HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC, LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.
• Permit Number,
Building Permit Application RECEIVED
Planning an DeveiopmentSerVlces pp
Building and ode Regulation Division OCT 13 2016.
2300 Virginic Avenue,Fort Pierce FL 34982
Phone: (77 462-1553 Fax:(772)462-1578 Commercial —�_ ResidentialL:
1."PERMITPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: -
,
Legal Descri ion:
Property Tax #:� � •
�..
Site Plan Narr
Lot ,
No ��
�
Project Name • �. �
Block No.
Setbacks F nt Back: Right Side: Left Side:
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NOWo Peder03-F-5,Wii, er t is perm! -c eWca appy:
HVAC ' Gas Tank
[]Gas Piping Shutters Windows Do
/ ors
Electric Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Idnstruction: S . Ft.of First Floor:
Cost of Constriction,
$ - � Utilities: Sewer Septic Building Height:
Name Name A Ar�
Address: !, Company:
City: y) State: Address:
Zip Code R'L- Fax: — City IQS C State: P L
Phone No. 1 Zip codeFax:
E-Mail• Phone No. �p_�• I � T -
Fill in fee simp Title Holder on next page(if different E-Ma' .
from the Own �r listed above) State Qr unty License:C, sce'1
If value of const Nctlon is$zsoo or more,a RECORDED Notice of Commencement Is required.
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DESIGNER/ G1NEEif: ^ Not Applicable MORTGAGE COMPANY. � Not Applicable
Name: Name:
Address: k Address: .
City: State:_ City: State:
Zip: Phone: Zip-_ Phone:
FEE SIMPLE TLE HOLDER: ,,,,_,_,Not Applicable BONDING COMPANY; Not Applicable
Name: Name.
Address: Address:
City: City.
Zip: Phone' zip: Phone'
I certify that n 'work or installation has commenced prior to the issuance of a permit.
St.Lucie count makes no representation that is granting a permit will aut orize the permit holder to build the subject structure
which is in con tit with any applicable Home owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Pleas consult with your Home owners Association and review your deed for any restrictions which may apply..
In consideratio f the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance h the approved plans,the Florida Building Codes and St.Lucie County Amendments_
The following b {,{ding permit applications are exempt from undergoing a foil concurrency review:room additions,
accessary stru res,swimming Pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING T ;O1NNER.Your failure to Record a Notice of Commencemiont may result in your paying twice for
:.imp ovemen 'to your property.A Notice of Commence ent must be recorded and posted on the jobsite
bef a the fi inspection. If you ntend to obtain financi ,consult wit lender or an attorney before
com et�cin din r Notice of Commenc ent.
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Signat re of a ssee Sigusere o Co tra ce Hold
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STAT OFF IDA STA E
I OP. ORIpA
COU o - t Cao T OF
The forgoing in i ment was acknowledgedpe�f,ore me The forgoing instrument was acknowledged before me
this. day o i Y 2p y this �-Z,,day of
C)11A A ,
C `Y� ! 2a� ►v
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(game of so` cknowledgi g) (Name of p r on acknowle ing)
ak;64of pry Pudic-State of iorida} (s, afore oNotarf ublla State of fiorida)
'Personally ICrt.• �7„ AOR Produced Identification Personally Known L,-"'OR Produced Identification
:Type•bf Iclerizi "ion. Type of Identlflcatian•Froduced�
JEVj�LQ�Y�NE RUSSELL t.
L JBRAtY }
Commission N y «' `y Notal 1�u57id-State Of Florida Commission No. �J WUSSELt_
arary public
In
• *or` ray Cc. "Stilt@ or Florida
My Comyi,Expires Jul 22,2017 ;'- ”
OrTIltllssfan#i F 038382 .
Revised 071 /2 1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SFA TURTLE MANGROVE
iCOUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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INITIALS
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C E RT I F I E W
www-ahrid 1 re c to ry,org
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Certificate of Product Ratings
AHRIZortified Reference Number: 7491225 Da 10112/2016
Product:Split System:Air-Cooled Condensing Unit,Coil with Blower
Outdoor Unit Model Number; RA1430AJI
Indoor Unit Model Number: RHIP3017STAN
Manufacturer: RHEEM SALES COMPANY,INC.
Trade/Brand name:RHEEM; RUUD
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, K,IN, KS, MA, ME, Mir 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 ieglon(s)for which they meet the regional efficiency requirement.
Series name,
Manufacture.r responsible for the rating of this system combination is RHEEM SALES COMPANY,INC.
Rated'as follows in accordance with AHRI Standard 2101240.2008 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(Stuh): 28600
EEFR Rating (Cooling): 11.50
SEER Rating(Cooling): 14.00
IEER Rating (Cooling)-
Ratings followed by an 96*101(r)indicate a voluntary rerate of previously published fiats,unless accompanied With a WAS,which indicates an involuntary rar4te.
DISCLAIMER
AHRI do"not endorse the product(s)listed on this Certificate and makes no represontations,warranties or guarantees as to,and assumes no responsibility for,
the product(s)listed an this Certificata-AHRI expr"y disclaims all liability for damages of any kind arising out of the use or performance of the product($),or the
unautharl7ed alteration of fiats listed an this Certificate.acrufled ratings are valid only for models and configurations listed in the
directory sawww.altridprectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHR11.This Certificate shall Only be used for intilvidual,personal and
confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied,diSsemin'teo;
entered into a computer database;or otherwise utilized,in any.form or manner or by any means,except for the user's individual, AIR-4�ONDMONINQ,HEATING,
personal and conlidential,reference, &RgfRIGERAYIQN INST(fUTE
CERTIFICATE VERIFICATION
The information forthe model cited on this certificate can beverilled al;www.ahrldifectorY.arit,click ori'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 Ilstea above,and the Certificate No.,Which is listed at bottom light. CERTIFICATE NO.; 13J207776811734559
020:14 Air-Conditioning,Heating,and Refrigeration institute