HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE, INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /OValb( Ul (, Permit Number:
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 X,
PERMITC PPLICATIO L OR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:`
Address: 306v
Legal Description: ����118/�j/I/ 4.7LVt'�/�fj%�
Kd /A/ SEC Z3�K- �Kb 212LA -I e
Property Tax ID #: /V -2o" --,E6`--2-0007-000 - Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
-3 7-0 'T/CA-AA6 h�
aaivonai worK to ae erformea
VJ\HVAC E] Gas Tank
under this permit -check all
❑Gas Piping
CONTRACTOR:
apply:
Shutters
❑
Name: f=.
Company:
City:
Zip Code: Fax:
Phone No. 77 '?- r -:z
E-Mail:-CNf(,'/hm�s'y:TDL-ifC)/u
_
Address: 30.5K Al %S' duiy
city:�- �T��/L« �- State: L
Zip Code: _3�/1-Fax: 77_2 -(i461 -J0-7-2_2
Phone No. 7% 7/J
E-mail: Sus�,✓G�iir�,pa ig�G_e erl
Windows/Doors
11
Electric
0
Plumbing
Sprinklers
I
Generator
1:1
Roof
Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 174
SFt. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Address:.3D(v 7 4f/zAD,/
(.��AY
Name: f=.
Company:
City:
Zip Code: Fax:
Phone No. 77 '?- r -:z
E-Mail:-CNf(,'/hm�s'y:TDL-ifC)/u
State: FL.
Z
Address: 30.5K Al %S' duiy
city:�- �T��/L« �- State: L
Zip Code: _3�/1-Fax: 77_2 -(i461 -J0-7-2_2
Phone No. 7% 7/J
E-mail: Sus�,✓G�iir�,pa ig�G_e erl
Fill in fee simple Title Holder on next
from the Owner listed above)
page (if different
State or County License:
IT vawe OT construction is >zSUU or more, a KtcvRotD Notice of Commencement is required.
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 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.
re
as Agent for Owner
STATE OF FLORIDA
COUNTY OF �%— "t C-,' .65-_
The fors, ing instrum nt was acknowledged efore me
this�dayof / e�Jc-201�by
(Name of person acknowledging)
ignature of Notary Public- State of Florida )
Personally Know OR Produced Identification _
Type of Identifi
0"
�"""'�•� SANDRA HOHMANN
�
�PVA
•�
Commission No z 0. Notary PubIIQS&ge of Florida
• , • E My Comm. Expires '.1ar 14.2018
Commission # FF 071680
Bonded Through National Notary Assn.
Revised 07/
V7C__� s
SAhature of Contractor/License Holder
STATE OF FLORIDA `
COUNTY OF S'T LGlC/6'
The forgQ'ing instrument was acknowledged before me
this day of 1&e�?4i?67ZT20 4L by
G
(Name of person acknowledging)
(S' nature of Notary Public- State of Florida )
Personally Know a OR Produced Identification
Type of Identific tionion oduced
Commission No.
SANDRA HOHMANN
I V,*' o)•_ My Comm. Expir,,s '.far 14, 2018
Commission # FF 071680
Bonded Through National Notary Assn
O`i2�a
L
M,
0
DESIGNER/ENGINEER: Not Applicable
ZONING
MORTGAGE COMPANY:
Not Applicable
Name:
SEA TURTLE
Name:
COUNTER
Address:
REVIEW
Address:
City:
REVIEW
State:
City: State:
Zip: Phone:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
VjNot Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip:
Phone:
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 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.
re
as Agent for Owner
STATE OF FLORIDA
COUNTY OF �%— "t C-,' .65-_
The fors, ing instrum nt was acknowledged efore me
this�dayof / e�Jc-201�by
(Name of person acknowledging)
ignature of Notary Public- State of Florida )
Personally Know OR Produced Identification _
Type of Identifi
0"
�"""'�•� SANDRA HOHMANN
�
�PVA
•�
Commission No z 0. Notary PubIIQS&ge of Florida
• , • E My Comm. Expires '.1ar 14.2018
Commission # FF 071680
Bonded Through National Notary Assn.
Revised 07/
V7C__� s
SAhature of Contractor/License Holder
STATE OF FLORIDA `
COUNTY OF S'T LGlC/6'
The forgQ'ing instrument was acknowledged before me
this day of 1&e�?4i?67ZT20 4L by
G
(Name of person acknowledging)
(S' nature of Notary Public- State of Florida )
Personally Know a OR Produced Identification
Type of Identific tionion oduced
Commission No.
SANDRA HOHMANN
I V,*' o)•_ My Comm. Expir,,s '.far 14, 2018
Commission # FF 071680
Bonded Through National Notary Assn
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
IN
This combination qualifies for a Federal Energy)
Efficiency Tax Credit when placed in service)
between Feb 17, 2009 and Dec 31, 2016.,
Certificate of Product Ratings
AHRI Certified Reference Number: 8676079 Date: 12/2/2016
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 4TTR6036J1
Indoor Unit Model Number: TEM4AOC42S41+TDR
Manufacturer: TRANE
Trade/Brand name: TRANE
Region: 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: XR16
Manufacturer responsible for the rating of this system combination is TRANE
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): 36400
EER Rating (Cooling): 14.00
SEER Rating (Cooling): 17.00
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 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 all 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
A ��,
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;
Amu ON -'
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.
AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION
& REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "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 listed above, and the Certificate No., which Is listed at bottom right.
131251783881017:
19>2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: