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HomeMy WebLinkAboutPermit ApplicationALL APPLICA LE INF MUST BE COMPLETED FOR APPLICATIO Date: Building Permi Planning and Development Services Building and Code Regulation Division 2300 Virginia Ave nue, Fort Pierce FL 34982 Phone: (772)4E2-1553 Fax: (772) 462-1578 I TO BE ACCEPTED Permit Number: Application CommeCal Residential lz PERMIT APPLICATION FOR: To Select fro*dropb, rrow pit the end of line PROPOSED II�lPRO!/EMENT LOCI'�TlONAddress: % � e�+ [7 �� _ -3y 5 -D, Legal Description J 1-0.5`i� 1� �x�c1 tJ 33 F7. LDf. Property Tax'ID 4: Site Plan Name: Project Name:,,, Setbacks Front -I n I - 1) J 1'1A "?)/'; -- Back: Right Side: 3-70 Lot No. 14 Block No. --2-0 Left Side: Ar Ncrt cezr) '5t&rnda,r-d w M -u Add—itiV661 work :o bjeerformed under this permit— checK al apply: _ HVAC Gas Tank []Gas Piping In Shutters ❑ Flectric ❑ Plumbing ❑ Sprinklers F]Generator Total Sq. Ft of Co istruction: _ S Ft. of First Floor Cost of Construction: o0o • <7 • Utilities: Sewer ❑ S:-ptic Name City A X ✓ 4— State: Zip Code:'wya- _ Fax: Phone No. 1i "— %+�g— I ss' E -Mai!: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) ❑ Windows/Doors ❑ Roof Building Height: me: ACL A 121a t,A LK "—Y X mpany:91.0 4-. dress: 50 A)f b /x► -e 1" (1 b -1 Y: s�-u� r t _ State: 79-1 Code:.{ one No. ZZ_- W 1olb& 5 �lail:Qrr�p Cc ( r' L, ite or County U.-ense: 'A( %cj 317 If value of constru :tion is $2500 or more, a RECORDED Notice of Co jmencement is re )uired. SUPPLEMENIAL CONSTRUCTION LIEN LAW INFO; MATION: DESIGNER/ENC (NEER: Name: _ Address: City: Zip: Phone: Not Applicable A IORTGAGE COMPANY: _ Not Applicable ame: ddress: State: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: _ Phone: p: Phone: DNDING C PANY: ame: ty: N p: Phone: I certify that no work or installation has commenced prior to the issnce of a permit. State: Not Applicable St. Lucie County m 3kes no representation that is granting a permit w I authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rul s, bylaws or and covenants that may restrict or prohibit such structure. Please c )nsult with your Home Owners Association and re iew 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 wits- the approved plans, the Florida Building Codes ar I St. Lucie County Amendments. The following built ing permit applications aru exempt from undergo g a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen ro( ms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of CI mmencement may result in your paying twice for improvements -:o your property. A Notice of Commence ent must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financii g, consult with lender or an attorney before commencing w )rk or recording our Notice of Comment ment. F j, _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF_%I_J- jt -6A' LQQ Sidnature The forgoing instr iment was ack owledged refore me thi -.: day of 20 LLilby t 0- Irrtri1 (Name of person a-knowledging) C (Signature of Notary Public- Aate of Florida ) Personally Known �OR Pror►liced Identification Type of Identification Produced -i Commission N Revised 07/15/2014 CHRISTINE A 1r.W •�Se1�114 COMMIS .ION q F 2a +:_•...,ea� EXPIRES Jury 31. U1 TE OF NTY OF OR J_=W&C- i, .l CZ forgoing instruent was acknowledged before me day of _/T Lam, 20 L& by me df person acknowledging) of Notary F'ul�ic- State of Florida ) ally Known ✓ OR Produced Identification F Identification Produced_ sion No. F �J-sj CHI{ SMINE A JORDAN _ MY COMMISSION # FF235578 6wr REVIEWS FRONT ZONING SUPERVISOR PANS VEGETATION SEA TURTLE MANGROVE 'OUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 1 11 Certificate of Product Ratings AHRI Certifd Reference Number: 7985234 Date: 7/27/2019 Product: Spl System: Air -Cooled Condensing Unit, Co'► with Blower Outdoor Uni Model Number: 4A7A4036L1 Manufacturlodel : AMERICAN STANDARD Indoor Unit Number: TMM5AOB36M31SAA Manufacture AMERICAN STANDAKD Trade/Brand AMERICAN STANDARD Region: Sou east and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, IVIS, NC, OK, SC, TN, TX, VA AK, CO, CT, , IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, A, RI, SD, UT, 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 a I regions until June 30, 2016. Beginning July 1, 2016, central air conditioners can only be 1 stalled in region(s) for which they meet the regional efficiency requirement. Series name: SILVER 14 Manufacturer responsible for the rating of this system c Rated as follows in accordance with AHRI Standard 2101 Heat Pump Equipment and subject to verification of ratil party testing i Codling Capacity (Btuh): EE Rating (Cooling): SE R Rating (Cooling): IE Rating (Cooling): 35000 12.50 15.00 mbination is AMERICAN STANDARD 0-2008 for Unitary Air -Conditioning and Air -Source accuracy by AHRI-sponsored, independent, third Ratings followed by a asterisk (*)indicate a voluntary rerate of previously published data, urfess accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endor e the product(s) listed on this Certificate and makes no represen ations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed 4 n this Certificate. AHRI expressly disclaims all liability for dama s of any kind arising out of the use or performance of the product(s), or the unauthorized alterati n of data listed on this Certificate. Certified ratings are valid onl for models and configurations listed in the directory at www.ahi directory.org. TERMS AND COND IONS This Certificate and i contents are proprietary products of AHRI. This Certificate shall my be used for individual, personal and confidential referene purposes. The contents of this Certificate may not, in whole or ii part, be reproduced; copied; disseminated; entered into a COMPL er database; or otherwise utilized, in any form or manner or by z iy means, except for the user's individual. personal and confide tial reference. CERTIFICATE VERT (CATION The information fort I I e model cited on this certificate cn n be verified at www.ahridire tory.org, click on "Verify Certificate" link and enter the AHRI C rtilled Reference Number and the date on which the certificate as Issued, which is listed above nd the Certificate No., which is listed at bottom right. ©2014 Air -Con itioning, Heating, and Refrigeration Institute CERTIFICATE NO.: FMITI40a11 AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE We make life twuter," 131141186282568672