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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLI ABLE INFO MUST E COMPLETED FOR APPLICATION TO BE ACCEPTED Date: l` 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 PERMIT APPLICATION FOR: To Select from dropbox, click here PROPOSEDiNPROVEIViENT LOCATION: Address: 1 CZ IC`s -La ( l Legal Description: rte;t1 A-t6c� Property Tax I #:_f f ;� k_ c Site Flan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK k CONSTRUCTIONINFORMATION: Ad ction or to e e Dime un e -this permit —c ec a a HVAC Gas Tank E]Gas Piping pia Y• Shutters 11 Electric © Plumbing [:]Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: $��� . 6G SCI. of First Floor: _ Utilities: E] Sewer o Septic OWNERAESSEE: CONTRACTOR: Name Name: C7OrA '77A A ss:C - C� State, Zip Code: Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) / If value of construction Is $2500 or more, a RECORDED Ln City: PL :— <' A_LQ i Zip Code. Phone No. E -Mail: r1ii1C,l1"r'{4� State or County License: Lot No. Block No. Windows/Doors Roof Building Height: ,r ap Fax: f Commencement is requi d. 4 Stater . V C' SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 a first inspection. If you intend to obtain financing, consul n attorney before co enci r< or recor I ur Notice of Commencem Signature of Owner/ Lessee/Agent r—!!! STATE OF FLORIDA -p 9 0'� = COUNTY OF VEGETATION The forgoing instrument was acknowledged before m� E The for oing instrument was acknowledged efore n � a this day of _,7CkAQQy'6 20 VA by = 4 REVIEW ro V i f.i't 0�- t �l �•f ! V 4 .�t11111yHiJ�r�. (Namepf person ature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission 1\10 1r (Seal) Revised 07/15/2014 Signature of Holder' STATE OF FLORIDA FRONT COUNTY OF SUPERVISOR PLANS VEGETATION The forgoing instrument was acknowledged before m� MANGROVE this ]ay of , , nOAIC__ 20 y = 4 REVIEW ro V i f.i't R �4 (Name of pirson acknowledging ) ature of N16tary Public- State of Florida ) Personally Known L—" ---OR Produced Identification Type of Identification Produced Commission No. WV J'J (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratinas AHRI Certified Reference Number: 7511118 Date: 111312017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14ACX-042-230A** Indoor Unit Model Number: CBX27UH-042-230*+TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: LENNOX 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: MERIT 14ACX SERIES Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, 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 (Btuh): 41500 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.50 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 This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference The purposes. contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated 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 and enter the AHRI Certified Reference Number and the date on which the certificate was issued, w: rnake life 1-n— which is listed above, and the Certificate No., which is listed at bottom right. 02014 Air-Conditionin�, Heating, and Refrigeration institute i CERTIFICATE NO.: 131287889481440733