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HomeMy WebLinkAboutBuilding Permit ApplicationPlanning 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 ~--- ALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:Qam /.;plitJ Permit Number:I I --------- '"COUNTY "-......,. FLOR.IDA -- Building Permit Application Lot No.[3 ~I 4 Block No.q Project Name:_ Setbacks Front _Back:Right Side:Left Side:_ ShuttersDGenerator o Windows/DoorsoRoof Total Sq.Ft of Construction:_ Cost of Construction:$3'350 ~ NameJdeJen Lucas Address:820D AvenLle...~ City:~r.+:Ple(ce. Zip Code:~Lf7 Fax:_ Phone No.11;l-4tdo_~lfO_"_;:;..;3~~~------ E-Mail:_ Fill in fee simple Title Holder on next page (if different from the Owner listed above) S'f£!;of First Floor: Utilities:USewer DSeptic StateR.. Building Height:_ I Name:~~~~~~~~~~~~--~ Com pa ny:OO.\lt11:ttz:J~.-1iJ~~~~mill!lliU.iJtlSl Address:~~""'-'--'-'-"-""""'-~~::::::">O"'lL...>=::....."..,~---- City:"f+,IUCe., Zip Code:3441:>2-Fax:,,2-4<o5-4l\tlS" Phone No.-'l2-4(05-\took E-Mail:ad van-l-t1~~~~@ bol rolL\.COot Sta e or County License:•ottoloLi•-:tt:~.,.,')~. If value of construction is $2500 or more,a RECORDED Notice of Commenceme is required. '--'.,'C,"'''j,""L:O.'"",',<'~..~_,,,,'-_,;'_',::c ",--:'.:,,;.:,"~\_."!~~:'!~!&:/Yi'f~IL~,-_~_,o .,'rilt~~rpg~~~~JA~~;gONsT~~;qJQN;~~~N,l.bW~JO~M~Ilp~:-"};:;~,-" DESIGNER/ENGINEER:_Not Applicable MORTGAGE COMPANY:_Not Applicable Name:Name: Address:Address: City:State:City:State:------Zip:Phone:Zip:Phone: FEE SIMPLE TITLE HOLDER:_Not Applicable BONDING COMPANY:_Not Applicable Name:Name: Address:Address: City:City: Zip:Phone:Zip:Phone: 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 coun~makes no representation that is granting a permit will authorize the germ it holder to build the subject structurewhichisinconictwithanyapplicableHomeOwnersASSOCiationrules,bylaws or an 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 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 work or recording your Notice of Commencement. IVl <~//.;JLA~IVJ;;~~7~~ 'S'fgrfature of Owner/Agent!Lessee S'Ygn'atureof Contractor/License Holder STATE OF FlORIt1u d LCttl~STATE OF FLORI~~'1 LuCJ:6COUNTYOF/I COUNTY OF Ot In Th~ing inst~as aCknowled~efore me The ~ing instrument was acknowledged before me this day of m~,20~bythidayof,20 I by Da.mIJeI T »:»:Gmlld T,!Jurhou, (Name of person acknowledging)-(Name of person acknowledging)<; ./P,.'''''''''".L~~(~ut.A J .,\\\\11111/1/11>"I .A>{r;!I/,,_ (Signature of Notary '"~~~f§f Froi~(Signature of Nota?-Stat~~~~~i!t~)••-:·'%~,.~0 ~\)'oe··\Y~~~"~'l-I'IRES <.,00PersonallyKnown-ftidi.'profj~q,~itication Personally Known o~#~~~efentifici\i~~~.~,,~,---Type of Identification;d ~~J~:.~:::Type of Identification ProducSLLI i~;;;:'!ff'l~'6i-2.2a •\2 $.~A.-••'0 ~~i/&;;"=§..~2 ~~~•~~1:}:!~~'-fit <'~Commission No.~'"~'!";}j)Commission No .::;.v;n ($,e%~:~~~••••••••'(\S~.~··.~4 ~~~..';~ '//111/1*NOT f>-\\\",'"~e..~o,!.o ~~ ~.1 •••••••••~\.~~•••••~ -"111.,.'.vOTA~:,\~ Revised 07/15/2014 //1/111/1111\1\' REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVECOUNTERREVIEWREVIEWREVIEWREVIEWREVIEWREVIEW DATE RECEIVED DATE COMPLETED A.~!=!ICERTIFIED® www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number:7940895 Date:5/24/2016 Product:Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number:RA1624AJ1 Indoor Unit Model Number:RHAL-FR24P Manufacturer:RHEEM SALES COMPANY,INC. Trnd~Brnndname:RHEEM;RUUD 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. lEER Rating (Cooling): o Ratings followed by an asterisk (0)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 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. CERTIFICATE VERIFICATION 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, which is listed above,and the Certificate No.,which is listed at bottom right.==c;;;;-.,..,.,.,=-:-=-=~- ©2014 Air-Conditioning,Heating,and Refrigeration Institute ;ifCERTIFICATE NO.: AIR-CONDITIONING,HEATING, &REFRIGERATION INSTITUTE we make life better"