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Home My WebLink Aboutbuilding permit ALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: If [ Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 " Phone: (772)462-1553 Fax: (772)462--1578 Commercial Residential y PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: /u 1 Af C,44/0V& -b&72_ A"_'10 Legal Description: Property Tax I#: WC c)o --�-15 Lot No. Site Plan Name: Block No. Project Name: . Lsc't.or-K` Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: LI1/1 rGrtIc� �cr`ct 35 f cn� �� t✓ YIiir- � rc� Vltef CONSTRUCTION INFORMATION Additional workto e Performed under this permit—c ec a _apply: IC Gas Tank0N, � Gas Piping Shutter s Windows Doors 11 Electric ❑ Plumbing E]5prinklers Generator Roof C� Roof pitch Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ Cl 0C) ` Utilities: _Sewer l_J Septic Building Height: OWNER/LESSEE: CONTRACTOR. . Name JC Ll[1t7CS� i6- �'cR _U"L Name: O I" . Address: 1'�)Q 9 ni-I tto elo Company: r r-coc'.0 Jr&. Ctog-k ;L►°". City: f6f+_ St uC,rc.,—,. State:F(- Address: P.L.. ic3ey- �trL Zip Code: a 4cl5o'k Fax: City: 6-ec-tc h State: PI-t- Phone No. 717-- `3b( Zip Code: 3LICI Fax: E-Mail: Phone No. _77;?- 6q7_1 Fill in fee simple Title Holder on next page (if different E-Mail: --f-CC,tC_ (q(L) P 6'I't "` from the Owner listed above) State or County License: G�bj77 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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 priorto 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. 5ignatgrre o wirer/Lessee/Contractor as Agent for owner Signature o ontractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF C �[i COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was.acknowledged before me this day of !LL 20 0 by this,. r day of i 4 20 (_7 by (Name of persona acknowledging) (Name of person acknowledging) _1J QL � C � (Signature of Notary Public-State of Florida) (Signature of 4otary Public-State of Florida ) Personally Known OR Produced Identification Personally Known 1' OR Produced Identification Type of Identification V Type of Identification eenmrrrr,, JU1 enfap, w;?oTe+rIf.. �4*a.�,,, JOY POLLARD Commission No. =• A Com # GG S217a +`., r'��' Commission No. -• °� Cammi��r GG 62�74 �,,, My Commi lion Expires �- My Commission Expires ' ra ` "arm January 14, 2021 y'ry�rr �; � January 14, 2021 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS �r ON121 1 Certificate of Product Ratings AHRI Certified Reference Number: 7615294 Date: 6/6/2017 Product: Single-Package Air-Conditioner,Air-Cooled Model Number: P7RE-042K Manufacturer: FRIGIDAIRE TradelBrand name: FRIGIDAIRE 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: FRIGIDAIRE P7RE SERIES Manufacturer responsible for the rating of this system combination is FRIGIDAIRE 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): 40500 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 14.00 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.ahrldlrectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL 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; -A 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 verifled at www-ahridirectory.org,click on"Verify Certificate"link mal;c IiF bctt,,— 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. 131412271277644077 O2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: