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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
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C41I
r.+"n CERTIFIED
urww.a h r l biredory.Org
•
All
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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