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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i� �tci. p . Er. Date: 1 f rPc��ii�ii�E Tiiif4� 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: To Select from dropbox, click here � r1Pr� En �NrIZOreEnc -r i nr•n�rira ,I r � t Address: e I 've, Legal Uesirriptiar .i1 C rr�.e s (_3�ih ;4 pCl�-4 o• :tor 6 Y Yt�:e o} FP•t', r2�-t f'SS I J I„0t? F-�' PropertvTax tD## - WO-00(A-000_mac- I:ot Ne. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: C�ETAILED �ESCRIP rl0N OP BORIC~ ` s r t0. C-Vc (0 CONSTRUCTION 1NFQRMATIN t z AC[aitio.nal work to .e oeffo—rmed under this permit check all tt=apply:, Gas Tank Shutters "- WindcWs/Doors_ HVAG ElGas P ;ng , Electric . ElPlumbing ElSprinklers E Generator 0.Roof Total Sq.Ft of Construction::/ Sq.Ft.of First Floor: Cost of Construction:$ UtilitieS:0 Sewer Septic Building.Height: 01NNER/LESSEE^ IVTRACTOR Ca Name)50 d 10 0 C'- Names mu,,J Address: ti Il i Company: i. City: f-U 4 ierP State; „ Address:kol 1q, , Zip Code:�_W9 fFax: City: 4- Stater,f� Phone No. � . � "r cp Ute' J`~/ ;_ Zip Code: 2- Fax:'7PY-1/66 -W(15 E-Mail: Phone No..%` JA9 6/&V67 Fill in fee simple Title Holder on next page{if different E-Mail: Q ,4 1 S' Y,,7-V J leiz from the Owner listed above) Sitate or CouotyLicense: . Fi 17 If value of construction-is$2500or more,a RECORDED Notice of CommenceMent is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION! DE$IGNER/ENGINEER: ____Not Applicable MORTGAGE COMPANY: "„.Not Applicable. Name: Name: Address: Address:. City: State: City: State Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone;. Zip: Phone: OWNER/CONTRACTOR AFF.IC2VI,T.-Application is hereby made to obtain a permit to.do the work and installation as,indicafed.. I certify that no work or installation has commenced prior to.the issuance of a permit. 3t.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`OwnersAssociation rules,bylaws or and covenants.that may restrictor prohibit such structure.Please consult with your Home Owners Msociation and review your for any restrictions which may apply. In consideration:of the granting of this requested permit,I do hereby agree that l will,in all respects,performthe work in accordance with the approved plans,the Florida auilding Godes and St.Lucie county A:mendmerits. 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 ricin-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 first.inspection:If you intencl:to obtain financing,consult with lender or an attorneybefore commencing work or recording our ttlotice'of Commencement. 05. ature o€Owner/Agent/Lessee Sig ature of Contractor/Liicens,6 Holder STATE OF FLORI A I i STATE OF.FLORIDA. LORIDA TY �ifld (IG`��-'. COUNTY OF COUNTYO �� The forgo}'ng irsst�rument was acknowled ed be#ore me The forying ins ument wa acknowledged before me this a° WUay of,06V°ii P- 20�"by this C day of 2a Y 6le Z I (Dame of person acknowledging) (Name of person acknowledging) 91l1111tff (Signature of Notary f F or (Signature of Nota. ub' -Stahl ;:�1�3* ,� Personally Known a t Prottc ct @1cation Personally Known Olt Type of ldentificatioK' 4d a o Type of Identification Produc a ; z Commission No. ;6 •,�� ;:`'=' 'i) Commission No. '�r�artti a lit :Revised 07/1512014 REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETAnON SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW ' REVIEW DATE RECEIVED DATE COMPLETED Q 11 This combination qualifies for a Federal Energy RT Efficiency Tax Credit when placed in service between.Feb 17,2009 and Dec 31,2014. m "" Product Ratings uAw fic6te Of AHRI Certified'Reference Number: 7.019633 Date: 12/3[2015 Product:Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number:24ABC624A**30 Indoor Unit Model Number: FX4DNF025L Manufacturers CARRIER AiR CONDITIONING Trade/Brand name: CARRIER Region:Southeast and North(AL,AR,DC,DE,FL, GA, HI,KY,LA;MD,MS, NCP OK,SC,TN,TX,VA AK,C.O,CT,ID;_IL, IA,IN,.KS, MA, ME,MI;`MN MO, MT,ND,NE, NH;NJ, NY, OH, OR, PA, Rl,SD, UT,VT,.WA,.WV,WI,WY, U.S.Territories) Region Note: Central air conditioners manufactured prior to January.1,2045,are eligible to be installed in all:regions until June 30,2016. Beginning July 1,201%.centrai air conditioners can only be installed in region(s)for:which they meet the regional efficiency requirement. Series name:COMFORT SERIES PURON AC .Manufacturer responsible for M6rating of this system combination WCARRIEWAIR CONDITIONING . Rated as follows in.accordance with AHRI Standard,2101240-2008 for Uhitary Air.wConditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored;independent,third party testing:. Cooling Capacity(Btuh): 23.400 EER Rating(Cooling): 13.00 SEER Rating(Cooling): 16.00 IEER Rating(Cooling): Ratings followed by an:asterisk V)indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as.to;and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the 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,ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shaft only be used for individual,personal and , fidential reference u ores.The contents of this Certificate m ' con p rp may not,in whole or in.part,be reproduced;copied;disseminated; entered into a computer database;or otherwise utilized,in:any form or manner or by any means,except for the user's Individual, personal and confidential reference. AlWCONDITIGNiNG,HEATING, CERTIFICATE VERIFICATION &MIPPIGERATtllN INSTITUTE The information for the model cited on this certificate can be verified at www.ahvidirectory.org,dick on`Verify Certificate"link •SaiA-n;:kc,ite bzztar"' and enter the AHRI Certified Reference.Numberond the date 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. = CERTIFICATE NO.: 1130936261159,1675114.