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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APP9C:ATION TO BE ACCEPTED Date ti 6 Permit Number: Go I -�� RECENrD JAN 05 2016 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)452-1553 Fax:(772)462-2578 Co mercial Residential PERMIT APPLICATION FOR: To Select fromropbox, dick arrow at the end of line r :,w..:�:- •;:ti ."n+,••n �:«tr-:4�•a' - +'�'i�moi;•��:'4� ;%tib.•:+:.?tet Qtp y��y �F �•s ,S •:;r•itirpty :;r;: �3,.t;i:'i: .,).::•:;•:::•:,. :a:. ,.�i'. Address: Legal pescriptionclL�U cLeG( 1A 4o 11 Ks 3 0r bo -1 7— 131 ! 4 n A 115 rnn gp; el �c t) Coy- W u _ s)t La�& C�4��cc Property Tax Ip#lt k-T � I I "v0�'�p Lot No-Site Plan Name: t Block No. 5 Project Name: Setbacks Front Back: Right Side: Left Side: `is.:: .b1,,.,,.Y;.}.•rc:�-:r., -.C_ ::t.,.�ii"=""..�..•t��;isic.:=i::ii%:::i:.:'=:i;?i:z.:;:,-'i :) i-' ''r'•�I'�.�} ,i17•`..'J::..'� 1"')" .,.iJ':":� L ",,:7.. ::l>:.,_..,..:•v..eR•:",,!SY: :,'yY„• .rt�.,n C,.:ri:v}:: . giN )•r-.r.:G•�•.) etYatl ,,.�:�1::^ »,r..d�'.. �r)'•C,. .1 ....._...._.._..x„•.5,7.,c ny:'..,r'-...,_::.r.•::.:... - 9>!^<= �t.':G T LI�X, FK60 hea-F r- ..: ...,luv.,':':1'.:. v:;::t:::-.':r:'tr:tr 1.. : ']:d::ds.:::::..:::::::::::::J<....::•f — t:,.�:f�" t" rrn —,;...t,._.._�.......:::•.•.......:..:. .:•.:, ..,. ..:.r 1.1 bl•�4 ... i.l_ .4 .i7e" nix:�::Vy :..( '•'V.� :ii)l.:!a .S°;G:�'=tu .:.. ..: .. .. ... .F. . .....r�_.vrry• .. ..�..:,::.... ,9�: `:•ti^ j..,sscrt:;::�'.•+.,-.,.7i?i`i;:'.=-,-:�:::::<•j .. .,. 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':• F 4.�a`,,``Gµ�`'•i �..;.,i.J.._ _ :ti,5. •,r '"•:.:.1 _f,;!,...•.......r._.t..,.:_,L.. t�L�c" r.t,s:it;:� '�}ti>! 3!f:Y'.i�� ,:5:'•.1,•u• •��7'f:7: r ona war o e e orme un er t 'is parmr - ec a apply, HVAC Cas Tank E]Gas Piping _Shutters Windows/Doors 11 Electric 0 Plumbing ❑Sprinklers ❑Generator ❑Roof Total Sq.Ft of Construction: S Ft,of First Floor: �a Cost of Construction:$ � �• Utilities: ' Sewer❑septic Building Height- ... eight: ...,....._......... .......,...:"..:>:.::... :::::. 7 ..,�ccT-:,,_;!i•:::�r •;,.:; T;MF ccyrr e��''ii-,s';:ted:<,'::+:, :,C=.:c-_- =:).,rC�,:.�;::�i�;:vi:� i:•,'•�::h..,....�V �t� '4�.:••:::i}+tt": a:::.; - "<-:rt,..,CI 5s:;•.4'1,1T.de,L ):T'I�:V:::.&..�._tl tf.,.4�:1.6Y.1.. t:t..,ar .y.!'..C.'.l v'I:�ta•f•�.�'a. y -- _r �...,—....�_,...,. - -Name �UY1Le'�'l[ `•�Illswc., �-P r Y, ' �AddressGc•Ci. r✓' �•� i'1 i�y� ,City;• state: �42?r3 S'� S��']r/rCx,rG� f�'�r Zip Code: Fax: ��� � City.4b ' .J Lu C S#ate Phone No. 7 900--Q1 -5 zip Code: �fqS Fax:'3g5"R��- ' £-Mail /oS�,FYtLC6'Jp7C�C�Ci�Vt1 Phone No. 4_ -7�� Fill in fee simple Title Holder on next page(if different F-Mai1: n 0.0 >mCa '�o from the Owner listed above) State or C city License: ' &GS 2 If value of construction is$2500 or more,a RECORDED Notice of commencement is required. ......._..._..:::t,:•::._...,.i:.,..:=:.:=cnN,'c, .......::",.Jr:':::':r .si. ;n;.r;":.<.._;. a .:r:rM.._..,. �t,� i�E +'{ }'� - 'v- .t Y ,Z . ; r„,•_ilC ",moi:"? lsFi.::•:>`is'.'ckif'>£''�i i?iji�'-i :� `L'�lB.i ���i'•iF1L��',,.'I '�: �:l `"S E �.fTD -`, :ii .3'i'�:t,.,:kx•=7i^.i +...r:�r`.:?::e'•e:ic{T%i:...._ :'t:.:3S..:: Y.; .S, ..�� 'i ... 1�1: h�(:3�0Ytt;; ;rr��••: .i ..r._..d., ?w:.. .iie:.. ,wi.: aF.,Z.i.f:, �.f.i::.'�N w ry�'.-°�".:;'r:.nic:fi'�iL�.. r...l:,:�,. x;r ,ea..:f", •T' :,<—re.4mc_f. :�i§,....1a::�vu: DE5I6NER/ENGINEER: __Not Applicable MORTGAGE COMPANY: Not Applicable ' Name: Name: Address: Address: City: State: City: State: Zip: _Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _blot Applicable BON©iNG COMPANY: Not Applicable Name: Name: Address: Address, City: City, Zip: _ Phone: j Zip: Phone: E I certify that no work or installation has Commented prior to the issuance of a permit St Lucie CoUntV makes no representation that is granting a permit will aut orize the�aermit holder to build the subject structure which is in conflict with any applicable Home Owners,association rules,by aws or and covenants that may restrict or prohibit such structure.Please consult vAth 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,s een roams 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 pasted on the jobsite before the first inspection,ltyou intend to obtain f`inanicing,consult with lender or an attorney before commencing k or recopdjhg your Notice of Commencement. l Slgna nerd see/Agent G? �1 signal o racta� Lit se Holder �fz {�•rr��r. STA f LORIDAf ST ' Ir LORiDA co OF JV CO of The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this�°`day of j at r, ---_• 70 1-(0-by this'" day of p _ ZQ _LP by (Name of person acknowledging) (Name of person acknowledging) (Signature of N ry P Iic-State of Florida)' (Signature of ,urbiic­State of Florida) Personally Known r/ OR Produced Identification Personally Known ✓ OR Produced identification Type of identification Produce cS Type of Identification Produced Commission No. /��4b' (seal) Commission No.1__W6r167r41 ~ {Seat Gill rz .., !u!. Gentle a Genie! H. e '�rfifr4, rA ` =Expires:.tAN.15,2o1R a Nre JAN is,2W8 Revised 07/15/2014a ��� wrvw,Anat t�oraRYo«r� wMA�wai0MAW AM REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS SEEM Certificate of Product Ratings AHRI Certified Reference Number: 8129272 Date: 1/5/2016 tStatus: Active Product: Split System:Air-Cooled Condensing Unit, Coil with Blower Model Number;TTA090G(3,4)'A* Indoor Model Number:TWE090D300A* Manufacturer: TRANE Trade/Brand name: TRANE Series name: ODYSSEY Rated as follows In accordance with AHRI Standard 3401360-2007, Commercial and Industry Unitary Air-Conditioning and Heat Dump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent,third party testing: Refrigerant Used: R-41 OA ..... .. ....... ._ .. .. .. .. ... ,cl xU r �. ., M1•,4n no,n!n,, 14!. ... ?:J'.3A11!. s. !.i'%"'1'. v,!t"fl'la•^:e'4ir °9!1'11111 !11' ! ••t I.i)v�".1!." 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LLt'•pHu,.cif{If!�I'fL.,,e•!:,s:rL;lb,�, .I�r rni:riltk�lJi=itlk,1. tct.!-,.�.{....-..._J� h:::r., -' ==:::•:::::•!::_.� ..,;mss r,:!.,_...F..._. . !._{!i.{........1.,.,{...,,.ui,.r..li0'.•' • . Eull:' oItl;lariefobr:.CoilFcir'( uantEfy . 3000.:.:; The AHRI 340/360 certified EER ratings In etulh/W are calculated under the same methodology as the EER ratings at T1 conditions of ISO 6151:2010 and ISO 132532011. Ratings followed by an asterisk(')indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an Involuntary cerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certiftelte and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on tills Certificate.AI'IRi expressly disclaims all Ilability for damages of any kind arising out of the use or performance of the pmduct(s),or the unauthorized alteration of data listed on ails Certificate.Certified ratings are valid only for models and configurations listed In the directory at www.attrtdlrectory,org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI,This Certificate shall only be used for Individual,personal and confidential reference purposes.The contents of this Certificate may not,in whole or In part,he reproduced;copied;disseminated; AM 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 confidentlal reference. AIR-CON01IT10NING,HEATING, CERTIFICATE VERIFICATION A AEFRWERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on'Verify Cartificate"link wr mak¢J&beIto- and voter the AHRI Ocrtified Reference Number and the date on which the certificate was Issued, which Is listed above,and the Certificate No.,which Is listed at bottom right. ,I!•�'11,Wiw�'.,..., s� 309647.476.7937- @2014 096474767937©2014 Air-Conditioning Heating and Refrigeration Institute f � :tArE �o. 7 s pN13 .,r 10;,..:,,..,.,.. .. .. ii!i?lit licit' '•:�"d�}I,' }