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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO q MU/SST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ /►� Date: 5-3! 02010 Permit Number: Lo� l J ` 's Building Permit Application CLAY0% Planning and Development Services Building and Code Regulation Division PERI -C'I IMG 2300 Virginia Avenue,Fort Pierce F134982 St. Lucie Coun L Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED"IM'PRO.VEMENT.,LOCAT ON: Address: 3c-© I L_t,44 t+ `31 +4 A Legal Description:I � lA� C'0lL1,A T3 Property Tax ID#:02 4,;L 0 — &o f^ o`4&- o DD Lot No. � Site Plan Name: Block No. 6 S Project Name: ED U)F?i^ f NO e- Setbacks Front Back: Right Side: Left Side: DETAILED DES CRIPTION'OF WORK-, = CO'NSTRIJCTION INFORMATION Additional work to be performed under this permit-check all appy: 2HVAC Gas Tank E]Gas PipingOGenerator Shutters Windows/Doors Electric 0 Plumbing Sprinklers Roof Total Sq. Ft of Construction: S Ft.of First Floor: c Cost of Construction:$ ��0 Utilities: _Sewer Septic Building Height: 01NNER,LESSEE 'CONTRACTOR: l Sl �S Name: Address: I L-11V 5 S Company: sSiC City: '9file"C State: �L Addre 3 / �clf Zip Code: 34 �'c� Fax: City: ('f' �C'% L-tJCL State:�� Phone No. �af) —C) ( 0 1 (_ ) Zip Code: Fax: 979 ` 472--5— E-Mail: Phone No. X33(9 "5—D�D�O Fill in fee simple Title Holder on next page(if different E-Mail: 0411kll T from the Owner listed above) State or County License: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAIL CONSTRUCTION LIEN�LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable pp ble 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: 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 commep4g work or recqrding ycwr Notice o ommencement �. s nature of Owner/Lessee/Agen Sig ture of Contractor/License Hol SATE OF FLORID STATE OF FLORIDA COUNTY OF .4. /' 1E COUNTY OF ,— The The forgoing instrument was acknowledged before me The forgoing instrument as acknowledged before me this a day of Mp" 20 Jla-by this=2L day of 20 by 0 a (Name J person acknowledgin (Name of person acknow!,edging) ��`;•••�`'� CAROL A.MAGM MY COMMISSION;FF094208 ` -EXPIRES:Aprif$,2018 4 ��qJ -_4- BondedZhcuBudgetNotaryservices (Signat re of Notary Public-State of Florida) (Signature of Notary Public-StateV Florida) , Personally Known OR Produced Identification Personally Knowny/OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. KAREN S. IL€pissi No. (Seal) c Commission# F 115637 q � A- 5 air My Commission Expires . •�,;�F��o`` June 12, 2018 ij Revised 07/15/2014 " REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 1 i o This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service on Iiiiiiiii ILI CERTIFIED between Feb 17,2009 and Dec 31,2016. Certificate ®f Product Ratings AHRI Certified Reference Number: 7491808 Date: 5/30/2016 Product: Split System:Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA143SAJ1 Indoor Unit Model Number: RHI T3621 WAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: Southeast and North (AL,AR, DC, DE, FL,GA, HI, KY, LA, MD, MS, NC,OK,SC,TN,TX,VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY,OH, OR, PA, RI,SD, UT,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:- ----, - _�__. ._ _ ___r., _...__.'.r__ _..____ ___.__ Manufacturer"responsible for the'rating oft.his systerricombnation.is RHEEM LES COMPANY INC. Rated as follows in-dccordancerwith=AHRI XStandalyd.21:0/240=2008 for Unitary AIr-Conditioning and Air=Source HeatPump Equipment and subject to verification of rating accuracy by AHRI sponsored, independent,third party,,testing: - Cooling Capacity(Btuh) 36000 EER=Rating,(Coolirg) 13.00 :SEERRating (Cooling) `""-- 16.0,0 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. 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. AIR-CONDMONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahrid lrectory.org,click on"Verify Certificate"link we make life better— 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. ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO" 131091011754878383