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HomeMy WebLinkAboutSHAREEF 2ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: "AGI —/ ( Permit Number: -I J1 = ,y 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 arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 3-1 X1 q C2`3_-11`1 Legal Description:QQ3!9- yQ & (go 8rl y D. 1 � �+ a k N () J,)Pn M ill ., -:,1 1. \ ,.NS . f_ -P- R Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Lot No. Block No. 5 -,)- S 4oi-, x vI SS C 1 _� i U J� L�s 15S4e- TZ CONSTRUCTION INFORMATION: jjAdditional worK to be rformed un er t is permit— check a app y: LiHVAC Gas Tank Gas Piping MGenerator Shutters Q Windows/Doors Electric ❑Plumbing Sprinklers 1-1 Roof Total Sq. Ft of Construction: ��, cats. Cost of Construction: $ Lo (7 7/) OWNERAESSEE: City:�J� �._ • ••.- . Phone•9 S�Ftj. of First Floor: _ Utilities: Ft ❑Septic Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Building Height: N a m e7�j CompanyrdQ Address: 3bS7 City: State'. Zip Code: Fax: Phone No. ,7?9 4`p t 5�'l t I, E-Mail:(�`n0.nI1'1t11I2�Cls ��-�� 'CO-) State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: of Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable 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 commencina work or recording your Notice of Commencement. i(h/4 11, 11� 6��— __ s gnature of Owner/ Lessee/Agent nature of Contractor/License Holder STATE OF FLORIDA,/ COUNTY OF The forgoing instru nt was acknowledged before me thisday of M 20 y J� (Name of person acknowledging ) (Si ature of Notary Public- State of Florida ) r' Personally Known Type of Identification Prod ed SANDRA HOHMANN Notary Public - State of FI Commission No. ' r : • (Ig#gJmm. Expir,s 'tar 14, P`c Commission # FF 0716 °P Bonded Throuah National Notan Revised 07/15/2014 STATE OF FLORIDX— j�Lr COUNTY OF The forgoing instru ent was acknowledged before me this day of 20j�E by I les `lie s (Name of person acknowledging ) (nature of Notary Public- State of Florida ) ,nally Known ice` of Identification Produ M RVRMTMN n() mm. Expir,s '.1ar 14, 2 8 mm. # FF 07168 Bonded Through National Notary REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratings AHRI Certified Reference Number: 7630952 Date: 1/29/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA14NA030****A Indoor Unit Model Number: FB4CNP030L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, 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: 14 SEER PURON AC Manufacturer 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: Cooling Capacity (Btuh): 28600 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 IEER 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. UMULAMER 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 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 computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, we make life better- which etterwhich Is listed above, and the Certificate No., which Is listed at bottom right. I- - - . 11- ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130985654278811643