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Home My WebLink AboutBuilding Permit Application Date: /2 - Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce Ft 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 ......... .. ..... .... ..... ........... ... ......... PROPOSEDIMPROVEMEN'T,,'.":L-O.CATION"' Address: CPQ/Sr Legal Description�� Zj&Zjy: LJLA-�" q ]W t Property Tax ID 9: &2 Lot No. I? Site Plan Name: / A6 CtS2 A- Block No. Project Name: efA�512 Setbacks Front Back: Right Side: Left Side: .................................. E Q 1 0f. ............... r—o r Lt .. ............. .......... ........ INFORM Additi.onal work to be berformeunder f his Spermit—check all J1 apply:7 L�� t 4 E HVAC Gas Tank' Gas Piping L_J11 Shutters Windows/Doors Plumbing: Sprinklers Electric E-1 L El Roof Total Sq. Ft of Construction: 5Ft of First Floor: Cost of Construction:$ Utilities:C2 sewer L]Septic Building Heigh.t: 0 ............ CONTRACTR. Name Name, _T4V45 F ✓i4t'! Age3 Sf 4 ve Address- Company: City: State:?FL Address: 30.S'Lf uLkS Irltz L4 I Zip Code: —z—Fax:- City: 1.4'Y_Q State: rL Phone No. Zip Code: 3.Lt q '*!:�e Fax: _77-rz—�/6/ E-mail: PhoneNo, '77Z- - LfLol Y*2// Fill in fee simple Title Holder on next page if different E-Mail:�_&Doa_,ctr-,rq�gg4&ani, from the Owner listed above) State or County License: Y_�Q 60 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 9 /� # 12-23-15; 04: 59 ; From: To:4621578 ; 77246"18722 # 2/ G , SUPPLEMENTALCONSTRUCTI �'N I:EE'N LAWN INFORMATION;` " DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: of Applicable Name: Name: Address: Address: City: State: _ __ City: State: Zip: Phone: zip: Phone: FEE SIMPLE TITLE HOLDER: X4ot Applicable BONDING COMPANY: of 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 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 commencing work or recording our Notice of Commencement. _.._. Si ature of Contractor/tic Signature of Owner/Lessee/Agent erase Holder il STATE OF FLORIDA STATE OF FLORIDA , COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgo g instrument was acknowledged before me this day of._ gy:--,rrrR,d— , 20(S�by this ay of_ e"46_y7- .20 Lrby (Name of person acknowledging) (Name of person acknowledging) afi ( gnature of Notary Public-State of Florida) ignature of Notary Public-State of Florida) Personally Known OR Produced identification Personally Known _�<_bR Produced Identification Type of Identification Type of IdentifI SANDRA HCHMANN SAIMMHOHMANN Commission No. }• .`�c Nota($ftglic-State of Florida Commission No. 1 Mealy PtrbliC(S2*of Ftoridz • a •.-,MY Comm,Expires Mar 14,20 _• :•=My Comm-Expires Mar 14,2016 .N ''.. Commission 80n=Through National Nm. ''',P;�+ua�' Fir IF lboighNalional NrXary Assn, Revised 07/15/20 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE mii7ial c s "' e l "Efficiency Tax Credit when placed n service between Feb 17,2009 and Dec 31, 2014. fifico'" o% of Product Rafinpos Ufft Ott; I U AHRI Certified Reference Number: 6937961 Date: 12/23/2015 Product: Split System:Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CAIGNA042""""A Indoor Unit Model Number: FX4DN(B,F)049L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER Region: Southeast and North (AL,AR, DC, DE, FL,GA, Hl, KY, LA, MD, MS, NC, OK, SC,TN,TX,VA AK,CO, CT, ID, IL, IA, IN, KS, MA, ME, Ml, MN, MO,MT, NIS, NE, NH, NJ, NY, OH, OR, PA, RI,SD, UT,VT,WA,WV,WI,WY, U.S.Territories) Region Note:Central air conditioners manufactured prior to January 1,2015,are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016,central air conditioners can only be Installed in region(s)for which they meet the regional efficiency requirement. Series name: 16 SEER PURON AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored,Independent,third party testing: Cooling Capacity(Btuh): 42000 EER Rating (Cooling) 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): "Ratlnna followod by an astodak(')Indicate a voluntary romto of provlously published date,unbar accompanlod with a WAS,which Indicator an involuntary rents. 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($),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed In the directory at www.ahridirectory.org, TERMS AND CONDITIONS This Certificate and its Contents are proprietary products of AHRI.THIS CortiFleato shall only be used for individual,personal and confidential reference purposes.The contents of this Certificate may not.in whole or in part,be reproduced;copied;disseminated; entered Into a comptirtor database;or otherwise utilized.In any form or mannor or by any means,except for the user's Individual. personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information forthe model cited on this cortifieato can be verified at www.nitridirectory.orf„,Clitk On"Varify Cortiflcnte"link we make llre Gatto"' and ontor the AHRI Cortlflod Reference Number and the data on which the certificate was Issued, which ted above,and the .,which is listco at bottom right. 020114$Air•ConditionincertHeatine,and Refrigeration Institute ,.CERT.. 130953725212393595 Air-Conditioning, g IFICATE NO.: 9 /� # Si73t :01 .l� ;