Loading...
HomeMy WebLinkAboutpermit applicationALL APPLICA LE INFO MUST BE COMPLi TED FOR APPLICATI TO BE ACCEPTED Date: m /a & Permit Number: Building Permit Application Planning and Development Services Building and Cod? Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commei tial Residential PERMIT APPLICATION FOR: To Select from dropb , click arrow at the end of line PROPOSED IP IPROVEM} ENT LOCATIC 3Address: E ') 11 'i"', kc� I e, DQ-- Legal Descriptior : V n VA AT Sobic, Property Tax ID P: Site Plan Name: Project Name:. Setbacks Front Back: _ Right Side:_ Left Side LJ ©� uJ h4 F CONSTRUCTION INFORMATION: Lot No. -s - Block No. CL_" _C U n l A6TH iti a wor to rformed under this permit - check a I apply: L"JHVAC LJ Gas Tank F]Gas Piping Shutters ❑Electric 0 Plumbing OSprinklers Generator Total Sq. Ft of Cc nstructio�n://__. S . Ft. of First Floor: _ Cost of Construction: A 4/0 y • D 6 Utilities: 0 Sewer 0 Septic OWNERAES,`SEE: NamekodacAl,TA Address:Sfo0 44n �(e_ (L City: C+ 51_ .. (_ -le_ State. --:71 Zip Code: _31L Fax: Phone No.=1- (Di 8 -S o a a E -Mail: Fill in fee simple Title Holder on next p ,,ge ( if different from the Ownei listed above) NTRACTOR: i C QWindows/Doors Roof Building Height: ame:ernn ��,�i c�t�.► x./.► _ ompany:/ ,r poL4 )a -C 'F� ddress: �1 t ity: 5+(Act r t- State: __7 ip Code:. qQt? Fax:??;l -4,(43-.XLe eS hone No.'7?1- _$1 `.-t.Fle S- -Mail: I2trC(occJtic-A9!PA (netL,�DY� tate or County license: L AC, i RI 793t) If value of constriction is $2500 or more, a RECORDED Notice of C+mencement is required. DESIGNER/ENGINEER: Name: Address: City: Zip: _ Phone: FEE SIMPLE TITLE HOLDER Name: Address: City: Zip: _ Phone: Not Applicable State: Not Applicable )RTGAGE COMPANY: me: dress: y: 1: Phone: INDING COMPANY: me: dress: y� Phone: Not Applicable State: Not Applicable I certify that no work or installation has commenced prior to the issu nce of a permit. St. Lucie County mikes no representation that is granting a permit wi authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rul , bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and re ew your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby igree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes an St. Lucie County Amendments. The following builc ing permit applications are exempt from undergc accessory structures, swimming pools, fences, walls, signs, screen ro WARNING TO OWNER: Your failure to Record a Notice of C improvements 1 o your property. A Notice of Commencer before the first inspection. If you intend to obtain financi commencing work or recording your Notice of Commenc _ Signature of Owner/ Lessee/Agent STATE OF FLORIP/� _ COUNTY OF J J c G 1f The for oing instr ipaent was acknowledged before me this/ - day off2__ 20 ) Qby '10 If Ira fere'll (Name of person acknowledging_Lk�dAj_ -A OM -61A_ — ) (Signature of Not< ry Pyrbl}' State_of Jorida Personally Knownt R�t�rodtiCLd+RJ�FIPIttC8CIL7R =�' ••- I Type of Identificat on Kohl cl— COMMISSION 4 FF2::�brr: i +F• .. •�*`' EXPIRES Juiy 31. Commission N Revised 07/15'2014 a full concurrency review: room additions, is and accessory uses to another non-residential use nmencement may result in your paying twice for nt must be recorded and posted on the jobsite , consult with !ender or an attorney before Contractor ATE OF FLORIDA UNTY OF 5 -L /—V r� forgoing instrument was acknowledged before me day of _ UPY - 20 L4.4,,_ by person acknowledging ) ture of Notary Puliflic- State of Florida ) nally Known ✓ OR Pr^a-rced Identification _ of identification produced_ mission Not# #-F.2 7 ��.:� . •�::; RISTINE A JO ;': My COMMISSION # F (4,; , , :'.,:A :,! S July 31, 20 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW NS RI VIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS N 78 Certificate of Produ AHRI Certifi&d Reference Number: 8383691 Product: Sin le -Package Air -Conditioner, Air -Cooled Model Numb r: GPC1448H41E* Manufacture XENON Trade/Brand ame: XENON Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, G� MI, MN, MO, FITS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, O UT, VA, VT, NIA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured pric installed in a regions until June 30, 2016. Beginning Jt can only be i stalled in region(s) for which they meet thi Series name: IGPC14 Manufacturer responsible for the rating of this system This cornbination qualifies for a Federal Energy Eff icl mcy Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. 7/27/2016 HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, , OK, OR, PA, Rl, SC, SD, TN, TX, to January 1, 2015, are eligible to be V 1, 2016, central air conditioners regional efficiency requirement. bination is XENON Rated as foll(,ws in accordance with AHRI Standard 210! 40-2008 for Unitary Air -Conditioning and Air -Sou :e Heat Pump Equipment and subject to verification of ratig accuracy by AHRI-sponsored, independent, this party testing: Coc ling Capacity (Btuh): 46000 EEFI, Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 IEE,R Rating (Cooling): Ratings followed by al asterisk (') indicate a voluntary rerate of previously published data, untss accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorthe pmduct(s) listed on this Certificate and makes no represen the product(s) listed this Certificate. AHRI expressly disclaims all liability for damag unauthorized alterati of data listed on this Certificate. Certified ratings are valid onl, directory at www.ahr irectory.org. TERMS AND COND IONS This Certificate and it contents are proprietary products of AHRI. This Certificate shall confidential referenc purposes. The contents of this Certificate may not, in whole or ii entered into a comp r database; or otherwise utilized, in any form or manner or by < personal and confide tial reference. CERTIFICATE VERI ICATION The information for tI a model cited on this certificate can be verified at www.ahridirc and enter the AHRI C rtified Reference Number and the date on which the certificate' which is listed above, 3nd the Certificate No., which is listed at bottom right. 02014 Air-Concftioning, Heating, and Refrigeration Institute Ions, warranties or guarantees as to, and assumes no responsibility for, of any kind arising out of the use or performance of the product(s), or the r models and configurations listed in the ly be used for individual, personal and trt, be reproduced; copied; disseminated; means, except for the user's individual. y.org, click on "Verify Certificate" link issued, CERTIFICATE NO.: A,M,�" AIR-CONDITIONING, HEATING. & REFRIGERATION INSTITUTE we. make lila bette!" ...... 131141183708847676