HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE
Dater ACCEPTED
._ Permit Number: --
Planning and Developmentservices Building Permit A
Building and Code Regulation Division Pplication
2300 Ulginio Avenue, Fort Pierce FL 34982
Phone: (772) 462.1553 Fax: (772) 452-1578 COmmerclal
PERMITAPPCICATION FOR: Residential _V
To Seleq from dropbox, dick arrow at the end of line
Address: --� c� I � b
Legal Descn tion L( -t-7 rp r s
P I�or�tL' bifA'io 2� �,,.,—.
Property Tax ID N; 3 I _ �'✓' "D a _
Site Plan Name;
Project Name:
Setbacks Front
—� Back:. Right Side:
Left Side:
Lot No.
Block No,
PSN+T48a1 ST[tnq w� lrLV
ow RUTAD RAifPygAjlr
u4 + Alps
Gas lank u L.,) --.. PPry: -
Gas Piping LJShutters
Electric Q PlumbingE]Spri Q windows/Doors
Total Sq. Ft of Construction: — nklers Generator
Roof
— S
Cost of Construction: $ Ft. of First Floor:
Utilities1f ewer QSeptic Building Height:—
ZIP Code: 5 1 State: aL Address:
Phone No. Fax.
-- �2—SOI Cn—� City:
E -Mail: Zip Code:
Fill In fee simple Title Holder on nett Phone No
tram the Owner Rsted above) Page (H different E -Mail: _
State or O
If value of construttion is $2500 or more, a RECORDED Notice of Commence,
Fax:7T=a,�ij 4l it
,C/h
Name' — • ^PPIIca ne
Address:
City:
Zip:Phone: State:
MORTGAGE COMPANY: _Not
Nem.
Address:
City.State:
Zip: Phone:
Name: ovNulr
Address: Name:
City: Address:
Zip: Phone: City:_
ZIP: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
I[. Lucie CountX.makes no
__...
von and
U18t may restrict
r any
In consideration of the granting of this requested permit do hereby agree that I will oIn all respectsoPerform ns hthe workrohl6it such
in accordance with thea y ppN'
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
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 borefor
commencify.vaDrkor recordat�r Notice of Commencement___
STATE OF FLORIDA
COUNTYOF
The f going instrujjjjppppeeeent was acknowledge fore me
this day of
20 y
VI-1 IJ (J 11'lCl-.2.Y-
(Na of Peron a acc_k'Ynjow'le�ndgrmg)
(Signature of ary Public- State of Florida�!ru
STATE
OF FLORIDA 'PO r+
The forgoing Instrument was a cknowl.dje9d before me
this day ofz by
ly Nnown , OR Produced Identification
Type of Identification Produced Personally Known _(X ORProduced Identification
Type of Identification Produced
Commission N '"' LINDA MARIE WMFNARD
`I.',. My COMMISSION kFFfnssea Com ;'QXLINDAMARIE RMrru.nre _n
Revised
^REVIEWS FRONT I ZONING
COUNTER REVIEW
INITIALS
My COMMISSION *FF125526
SUPERVISORIPLANS�VEGETATION�SEATURTLE MANGROVE
REVIEW REVIEW REVIEW
REVIEW REVIEW
This combination qualifies for a Federal Energy
CERTIFIEW Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratingis
AHRI Certified Reference Number: 7943535 Date: 6/6/2016
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: RA1648AJ1
Indoor Unit Model Number: RH1T4821STAN
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,
MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX,
WhirrUT, VA, VT, WA, W, 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 Puum n Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party g;
Cooling Capacity (Btuh): 45000
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
IEER Rating (Cooling):
' near, foaowed by an what ak Pl manors a vownmry carate of prevlou d, published data, amess a«empenied wnh a was, which mmeates an avolunm
DISCLAIMER
AHRI does not endorse the produchn listed on this Certificate and makes no representations, warranties or guarantees as t0, and assumes no responsibility for.
unauthorized listed on this Certificate. thisHRI expressly disclaim
Sall liability for damages of any kind rinsing out of the use or performance of the pmddens), or the
ted, at alteration ofdatalisted on this Certlfltate. CerlRlad ratings are valid only for models and configurations listed in the
directory atwww.NDIT lrectorY�arg.
TERMS AND CONDITIONS
This Certificate and Its contents are pmptletary products of AHRI. This Certificate shall only be used for Indlvltlual, personal and
onfidential reference purposes. The contents of this certificate may not, in whole or In part, be reproduced: copied: dlaeminated:
entered Into a computer database; or otherwise utilized, In any form or manner or by any meare, except for the user s individual.
Personal aM confidential reference.
CERTIFICATE VERIFICATION AIRCONDMONIND, Neanin ,
The per mNnt for the model cited an this certificate can be vedfled at www.aMldim,nor .m 6 thempaEaapON INSTITUTE
and erearthe AHRI certified Raterence Number and the date on which the cerOflcate was issued.
on'Verlfy Certificate' v¢make li@huer'
wMCh Is listed above, and the Campeau, No., which m listed at bottom
®2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1310N71112636ae259