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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCE=PTED Date: 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) 452-1578 CornmerCiai Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: '2�at �5 P,Ia.._MaU Legal Description: Tod --'� _F5 A+ t--" R SL_Y \j e_ Lot ca Property Tax ID #: - -- D00 _3 - Lot No. Site Plan Name: Block No. ProjectName: -r ' p- 7 µ ona worko e e orme un ert ispermit -c ec a appy: FT HVAC � bas Tank Gas Piping MGenerator Shutters windows Roor / s Electric Plumbing Sprinklers 5 Roof Total Sq. Ft of Construction: Cost of Construction: $ `T l.q q-, ter Name__'��Gt t _� Address:' 3 1 1a LjecH-rraC_- City: P p , Ll.l l State: Zip Code: l G Fax: Phone No..7 5 - l Lp E -Mail: S Ft. of First Floor- Utilities: loor: _ Utilities:0Sewer OSeptic Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name._IAQ' 0 ift)1 r Building Height: Company: ' 6(? r\Ji LL_. Address: City: Ph rt c+. (Ac _k_ State: R--. Zip Code: Fax: ���zj -3'S Phone No. r (] E -Mail: ' - i L)'CC' - �I�r State or County License: _ C -440 - If -440 - if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNS Name: _ Address: City: Zip: ENGINEER: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: Citv: Zip: Phone: Not Applicable State: T Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: City: State: zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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-wurk-or recordr�gacaur Notice of Commencement _ Signature of Owner/ Lessee/Agent Signature of Contractor/License Halder STATE OF FLOWASTATE OF FLORIDA COUNTY OF �(T ::5+ , Lu CIL-C-1 COUNTY OF Pu v- T_ : s+ The forgoing instrument was acknowledged l before me The forgoing instrum nt was acknowledged before me this ' day of �i� t 0 1 20 LLLby this �Q day of 0 1 20 i by (Name of person acknowledging j (Name of person acknowledging) (Signature of Notary Public- State of Florida } Personally-Kngwn OR Produced Identification Type of Identifiza Lkn_Produced Cornr-nissior.No. R-evised-0 /Y A MAM"IDUCHARD dbMI'i IftI0N #FF125526 of Notary Public- State of Florida ) Personally Known_ OR Produced Identification Type of Identification Produced Commi MY COMMISSION #FF125S2C 5 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS r4m CERTIFIED° www,ahridirectory.org dL This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Product Ratings AHRI Certified Reference Number: 7943220 Date: 4/22/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1648AJ1 Indoor Unit Model Number: RBHP-24 Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, Ml, 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, 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: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. 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): 44000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 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. 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"IMF,This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and in in be reproduced; copied; disseminated; ou gwit confidential reference purposes. The contents of this Certificate may not, whole or part, entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information forthe model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link ,•c make life berter- and enter the AH RI Certified 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. �CERTIFIGATE NO.: 1310581506034337 ©2014 Air -Conditioning, Heating, and Refrigeration Institute