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HomeMy WebLinkAboutBuilding Permit Application i ALL APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I � ` l�0 Permit Number: I Building Permit Application AUGPlanning and Development5ervices A2 6 2016 Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(7172)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: L To Select from dropbox, click arrow at the end of line PROPOSED`IMPROVEMENT„LOCATION rc Address: 2-q-7 - 0.r P , Legal Description: Lixe�,,e _ L r y Property Tax ID#: ��-' — U�vU__ � Lot No. 16q_ Site Plan NI me: Block No. Project Na e: &4A+,3 A, Setbacks Front I �� Back: Right Side: Left Side: =DETAILED DESCRIPTION OF WORK tq 4CV l 1(a Se-er p\Uvt�s 5)C splk�- S'yS w I 10 ,CONSTRU,CTION INFORMATION .� Nitio a workto e performed under this permit-check a apply: HrVAC Gas Tank []Gas Piping _Shutters Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Roof pitch . Total Sq. Ft of Construction: 2G ® S . Ft.of First Floor: Cost of Construction:I $ Utilities: SewerEl Septic Building Height: OWNER/L(SSEE CONTRACTOR Name Name: LL.Son y Address: 82-q'1 Company: 1N &e-, I-L-c- City: SSI— State:FL ' Address: ;EMyS 8W GIn�q_V..1 Zip Code: 3 ft y Fax: City: C -AUG rV State: F► - Phone No -772 - 2_9Zip Code: 3 Yg197 Fax: E-Mail: r ,-aj-I•oA-7A Phone No. '72.- 631 - r Fill in fee Isimple Title Holder on next page(if different E-Mail: �e_ i WeY' r` 77 way�• :� from the Owner listed above) State or County License: 6AC.`X1730(u If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I i SUPPLEMENTAL CONSTRUCTIONLIEN LAW INFORMATION: DESIGNER%ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: 1 Address: City: State: City: State: Zip: i Phone: Zip: Phone: I FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: I Address: City: City: Zip: Phone: Zip: Phone: i 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 consideraltion 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 c mmenc inp,work,or recording our Notice of Commence ent_ I Ia ZT nture of Owner/Lessee/Contractor as Agent f _ 'iit' Si ture of Contractor/Li ;3 •tnTE OF FLU - �'�;„» S TE OF FLORID ° q;•....: COUNTY OF m COUNTY OF >£X�s m< The f r of g instru t was acknowledged efo �2 The forgoing instr nt was acknowledged before me 'Do micx thi day of 201 by umi m this day of 20� by MKQ 05 05 ON. At D 14-MO A 8- Tic (Name of person acknowledging) �N (Name of person acknowledging) j ,Zj N (Signaturelof Nota Public-State of Florida V U (Signature of Not Public-State of Florida I Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced i i Commissioln No. (Seal) Commission No. (Seal) Revised':07/15/2014 I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS I I I i A RAW This combination qualifies for a Federal Energy Ammosi CERTIFIED' Efficiency Tax Credit when placed in service dire ctory.org between Feb 17,2009 and Dec 31,2016. Certificate ®f Product R AHRI Certified Reference Number: 7943535 Date: 8/25/2016 Product:Split System:Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1648AJ1 Indoor Unit Model Number: RH1T4821STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Regional 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, RI,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:- Manufacturer.,responsible for the rating*of this system combination is RHEEM SALESCOMPANY, INC. Rated as follows in`accordance?with o►HRI Standard 21'0/240-2008 for Unitary Alr, ondltloning and Air=Source Heat Pump.Equipment antl subject to.verification of rating accuracy by-AHRl-sponsored;indepentlenf,third party testing: < <: F ' Ct?olinµg Capacity(Btuh):.. 45000 EER Rating(Cooling) 13:00 ; SEER Rating(C'ooling).._ 16.00 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 produrt(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(i)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),orthe unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at uam ahrldirectory.wg. TERMS AN6 CONDITIONS T W 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 utiii2ed,in anyform or manner or by any means,except for the user's Individual, Personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate ran be verified at www.ahrldireelwy org,click on'Verify Certificate"link w2 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. 131166435946962152 ©=4 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: