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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACC Date.: ! ACCEPTED Permit Number: 75 Planning and Developmentser Building Pim Application Building and Code Regulation Invision 2300 Virginia Avenue, Fort Pierce Fl 34982 Phone: (772) 4.62.1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION � -------•— Residential OR: To se'ect from dre�box, click arrow at the end of lin Address: Legal Description: Property Tax I #: Site Plan Name: Project Name: Setbacks Front --_ Back: Right Side: .2ou'Q 2_5 TUN iuwyonai war to -- m �e a ,. j ore un �t�VAC Gas Tank Electric 1�1 Plumbing _ Gas Piping Sprinkiprc Total Sq. Ft of Construction: Cost of Construction: $ V — Left Side: J 14 VV t_nj 1 c, t z -r aii�app. -- ---�. Shutters 11 Generator S• Ft. of First Floor- Utilities: loor Utlities:IlSewer ose'p—tic Name Address: G City: Zip Code:Q' 1 stag:lA Fax: Phone No. E -Mail: n- Fill in fee simple Title Flop er on next page { if different from the Owner listed above) If value of construction is cbuu or more, a RECORDED Notice of Commencement is required. Name: _Dau r Lot No. Black No, 11 Winnows/Doors El Roof Building Height: Company: Address: City: �af J5 I State: Zip Code:Fax: '77 Phone No. 77 E -Mail: /4-0! 'S'0_ Yv�C State or County License: i !r M12 DESIGNER/ENGIN Name: Address City: — Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address City: Zip: Phone: — Not Applica State — Not Applicable MORTGAGE COMPANY: Not Applicable Name: -` Address: city: State: Zip: Phone: BONDING COMPANY: Name: 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 and covenants that may restrict or prohibit such structure. Please consult with your Nome 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 ci before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commenn r recordi pr Notice of COM Men cement,-----� Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF par &LJL., The f r oing instrument was acknowledged before me this _U day of _9/ ' 20 &by (Name of person acknowledging) 4(Sna—tureof Notary Public- State of Florida } Personally Known _�` OR Produced Identification. Type of Identificatio d {at►�!� b•4nt Commission No, LINDA MBOUCHARD a+ rye, �Y GOMMtS510N #! F125526 EXPIr3Eg 1398.0153 Fleaidallotaryservice.mco Revised. 07115I2014 REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW HATE COMPLETE INITIALS Signature of Contra STATE OF FLORIDA COUNTY OF'(� The forgoing instrument was acknowledged before me this L2- day of 20 —L&by Da (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced CommissioF(�;! 398-0153 PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW I REVIEW This combination qualifies for a Federal Energy CERTIEDEfficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 7941343 Date: 6/17/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1630AJ1 Indoor Unit Model Number: RH1T3617STAN 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, 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: 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): 29004 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($) 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 UPI confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; 0%I 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.ahrldirectory.org, click on "verify Certificate" link ti« k,7alce life i et rer°' 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 Na.: 131106429438199558