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HomeMy WebLinkAboutBuilding Permit ApplicationS' ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: - I 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 Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: 15310 A)W PALttDY161ASH (,AIZCi2 Legal Description:` Ak-Q]Ouiz P-(l)i�LA-f 13 au.'if or�bu5h til �Q Property Tax ID It: 4L+QU - `a IS - OC)S 7 -DOO- (y Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: t v nXo Bf t}A (c 40 A 5 Tont Iss4fEe- vaKaj� z 5peeel Mc wt �etn I y,�}rj f/`aalsoRluoo� Wert 61-0/4 ISI H Maoe[- TFtmB Core, (ov l5)EA rul'1'h 10 KU) F_Lce-+Pi[c hIlEA-r ST721P5 #,(ons U 1>Ue L UILe — HVAC Gas Tank ❑Gas Piping ❑_Shutters ❑Windows/Doors Electric E-1 Plumbing ❑Sprinklers 1:1 Generator 11 Roof Total Sq. Ft of Construction: 5qr. FFtt.� of First Floor: Cost of Construction;$ Ian 61Q.1 Utllities:l�lSewer❑Septic Building Height: Address: 15?)( AJ*W (3XL++OYNbLl511 C)r1QP Company: 0/114, Aro— Sc -,j it L. - City: (a] G(t%- Stater Addresys�:,� �y2 ) le)I cz &re `-t- ZipCode: �T�0 U Fax: City: Yb(T 6+ t(-LIMA.CLL state:-_EC- PhoneNo. '77a- 050 to Zip Code:. -554C1`53 Fax: 17a--ci34'-w5a )I E -Mail: Phone No. "77a -"I-I.SLol) FIII in fee simple Title Holder on next page (B different E -Mail: 5 Y1pa��- A2- sary "+2-� 5 �'fi'sICZ- { Cm from the Owner listed above) State or County License: (1 /A O- I R 17&! v I If value of construction Is $2500 or more, a RECORDED Notice of �ommenoement Is required. SUPPLEMENTAL CONSTRUCTION, LIEN LAW INFFORMATI bES(GNEN/ahIG1HEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State:_ City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Address: Cittr Zip: Phone: I certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie County make na representation that is granting a permit will authorize the ermit holder to build the subject structure which Is In conflict wit any applicable Home Owners Association rules, bylaws or an 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 Comme icemaat: Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contracmr/License Holder STATE OF COUNTYOF FLORIDA Fo KT The forgoing instrizrpent was acknowledgedbefore me thW2Adayof SQ.r1d- .20,by _T Z4 r3 2)1r�Q.a,�� (Name of person acknowledging) ignatu,, of Notary Public -State of Florida ) PersonagyKnown , >C OR Produced Identification _ [Type of Identification9roduced Commission No. r[ UNPA MRIE BOUCHAI j My COMMiSSIONaFF1255 Juzy Iwn�aaa`+� V FbrgeNoleryw Revised 07/.13/2014 STATE OF FLOggIDA COUNTY OF VnYT Si- - IIlA.CI'e- The forgoing Instrument was acknowledged before me this At day of }, .20i�. by (Name of person acknowledging) Al iv-\� (Signature of Notary Pu lie- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced REVIEWS FRONT ZONING SUPERVISOR PLANS COUNTER REVIEW REVIEW REVIEW DATE COMPLETE INITIALS "I .zs May Gl GVpI FpbxNgaryMrylLV.CIXi1' VEGETATION SEA TURTLE REVIEW REVIEW MAN REVIEW i;IZA4✓w C,gAAJ6t ou 7 - NEW LikE 4R Liwc I I I _ � G LnJ iJir A ei A 1 _ I �'AL .I A -- r I1 _11rr I I I — V.✓ilhOM S X "My /5-3(,Kw (3vrr*J5(A54cfr Rt1M Chi'' F1 34490 I C41I r.+"n CERTIFIED urww.a h r l biredory.Org • All , • I AHRI Certified Reference Number: 6746980 Date: 9/16/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4A7V8060A1 Indoor Unit Model Number: eAM8C0C60V51 Manufacturer: AMERICAN STANDARD Trade/Brand name: AMERICAN STANDARD Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, His ID, It, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NO, 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: PLATINUM XV Manufacturer responsible for the rating of this system combination is AMERICAN STANDARD 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): 54000 EER Rating (Cooling): 12,75 SEER Rating (Cooling): 18.00 IEER Rating (Cooling): Ratings followed by on eremb k ('I indlrate a voluntary haste of previoualy mient etl data unless accompanied wiN a WAS, wbicn mmreVea an mvownla,y recta DISCLAIMER AHRI does not endorse flee Pleafta (s) listed on this Certificate antl makes no representations, warranties or guarantees as to, and aaumm no responsibility for, the unusually) listed on this Cetllflcets. AHRI espressly disclaims all liability for damages of arty kind arising out of the use or performance of the product(s), or the anabuthemend alteration of data listed on this Certificate. Certified ratings are valid only for models antl benfigulature listed in the directory at www.abrldlnotar,its, TERMS AND CONDITIONS confidential Certificate and its compares are proprietary products of AHRI. This Certificate shall only be used for Intllvldual, personal 'and reference purposes. The contents of this Collins.. may not, In whole or In pari, be reprhtlucetl; chpletl; tllsaeminrted; entered Into a computer database; or otherwise utilized, in any form or manner pr by any means, euept fpr the usei s Intlividual, Personal and confidential reference. CERTIFICATE VERIFICATION AIRCONDmONING, HUNG, The information for the mptlel cited on this certificate can be verified at www.ahrldlrectory.or N REFRIGERATNIN INSTRUIE and enter the AHRI Climbed RehrensoNumber and In, data an all the c.O,Mb. Was Pro tlpbcM on Certllleate'llnk make lik bi which Is listed abov0, An Of the Certificate NO., which is listed at bottom right ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE No.1311135076350008203