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Home My WebLink AboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 X Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential IPERMIT APPLICATION FOR: ' To Select from dropbox, click arrow at the end of line Address:` CoJ�r' S . (�C�2 C� 1 .%r 1.i !-� t T '3C� � �1 Legal Description: RQrnl'# I TS6V %eA DLkY_, .� Eras I kt So Q_ Property Tax ID #: Lot No. Site Plan Name: f Block No, Project Name: BLksh Setbacks Front Back: Right Side: Left Side: Ch(a 2 ZWT h, -)C- rn �1 �+ � Pt t� a� I ona Co nd_Qhser C)_, -,A J F� Moc3 .e_� —� e 0-\ LA p,� C_ L+a s u � 5,A ,,rh I (D 1�- LJ J') W-edj .5+r e� �j , 5 1 c� � 5 (.0 See 1-1 Electric Plumbing Total 5q. Ft of Construction: Cost of Construction: $ Wo—F-:;D Sprinklers 0 Generator S. of First Floor: Utilities:cnSewer Septic Name 18v-A\-kne_ J3uSh Add ress: ?SLo 15 O S1 •fn DK City: , Yl Pam j"` State: J__L Zip Code: 1:2, `)"4 574- Fax: Phone No. 70 3 S Cpg -- X53 E -Mail: Fill in fee simple Title Halder on next page (if different. from the Owner listed above) 0 Roof Building Height: Name: 'T)�lVI 0 5 r-Ae'V^ Company: •, ;Q. A'{giir\I 1C Address: ! 0&`7 0 1J I i mq-I 0"r2 1 - City: 90 T L_LiC2-�_ State: E= _ Zip Code: -i Fax: Phone No. s rvr?all E -Mail: t State or County License: 0A0_ i R 17&�R3 If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. �s �. � ,.3..._ .�v..,�., S .,,.y�3�ra,..a 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: 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 commencin k car record llr Notice of Commencement - _ s _ Signature of Owner/ Lessee/Agent Signature of ontractor/License Holder STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this lC day of [� (`o"iIDe4'20 Eby Det o to PLO) ►-mac r (Name of person acknowledging) '(�ign'aotu�_�reofyr 1�.v,� � ,� Notary Public- State of Florida ) Personally Known �4 OR Produced Identification Type of Identification Produced STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this J�"'J day of %(Z F' _ n`l f� 20 —R y (Name of person acknowledging) Aignat reof Notary Public- State of Florida j Personally Known X OR Produced Identification Type of Identification Produced r°°'': LINDrt1E BOUCHARD "*r� Commission No. �?. Comm i�q, LfMao �inara.r r:: ,: • . }pSEai P ..l.Yir�rtLt ) MY COMMISSION #FF725526 s MY COMMISSION #FF125528 ' EXPIRES May 27, 2018 ` �ti► May je 201$ (407j 398-0153 FloridallotaryServicexom (4071 iso ossa 1 Revised 07/15/2011- Fla1fd7NotarystmCe.com REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 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: 8703698 Date: 12/19/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4A7A6042J1 Indoor Unit Model Number: TEM4AOC42S41'+TDR Manufacturer: AMERICAN STANDARD Trade/Brand name: AMERICAN STANDARD 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, N£, 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: GOLD 16 Manufacturer responsible for the rating of this system combination is AMERICAN STANDARD 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 (Btuh): 41000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 iEER Rating (Cooling): Ratings followed by ar asterisk (") Indicate a voluntary rerate of previously published data. unless accomparied with a WAS, which indicates an involuntary cerate. 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 products) 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 C4IoN5 This Certificate andd its 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 entered into a computer database; pou 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 "Verity Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we inak«lite better=° which is listed above, and the Certificate No., which is listed at bottom right. - @2014 Air -Conditioning, Heating, and Refrigeration Institute � CERTIFICATE NO.: 1312ss�274�492712&