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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC BLE I F0 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPT Date: � ED Permit Number: f? , Planning and DevetopmentServices Budding Permit Application Building and Code Regulation Divi 2300 Virginia Avenue, Fart Pieon rre sisi 34982 Phone; (772) 462-1553 Fax: (772) 462-1578 Commercial Residential L.----- PERMIT APPLICATION FOR: To SED INPROVEMENT LOCAT{lOct,from dropbox, chick hers PROPO Address; �- N. � v,rY2C+ ; Legal Description: / 1 1 01ri0® 1 P) Property Tax ID #�' ( "S Site Pian Name: Project Name: Setbacks Front-----. Back: -�� Right Side; �`- Left Side;. �.- DETAILED DESCRIPTION OF WORK; CONSTRUC ON INFORMATION: 4=:;::jHVAC LJ Cas Tank 11Electric E Plumbing Total Sq. Ft of Canstruc Cost of Construction: OWNED/LESSEE: permit — ch _6 a app Y: Gas Piping Shutters Sprinklers Fla Name d Address: C( City: { Zip Coder �r, State Fax: Phone No, E -Mail (� I t Fill in fee simple Title Holder on next page { i diffe from the Owner listed above) nerator S cl I Ft. Of First Floor - Utilities,, Utilities: Sewer Z Septic CONTRACTOR, Name. Company: 1 rc�� , C. Addrjs. yr City:L Zip Code: Lia`.`t � ` , Phone No. t F -Mail: Z State or County License:° If value of construction is $2500 or more, a REC0F311ED Notice of Commencement is required. Lot No. Block No Windows/Doors Lf Roof Building Height: Stater Fax:-'�" DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Address: Name: City: Address: Zip: Phone; State: City: State;Zip: ` Phone: FEE SIMPLE TITLE HOLDER: Name: Not Applicable 80NDING COMPANY: —Not Applicable 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. St. Lucie Count+� 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 1 will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and 5t. 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 a first ins ection. If you intend to obtain financing, consul co enci r or recur r uAW r Notice of Commencem 611�n attorney before Signature of Owner/ Lessee/Agent w o2 STATE OF FLORIDAM COUNTY OF a E �. Thefor oing instr nt was acknowledged before Q thisday of � 20 Eby M. , Person acknowled,— ) of Notary Public- State of Personally Known i/ OR Produced Identification Type of Identification Produced Commission No.l (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR UA—TECOUNTERREVIEW REVIEW ATE COMPLETE INITIALS Signature of STATE OF FLOR ,ti COUNTY OF CL -11 g_� The fg©ing instrument as acknowledged before m e this day of = `7 20�by ����Ao (dame ofp son acknowledging ) re of Nl6tary Public- State of Florida ) Personally Known �OR Produced Identification Type of Identification Produced Commission No.% (Seal) PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW CERTIFIED" r ry. r Certificate of Product Ratings AHRI Certified Reference Number: 8215491 Date: 7/7/2016 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: PA4ZNA036000- ** Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Trade/Brand name: BRYANT HEATING AND COOLING SYSTEMS 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, Rl, 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: R41 OA AC SPP Manufacturer responsible for the rating of this system combination is BRYANT HEATING AND COOLING SYSTEMS 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): 35040 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 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(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($), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations its directory at www.ahridirectory.org. ted in the 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 AIR-CONDITIONING, HEATING. The information for the model cited on this certificate can be verified at www.ahridifector or click on 'Verify Certificate" link & REFRIGERATION INSTITUTE 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. Nae make life better^^ 1311239632b7721S94 02014 Air -Conditioning, Heating, and Refrigeration Institute FCERTIFICATE NO.: Tangible Personal Property Card Property Identification Current Values Account #: 005073 Identification #: 126 Yuma Way 705020076935 Account Status: Open Location: 126 Yuma WAY City: Saint Lucie County Business Name: Hopf, Gary Business Type: 7050 - Tall DBA: Hopf, Mary Beth Pines Contact: Gary Hopf State Code: 814110 - Private Year Added: Households Penalty: None Ownership Current Values Hopf, Gary Market Value: 126 Yuma Way $0.00 Fort Pierce, FL $256.00 34946 Return MH' Main Area Received: MH Shades Not Yet MH Carport Received MH CentralAC Penalty: None Exemptions Grant Exemption Exemption Exemption Year i Code Description Value 2008 TPPX Tangible Personal $886.00 Property Exemption Asset Group and Value Asset, Value MH Patio Cover $86.00 MH Util Rm $60.00 MH Screen $256.00 Room MH' Main Area $0.00 MH Shades $50.00 MH Carport $194.00 MH CentralAC $240.00 3.OT TotalAppraisedVal ue $886.00 http://Www.pasle.org/TPPCard/ Page 1 of 2 7/7/2016