HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE -INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
02 -
is f
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 arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: C—qctWperI-U_C Crc
Legal Description: ne yo n 1-bg- 6-7
�A
P rope rty Tax ID #:
Lot No.
Site Plan Name:
Block No_
ProjectName: tot'n Q. jzn�
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK: Z
CONSTRUCTION INFORMATION:
A itional work to be nerformed
ER'HVAC u Gas Tank Das Piping
Shutters
Windows/Doors
Electric Plumbing Sprinklers
MGenerator Roof Roof pitch
Total Sq- Ft of Construction:
S Ft of First Floor:
'F]Cost
of Construction: -7 Utilities.
n
SewerSeptic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name— L(.D I I -Lc"
Name: GLt !G -e 406e lk-Ld
Address:_I C__,rLL!1&CJT
C,� .0 i rcl 0-
Company: 6c'u- Ay
City: )t+ ;SL L i - Stater
Address: P6-). &1k
Zip Code: Ci Fax:
City: I L,(-- Secec /? State: F_(_
Phone No. —772— S-71, _707J
Zip Code: 3W Fax: 71 2—
E -Mail:
Phone No. 77,2— - i
Fill in fee simple Title Holder on next page ( if different
E -Mail: 0'
State or County License: CJk_ &�5_9 1476,
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit_
Not Applicable
Not Applicable
St. Lucie County makes no representation that is granting a permit will authorize thepermit 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, 1 do hereby agree that 1 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 recordingyour Notice of Commencement.
------------------------
Signature of O essee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forFaing instrument w s acknowledged before me
this _ day of 20 f j by
(Name of person acknowledging)
-,,-4A1
(Signature 0()
f otary Public- State of Florida
Personally Known � K OR Produced identification
Type of Identification Produced
Commission No.
Revised 0711512.01
_ J6Y'#OLLARD
Commission # GG 62174
January 14, 2021
Mrs
STATE OF FLORIDA
COUNTY OF ,� �o
The forgoing instrument was acknowledged before me
this _ -ray of 20 /1 by
C 0 ite
(Name of person acknowledging)
nitf
(Signature "otary Public- State of Florida )
Personally Known P-__ OR Produced Identification
Type of Identification Produced
Commission No.
`JOY POLLARD
Commission # GG 62174
II ,% January 14, 2021 111
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www.ahridirectory.org
Certificate of Product Ratings
AHRI Certified Reference Number: 7615303 Date: 911312017
Product: Single-Package Air-Conditioner, Air-Cooled
Model Number: P7RE-048K
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 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): 47000
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.ahridirGctory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and :1,..,
ennfidentlal reference purposes. The 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 Mme 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.
131497968345011 792
02014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: