1 ACIClivonalWomtopffrtormecl unclerthis permit— check all that app y: VAC Gas Tank 7Gas Piping _ Shutters E]Windows/Doors Electric'' Q Plumbing Sprinklers Q Generator Q Roof Total Sq. Ft if Constructi n p� S . Ft. of First Floor: Cost of Construction: $ �`� l� Utilities:�Sewer 1—1Septic Building Height: .. ._._.._...�.._.... .. .,,.,,._•..._.,.._„�,,,, n,,.,,..._„��=,r=sa.v,,,r;,iya,,,,,atnea:c•,u,;.n'snn,ksrt:�;,dsevrni�s'mavm..c city:.1-)Q 1 r� ► I (h- State: Zip Code: a ALL u. — Fax: Phone No. --214 q4 ZT: E-Mail: Fill in fee simple Title Holder on next page ( if different from the "ner listed above) If value of construction is $2500 or more, a RECORDED Notice Name:�r Compan (-rf',r.Lc. 'S rl R� Address: 3D-1� c.J. K) 111 City: State:, Zip Code' Fax: IA)- t 9 7 ca-3? Phone No. E-Mail: i O State or County License: , I _ D of Commencement is required. L /i # ZZLMt9 LL! SL91Z9ti:ol :Woad, E9:Z0�9l-OG-ti0 DESIGi Name: Addres City:.. Zip: _ FEE SIMI Name: _ Address: City: Zip: I certify that Not Applicable State: ne: TITLEHOLDER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: _ Address: City; State: zip: Phone: BONDING COMPANY: -\LAot Applicable ` Name., Address: - - City: Phone'. Zip; Phone: 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 eooflict with any applicable Home Owners Association rules, bylaws or andcovenantsthat 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 coneurrency review: room additions, accessory struiCtures, 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 jobsite before the Hirst inspection. If you intend to obtain financing, consult with lender or an attorney before commencink work or recording your Notice of Commencement. s _ i ature of Owner/ Lessee/Agent S ature of Contractor/License Holder STATE OFF lORIDA �� STATE OF COUNTY OFORID 91.� COUNTY OF The fo ing inst rum t was eknowledged before me thisaay of� 20 by The forgi g instru nt was acknowledged before me this �ay of �%� . 20 &5 by ✓�e'S (Name wledging) ackn(Name of erson owledging) m4klajul �i�_4^ (Signet a of Notary Public- State of Florida) Si ature of Notary Public- State of Florida ( ry Personally KnownpR Produced Identification Personally Known P educed Identification Type of ldentificati Type of Identification Produc NOR HOHiMANN , .� • pw • n 8,4 Commission No. fNuy, 4 •" " ",.• 4 ; Notary P I SuAt 2rW W Public - State of Florl Commission No. • '; . ;olnm. Expires Mar i<,21 y Con, res Comm; -won N FF %;���� ���P�.` commisslon N FF 0716so Revised 07/15/ 14 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW COMPLETE INITIALS L /Z # ZZLMt LL f BLS(. gt:Oi : WOJa 11 CS : M ! 9 [ _0l.-b0 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. Certificate of Product Ratings AHRI Certified Reference Number: 4684316 Date, 4/10/2015 Product: Split System: Air -Cooled Condensing Unit, Coll with dower Outdoor Unit Model Number: CA16NA030*11"A Indoor Unit Model Number: FV4CNF002 Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER Series name: 16 SEER PURON AC Manufai l turer responsible for the rating of this system combination Is CARRIER AIR CONDITIONING 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: Ratings followed by an amtodak O indicate a voluntary rorato or previously published data, unless accompanied with a WAS, which Indicates an Involuntary romto. AHRI does nT. ot ondorse the product(s) listed an this Certificate and makes no representations, warranties or guarantees as to, and aSSumas no responsibility foe, the products) listed on this Certificate. AHRI exprossly dlsclalms'all liability foe damages Of Any )(Intl arising out of the use or performance of the product($), or the unauthorized altoration of data fisted an this Cerdficato. Certified ratings are valld only for modals and configurations listed In the directory at www,ahrldlrootory.o►g. TERM$ AND CONDITIONS This Cortificafo and Its contents are proprietary products of AHRI. This Cartiflcata shall only be used for Individual, personal and not. In whole or in be reproduced; cooled; disseminated; confidantiai reference purposes. The contents of this Certificate may part, entered Into a computer databoso; or otherwise utilized, In any form of manner or by any means, except for the user's Individual, Allt•CONDiTIONINO, HEATING, personal andlconfidontlal reference. 8i REFRIGI HA170N INSTfrIJTE CERTIFICATE VERIFICATION Tho Information forthe model cited on this certificate can bo vodflod at www.ahrldireetory.org, click on "Verify Coftltleato' link wu makc))fr, bettor - and orator the AHRf Certified Reference Number and the date On which tha cortiflcato was issued, which is listed above, and the Certificate No., which Is listed at bottom right. 4lI +uo 7307316198846042 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: L /E # ;uloa�, 69:Z0.196_O6_t0