HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_Permit Number:_
_...•~..~.~.i!.:.....•.~,.~~--,'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 __V'__
PERMIT APPLICATION FOR:To Select from dropbox,click here
Address:BB2S One ..~+~~O(i/,..J,;::_.-_------
Legal DescriPtio':?od 33 a}-'4he:ge.::erve.)bo~i t«()tjSrn't\\lo+1Ce
(De...3'2XL-412)
Property Tax ID #:333l\-SbD -ODfQ'7-c)()D-3 Lot No._rz"':':("I-C'J--_
Site Plan Name:Block No._
Project Name:_
Setbacks Front _Back:Right Side:Left Side:_
Shutters
D Generator
o Windows/Doors
DRoof
Total Sq.Ft of Construction:_7 6'0
Cost of Constructio n:$--,-,-,-",'D"""t;Q",-<-~_
S'f£!;of First Floor:
Utilities:U Sewer D Septic Building Height:_
!~<a~~~I:~E~j"E~:~..~.iij",.~.
Name \(lU!)GtLLnef'
Address:6lQZ,5 One:=f?u+!place.
City:J:b\"~5t.Luc(~
Zip Code:3~q!?lo Fax:_'_
Phone No.bl5 -345 -IlI:2>\
E-Mai\:_
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name.-,-.
Company:fid\ll1!\~t ()~+h(...Treasure {lS+
Address:100 I 0.bdl1rVe+Avenue..,
City:£by.\-::PIerce.State:rL
Zip Code:34AB2..Fax:11Z-LfloS-L¥1lfS-
Phone No.112-4t<J5 -Hocte
E-Mail:n d \f{l()+Q~;pecmtb@ hotrrx:t'\\.COn1..,
St te or County License:CAt ();39(o(olj
-tl:::5661'
State:FL
If value of construction is $2500 or more,a RECORDED Notice of Commence ent is required.
DESIGNER/ENGINEER:_Not Applicable MORTGAGE COMPANY:Name:Name:_
Address:Address:-----::-:--:----
City:State:City:_----:-:--------.State:Zip:Phone:Zip:Phone:_
_Not Applicable
OWNER!CONTRACTOR AFFlDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 structurewhichisinconflictwithanyapplicableHomeOwnersAssociationrules,bylaws or and covenants that may restrict or prohibit suchstructure.Please consult With your Home Owners Association and review your deed for any restrictions which may apply.
In consideration ofthe 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 work or recordin our Notice of Commencement.
FEE SIMPLE TITLE HOLDER:_Not ApplicableName:_
Address:_
City::--_
Zip:Phone:_
I ature of Owner/Agent/Lessee
~~~~~Fci~ORI~ud LuCl~
The forgoing instrument was acknowled~efore me
this ~day of UQ16 '20llie.lby
D.flrnUe/I.~ltrhll/}(
(Name of person acknowledging)~
Commission No.__---'~-.!~_
Revised 07/15/2014
_Not Applicable
BONDING COMPANY:Name:_
Address:-----------------
City:------
lip:Phone:-------
Signature of Contractor/License Holder
~~'1T~~Fci~ORI~~{~Lub~
The forE'ing instrument was acknowledged before me
t~7!day of ~Qc.ts='20ID by
Uamf/eJ .L r-
(Name of person acknowledging)
\\11111/1/
(ignature of Nota;7b'-Stat~<S ri!i~.l *(/~".~'...•••p:,.'~~~.·S'J..I'IRES -••00
Personally Known oRt#~~l~ntifici\i~
Type of Identification Produc$ul :'4 ;:,~%.~'6i:~:~~.k ~£:UJ::~A.~Q ~~es "Os.1-.:::Commission No..~••Q..••7'(~'*'$...~~.t"..1#r~."'~~<;~1-.0~~
~•••••••••~§
REVIEWS SUPERVISOR
REVIEW
DATE
RECEIVED
FRONT
COUNTER
ZONING
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETED
A.~!!ICERTIFIEO®
www.ahridirectory.org
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:7019634 Date:5/10/2016
Product:Split System:Air-Cooled Condensing Unit,Coil with Blower
Outdoor Unit Model Number:24ACB760A**30
Indoor Unit Model Number:FV4CNB006L
Manufacturer:CARRIER AIR CONDITIONING
Trade/Brand name:CARRIER
Region:All (AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,10,IL,lA,IN,KS,KY,LA,MA,MD,ME,
MI,MN,MO,MS,MT,NC,NO,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SO,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:PERfORMANCE SERIES PURON AC
Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING ,
6 '..~._'~',
Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning~hd Air-Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI~sponsored,indep~ndent,thirdpartytesting:'.
,Cooling Capacity (Btuh):
JEER Rating (C,?oling):
"SEER Rating (Cooling):
lEER Rating (Cooling):
59500·
13.00
17.00
,Ratings followed by an asterisk (')indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate.
AIR-CONDITIONING,HEATING.
&REFRIGERATION INSTITUTE
we make life better"
CERTIFICATE NO.: