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HomeMy WebLinkAboutBuilding Pemit ApplicationPlanning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Com mercia I ----£.)C_--Residential ---- ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:Dq-6D-201(.cJ Permit Number:_ Building Permit Application PERMIT APPLICATION FOR:To Select from dropbox,click here Address:q e.Ltn Legal Description:_ Property Tax 10 #:~2.0 \-\\\-000 \~O\0 -0 Site Plan Name:_ Project Name:_ Setbacks Front._ Lot No._ Block No._ Back:Right Side:Left Side:_ ShuttersDGenerator o Windows/Doors DROOf Total Sq.Ft of Construction:_ $~~L.~Dl)~Cost of Construction:!~.::U S'f..!!;of First Floor: Utilities:USewer DSeptic Name~hem-I~~LWQI~~AI~NEWI~~ Address::39..Dl b,1~l1s'L llienlle.. City:Jv\\0..0\\State:a. Zip Code:3311t'2 Fax:_ Phone No._ E-Mail:_ Fill in fee simple Title Holder on next page (if different from the Owner listed above) Building Height:_ Name."-~'_;'=::..:....----L-'---"'..."...."'-'-:O'=".:.L----___:...___- Company~~~~~aK~~~~~~~~~ Address:I . City:JDt+:PIerre.. If value of construction is $2500 or more,a RECORDEDNotice of Commencemen SLJBRLEMENTALCQNSTRUCTIONLIENLAW INFORIVIATION:'<'»:."x:.; "·c.;.'.,-:.•..:.'.....•...•......'." DESIGNER/ENGINEER:_Not Applicable MORTGAGE COMPANY:_Not Applicable Name:Name: Address:Address: City:,/State:City:State:------ Zip:Phone:Zip:Phone: FEE SIMPLE TiTlE HOLDER:_Not Applicable BONDING COMPANY:_Not Applicable Name:Name: Address:Address: City:City: Zip:Phone:Zip:Phone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated, I certify that no work or installation has commenced prior to the issuance of a permit, st.Lucie countx makes no representation that is granting a permit will authorize the germ it holder to build the subject structurewhichisinconlictwithanyapplicableHomeOwnersAssociationrules,bylaws or an covenants that may restrict or prohibit suchstructure,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. IVI <~//.t1"i~IVJ~~~/7tdL~ 'Sigr(ature of Owner/Agent!Lessee VStgtlature of Contractor/License Holder STATE OF FlORI~'f Lutt'v STATE OF FLORIIYA g '"-/u't&0COUNTYOFocCOUNTYOF'<;{)un· The fo~ng ins~wled~efore me The for~ing instrument was acknowledged before methis3:)-dayof ,20 l~by this3C:5 day of ~1'2..J.e,."Joer ,20illQ]by &mifei T ..2Jur-hll!!{Gi71l/e!T,hit rho ~"" (Name of person acknowledging)-(Name of person acknowledging)"---- /P 1'2'1\\1111"';/'1/11 .r.P 12_"-'A j ,\\\\111111111,._'J ~A<"';(~ (Signature of Notary ~~~~~f§f Fr~~(Signature of Nota?C-StaW$~~i!l~J.,:!:!/;.;..~'l.\J\-c,'.v-~~~"~'l-I'IAES ".~~Personally Known --ffJoF.'profj~~Q,~ij,:ication Personally Known oRi,ij~¢~Mkntifici\j~~•...•~,.c:""''''_---Type of Identificatio~C"t;.d'i3 ii~:~:;;;:Type of Identification ProdUCe1luli~~,,9>~~'6::::,~4.-.9,~t ~~~S.w~?:~:~~•k~~~:w: Commission No.~···f;;.*~~~)!:.2.~o ~~(:S s s:1-:::~...-~Commission No..~'.0./'(~~1f$''''~~~••••••••«'0 ~~~••'4 Ky~~·~;~'1/111//NOit>-~~\\"X'~.........~~~:~~~ ""/1/,/XllTA.~;\\"" Revised 07/15/2014 111/11111I\\\\\\ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVECOUNTERREVIEWREVIEWREVIEWREVIEWREVIEWREVIEW DATE RECEIVED DATE COMPLETED A.~!!ICERTIFIED@ www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number:8047432 Date:9/30/2016 tStatus:Active Product:Split System:Air-Cooled Condensing Unit,Coil with Blower Model Number:38AUD*16AO*(5,6,1)A* Indoor Model Number:40RUAA16A*A(5,6,1)A* Manufacturer:CARRIER CORPORATION Trade/Brand name:CARRIER CORPORATION Series name:CARRIER GEMINI Rated as follows in accordance with AHRI Standard 340/360-2007,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: Hertz: Cooling Capacity (Btuh): EER Rating (Cooling): lEER: R-410A 60 184000/184000 11.20/11.20 11.8/11.8 Heating Capacity at 47F (Btuh): COP at47F: Heating Capacity at 17F (Btuh): COP at 17F: Full Load Indoor Coil Air Quantity:6000 The AHRI340/360 certified EER ratings in Btu/hlW are calculated under the same methodology as the EER ratings at T1 conditions of ISO 5151:2010 and ISO 13253:2011 . •Ratings followed by an asterisk n 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 aI/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; 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 The information for the model cited on this certificate can be verified at www.ahridirectory.org.click on "Verify Certificate"link 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..'·C~·C~~"""""--···-·"·C_---------"--·-----···""·""·-·....--.-----.... ©2014 Air-Conditioning,Heating,and Refrigeration Institute \CERTIFICATE NO.:131197134016616051 AIR-CONDITtONING,HEATING, &REFRIGERATION INSTITUTE we make IiI"better"