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HomeMy WebLinkAboutBuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: :n. planning and Development Services Building Permit Application Building and Code Regulation Division 2.300 Virginia Avenue, Fort pierce FL 34982 Phone: (772) 452-1553 Fax: (772) 462-1578 Commercial ------ Residential �. PERMIT APPLICATION FOR:'TO- To Select from dro box Click E= .. p arrow at the end of line Add Legal Description: (9,Y-yi, > 'E_01. Property Tax ID #.- Site : Site Plan Name: \vev - (.int+ L'11 Q's DU 0 CX) -- 6? Project Name: Setbacks Front---. Back: .�._ Right Side: . Left Side: Lot No._� Block No, R-efI �t la S +r A ti p Com, 0 A0 L(2 4 ' /k -T J JQ A (-r)J CL k r �' e) _tt P qeLz _ r4 5 Kaamonai Work -to a ex Orme un er t 1s perml Gee a X0HVAC apipovy�: Gas Tank Gas Piping � Shutters 11 Electric � Plumbing Sprinklers j�j LSI Generator Total 5q. Ft of Construction: -Sq. Ft. of First Floor Cost of Construction: $ 0Se'_ Utilities: Sewer ptic Name :So E'1 Address:I ��� Y- e t City: �:DY-7 1-p— State:� rj- Zip Code; '� �1 �' Fax: Phone No. 7 -7 E -Mail: -- Fill in fee simple Title Halder on next page ( if different from the Owner listed above) Windows/Doors LJ Roof Building Height: Name: Company: Address: City: ()-T 3 �� Zip Code: State: _ �� Fax: "77 Phone No. "r —F E -Mail: .f -C! State or County License: (?-A (? ) g j If value of construction is $2500 or more, a RECORDED Notice of Commencement is required, It DESIGNER/ENGINEER: Name: Address Not Applica Clty: State Zip: Phone; FEE SIMPLE TITLE HOLDER: Name: Address; City: Zip: Phone-, Not Applicable MORTGAGE COMPANY: Not Applicable Name: —` Address: City: State: Zip: Phone: BONDING COMPANY: Dame: Address: City: Zip: Phone: 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 an covenants structure. Please consult with your Home owners Association and review your deed for any restrithat may restrict or prohibit such ctions 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 commencin r record" ur Notice of Commencement Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this c? day of I�20 1 (Ay (Name of person acknowledging ) (Signature of NotaryPublic- State �of Florida j Personally Known —L' ",e OR Produced Identification Type of Identification Produced Commission No. LINDA MARIE BOUCHAFiD MMISSI(W*F125526 :.���...11 EXPIRES May 21, 2018 (447) 398-0153 FEona u Revised 07/15/2014 REVIEWS FRONT ZONING COUNTER REVIEW PATE COMPLETE INITIALS nature of Contractor/License H STATE OF FLORIDA COUNTY OF >" ' 3-V , The forgoing instrument was acknowledged before me this 9day of Zp _L(zby DQ u (� i (Name of person acknowledging) �iJpZ,natureof Notary Public- StatWN rida ) Personally Known` OR Produced Identification Type of Identification Produced SUPERVISOR IPLANS REVIEW REVIEW My COMMISSION #FF125526 398-0153 VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 7943220 Dates 4/30/2016 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, A2, 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, WV, Wl, 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 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): 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.ahridlrectory.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; AMI 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 inake life better° which is listed above, and the Certificate No., which is listed at bottom right. ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1310650071525847<