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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:q l u ------------ Permit Number: 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 �� ... PERMITAAPLICATION FOR: To Seiect from dropbox, click here PROPOSED INPROVEMENT LOCATION: Property Tax ID #: -} 2 ) 4(o -_ Site Plan Name: Lot No. Project Name: Block No. E .Z Setbacks Front___ Back!—. Right Side: Left Side.: DETAILED DESCRIPTION OF WORK: i STRUCT -INFORMATION:ion or to e e Orme ufi er t is permit appy. MVAC Gas Tank Gas Piping Shutters Electric Q Plumbing Sprinklers El Generator i�l Total Sq. Ft of Constructi n; D�'�--- Cost of Construction: $ L %5 -I- � Srt• of First Flo, r: utilities:n l e OWNER/LESSEE: Named ' n ee- Address: City: State: P7L Zip Coder LJ Fax: Phone No L E -Mail, CA— Yui Fill in fee simple Title Holder on next page [ if different from the Owner listed above) If value of constru coon is er Septic Windows/Doors Roof Buiiding Leight: CONTRACTOR: Name'. C'� Company: 1 F 7 a tuyq � to Addrs }}� City t '6�``i State: . Zip Code:`-`�tkV Fax:,q Phone No. r E -Mail: State or County LicenseA i -k[ ~ 1 or more, a RECORDED Notice of Cammencement is required. Ur51GNER/ENGINEER: Name: Address: City: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: _- Phone: Not Applicable State: Not Applicable MORTGAGE COMPANY: Name: Address: City: – Zip; Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: —Not Applicable 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 beforejJae first inspection. If you intend to obtain financing, consu }e n attorney before co enci r c or recur r ur Notice of Commenrprnp _ Signature of Owner/ Lessee/Agent ai STATE OF FLORIDA Q 4 COUNTY OF of 20 by The f oing inst ent as acknowledged this! i 2 before nff .9 o of 20 by a . (Name of rson acknowledging ) (Nameprf person acknowl ure of Notary Public- State of Personally Known L -"____OR Produced Identification Type of Identification Produced Commission No.��� (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING COUNTER REVIEW DATE COMPLETE INITIALS Signature of STATE OF FLOR I,- COUNTY OF -E? MANGROVE REVIEW Thet�ving instr mentwas acknowledged before mthisday of 20 by (Name of rson acknowledging ) SIR ( ignature of N tary Public- State of Florida) Personally KnownOR Produced Identification Type of Identification Produced - Commission No, � E t j (Seal) SUPERVISOR PI REVIEW RE' -ANS VIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW • u�■::� CERTIFIED° www.ahritlirsctory.org Certificate of Product Ratinas AHRI Certified Reference Number: 7154352 Date: 41$12016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: ES4BE-024KA Indoor Unit Model Number: 86BMMX24K-A Manufacturer: NUTONE Trade/Brand name: NUTONE Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, VVV, 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: NUTONE ES413E SERIES Manufacturer responsible for the rating of this system combination is NUTONE 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 (6tuh): 23600 EER Rating (Cooling): 12.20 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): " Ratings followed by an asterisk (`) indicate a voluntary cerate 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 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 far the user's individual, W� personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION a 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 is listed above, and the Certificate No., which is listed at bottom right. F ©2014 Air -Conditioning, Heating, and Refrigeration institute i CERTIFICATE NO,: 131046087058268575