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Home My WebLink AboutBuilding Permit Application -a All APPLICAB INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Number: ' 710r) - V,�_� RECEIVED m p. Building Permit Application JAN 18 2017 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: J A� Address: Legal Description: Property Tax ID#: ?��D� tD —mow Lot No. Site Plan Name: ,, '- Block No. Project Name:�)A: � i L7_ Setbacks Front Back: Right Side: Left Side: " .,?.'"7`�'-,.« f7 cx; �` �`k : x nx� T* ti�� r,5� '"�N,t'� art•.,;. 4� � x r s. �c,,, s x.'u. e � . 'wc- � �: a, - .�; CONSTRUCTIOf INEORMAT�t3N• �� nal wor to be performecl unclerthis permit-c ec all that appy: Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Total Sq. Ft of Construction: � Sq. Ft.of First Floor: Cost of Construction:$ 6C)//��r� Utilities: —Sewer —Septic Building Height: b,W, rt� CANT r COR Name t it Z Name: Address: C( ice- 0 Company: r iIAJ City: alt. State: {�� AddrE IVB � R Zip Code: Fax: City: 7C • State:} _ Phone No. Zip Code: Fax g� E-Mail: Phone NIo. ''�'a- t`.� " O Fill in fee simple Title Holder on next page(if different E-Mail:dLoU� AC• from the Owner listed above) State or County License: if value of construction is 2500 or more,a RECORDED Notice of Commencement is required. r '<s,+ �� .- ,; .�. �rg +c :�� *F'k.>,�,:a #fit vYx.', X41 s;:z � .r45 .y::F$,ri3� I•�t 1 �4r S.. �.�h',� �? k f - v �.L77 ,W�,�1 �� rl'��t 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: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. 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 our Notice of Commencement. Signature of Owner/Ag t/Lessee i,�::?; , Signature,of,Contractor/License Holder �: �' -__ r:.:`"'.�--'.,`�� ^;'•, .obi STATE OF FLORID _ "= STATE OF FLORIDA o m: COUNTY OF " ' ' COUNTY OF iff The f ping inst ent was acknowledged before �o o The for ping instr ent was acknowledged before a �o a this day 20�by o r.E< this day of 201Z by �y o= z �m (Name of person acknowledging) P� (Name of person ackno ledging) N (Signature o otary Public-State of lorida) (Signature of Nota ublic-State of Florida) Personally Known 0 P uced Id tificatio / Personally Known OR u ed Iden ification -� Type of Identification Produced - Type of Identification Produce ` Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. ■ , r Certificate of Product Ratings AHRI Certified Reference Number: 8627711 Date: 1/17/2017 Product: Split System:Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR6036J1 Indoor Unit Model Number: GAF2AOA36M31+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 i Manufacturer responsible for the`ratmg of this systeiricombination is TRANS Rated as follows m_accordan ce�p'with AHRI Standard,210/240 -2008 for UnitaryAir=Conditioning an&Ai ir.=Source HeatlPump Equipment and subject-to verification of ratmg.accuracy,byAHRI sponsored; independent;`,third party,testin i i., 4 Cooling Capacity(BtUh) 326001„r 6 y ,t 1 E'"� . I 'i`;C';r , EER..Rating.:(Cooling). ;13.25 '. SEER Rating (Cooling):7__ ;' 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 purposes.The contents of this Certificate may not,In whole or In part,be reproduced;copled;disseminated; entered into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's Individual, AM 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 131291786065935194 ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE`NO.: