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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ^ - 1 Permit Number: • 1011111111111110 B Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Address: Legal Description: Residential Property Tax ID #: a 7 01 DI b- r S -b � Lot No.�0 Site Plan Name: �`Y.� Block No. 7 Project Name: _( �L,4 GC CC ` Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: I -lam q4w- / 'Z CONTRACTOR: Name - /l C' t' f t .C,•iifL + Address:,?&/ p_V �'j s Name: Company: ee6�Gy� Lncs�- City: State: Zip Code: S 7 // Fax: PhoneNo. — %%$�- ��% Address:__?fa' L K_� uk-!S 4:LZ 1� City: State: Zip Code: �-7�� �j 4-U,7 Fax: Phone No. q6e t 9 71 CONSTRUCTION INFORMATION: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: whoa my ytrn�'COrT1 State or County License:' G�a�l0 Additional work toje ner orme under this permit — check a HVAC L_J Gas Tank E]Gas Piping appy: Shutters ❑ Windows/Doors _ 11 Electric ❑ Plumbing 11 Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: c"ZJ Cost of Construction: $ -E Sq. of First Floor: _ Utilities: L_I Sewer F—] Septic Building Height: OWNER/LESSEE: _ CONTRACTOR: Name - /l C' t' f t .C,•iifL + Address:,?&/ p_V �'j s Name: Company: ee6�Gy� Lncs�- City: State: Zip Code: S 7 // Fax: PhoneNo. — %%$�- ��% Address:__?fa' L K_� uk-!S 4:LZ 1� City: State: Zip Code: �-7�� �j 4-U,7 Fax: Phone No. q6e t 9 71 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: whoa my ytrn�'COrT1 State or County License:' G�a�l0 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: _ Address: City: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: of Applicable MORTGAGE COMPANY: Name: Address: State: City: Zip: Phone: of Applicable BONDING COMPANY: Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. of Applicable State: Applicable 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 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 before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. nature of Ow r/Lessee/Contractor as Agen fzsr Owner V STATE OF FLORIDA COUNTY OF -51, The forgoing instru ent was acknowledged before me this 21 day of 20/,�-_by JQl�CS �� rr�1e (Name of person acknowledging ) (S" nature of Notary Public- State of Florida ) Personally Known 1_�013 Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 __' SANDRA HO"R" Notary Public State of S Sir ure of Con ractor/License Holder STATE OF FLORIDA COUNTY OF' G«i& The forgoing instrument was acknowledged before me this day of 120 /& by Aa "Zi Z? &/ e S (Name of person acknowledging ) (Sig uZr— Personally e of Notary Public- State of Florida ) Known L_____OR Produce Id t' 'c Type of Identification Prod ,...., spNDRA HOHMANN OtiP 9��ii � ; Notary Public -State of Flo Com fission No. ? =fl m �y ,__ 4�eaNm. Expir,.s '.1ar 14, 2( rids ,• 4��: Commission # FF 071680 2018P of F�`,�� a�r,rtPn Through National Notary A My 1,0m . Commission # FF 071680 sr,.! Bonded Thrc,Igh National Notary REVIEWS U, FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ti.�1 CERTIFIED° www.ahridirectory.org AHRI Certified Reference Number: 7630952 Date: 8/18/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA14NA030****A Indoor Unit Model Number: FB4CNP030L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, 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 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: 14 SEER PURON AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240-2008 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): 28600 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 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(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 confidential reference purposes. The contents of this Certificate may not. in whole or in part. be reproduced; copied; disseminated: MM 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, C&REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org. click on 'Verify Certificate" link we make life better 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. 131160034633461 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: