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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICA LE IN QMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number; Planning and Development Services Building Permit Application building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax. (772) 462-1578 CommerdaE Residential PERMIT APPLICATION FOR: To Select from dropbox, click here PROPOSED INPROVEMENT LOCATION; Address; '� Lgil Description: (}' r } Property Tax ID #:� ��, •:_ CEL) Lot No, Site Plan Name: Block No, Project Name; Setbacks Front Rack: Right Side: Left Side: D TAILED DESCRIPTION OF WORK: aP � i' �.� � • � CONSTRUCT M INFORMATION: r or to e eFrormecl under TF1 is permit - c ec a appy: VAC Gas Tank —]Gas Piping _Shutters Electric F7 Plumbing ❑Sprinklers Generator Total Sq. Ft of Construction: S Ft. of First Floor: _ Cost of Construction; $ �' Utilities: Sewer Else ptic OWNER/LESSEE: CONTRACTOR: Name C AddrIC+`fi Company: 'I Ckff ; ('. City: [ in fir, r� r State � Addr�js: T' Zip Cod Fax: CityPoL Phone No, p ' ZI Code: E -Mail: Phone No. Fill in fee simple Title Holder on next page ( if different E-Mail:� i�vr1 from the Owner listed above) State or County License:'%_ if value of construction is $2500 or more, a RECORDED NTotice of Commencement -is Windows/Doors Roof Building Height: r Stater _ Faxr------------ 5�'r -- i ---.- SUPPLEMENTAL CONST RUCTION LI1=N LAIN INFORMATION: Name: _ Address: City: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: _ Address: City: Zip: Phone: Not Applicable state: — Not Applicable MORTGAGE COMPANY Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: 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 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 pians, 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 beforethe first inspection. If you intend to obtain financing, consul err n attorney before co enci rt or recor r ur Notice of Commencern _ Signature of Owner/ Lessee/Agent, SEA TURTLE REVIEW MANGROVE REVIEW STATE OF FLORIDA COUNTY OF 7: Thefor ing ins rume t was acknowledged before rr&2 t a thisC2 of 20 by -k� (Name,8f person acknowledging) . �. "(Signature of Notary Public- State of Florida ) Personally Known L"'�_OR Produced Identification Type of Identification Produced Commission No.���(Seal) Revised 07/15/2014 REVIEWS FRONT ZONING COUNTER REVIEW DATE COMPLETE INITIALS Signature of Contr'attor/License STATE OF FLOR, COUNTY OF The forg ing instrume t was acknowled ed before m thi gday of 'A 2Q by a 2 Jv CS. (Name of B rson acknowledging) ( ignature of N tary Public- State of Florida) •%t- +nuti��` Personally Known OR Produced Identification Type of Identification Produced Commission No.— `�7 (Seal) SUPERVISOR PLANS �VEGETAT REVIEW REVIEW REVIEW ION SEA TURTLE REVIEW MANGROVE REVIEW nu■■�i CERTIFIED° www.ahritlirectory.arg Certificate Product Ratinas AHRI Certified Reference Number: 3288534 Date: $1512010 (Status: Active Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Model Number: TSA072S4S*1* Indoor Model Number: TAA072S4S-9* Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: T -CLASS Series name: Rated as follows in accordance with AHRI Standard 3401360-2007, Commercial and Industry Unitary Air -Conditioning and Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Refrigerant Used: R-41 OA Hertz: 60 Cooling Capacity (Stuh): 71000171000 EER Rating (Cooling): 11.20191.20 IEER: 12.5112.5 Heating Capacity at 47F (Btuh): COP at 47F: Heating Capacity at 17F (Btuh): COP at 17F: Full Load Indoor Coil Air Quantity: 2200 The AHRI 340/360 certified EER ratings in Btulh/W are calculated under the same rnethedelogy as the EER ratings at T1 conditions of ISD 5151.2010 and ISO 13253:2014. " Ratings followed by an asterisk (') indicate a voluntary rarate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate DISCLAIMER AHRI does riot endorse the pmduct(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 a 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.aheldirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and IMP 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.ahridirector or click on "Verity Certificate" link & REFRIGERATION IINSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better"" which is listed above, and the Certificate No., which is listed at bottom right. �� ©2014 Air -Conditioning, Heating, and Refrigeration Institute CI ERTIFICA7F NO 1-31148773291724-505