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HomeMy WebLinkAboutNewhart permit (002)All 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 34981 it Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPOSED INPROVE ENT LOCATION: Address: Legal Description: Property Tax ID N: Site Plan Name: Project Name: Lot No. Block No. Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: c—, CONSTRUCTION INFORMATION: Mtinalworkto e peorme un ert ispermit–checka that appy: echanical _ 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:$Utilities: _Sewer _Septic Building Height: OWN R/LESSEE: CONTRACTOR: Name i L 141 2N – Name: A_)A)I / Addr s: 6 Company: Q S I City: State:(— Zip Code: Fax: Phone N -�O E -Mail: Addre k)(v Zeol' to City: ('rte. State:cper! Zip Code: Fax: Phone No Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Ma' State or County License: CA'(_(�'�� � 7, 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: 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: 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 vour Notice of Cnmmenremant C Signaturener/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDy 2 COUNTY OF !t `L` STATE OF FLORIDA ,' L .L//c� / .� COUNTY OF d 7 .L ✓ C /—e The forgoing instrt tent was acknowledged before me this L_9ay 42:ele / 7 The forgo.ng instrgment was acknowledged before me this //f delay A�Crirs�L/� of nf��i , 20 b of �✓ . 20—L bby i =fin SY—�- Name of person raking statement Name of person making statement Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced AMP ignature of N ry Put ' ," l %WOM6&jlQRj01l4O31 l (Signature of Not ry Public- Sta ri a ANA ROVIRA-HERNANDEZ COMMISSION •GG11403'•n Commission 110K0 Sea&IBES: JUN 12,2021 EXPIRES: JUN 12.2021 ommission N�� de�tMoQ�9atl�tate Insurance o. Ca ^� Bonded through let State lnsurane REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Ir A "Imp This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. L www. all r ire ctory.org Certificate of Product Ratings AHRI Certified Reference Number: 8784474 Date: 12/8/2017 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR6024J1 Manufacturer: TRANE Indoor Unit Model Number: TMM5AOB24M21SAA 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 name: Manufacturer responsible for the rating of this system combination is TRANE 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): 24000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): ' Ratings followed by an asterisk I') indicate a voluntary rande of previously published data, unless accompanied with a WAS, which indicates an involuntary reread. 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 AHRI. This Certificate shall only be used for Individual, personal and "IM' confidential 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.ahrlGireetory.org, click on 'Verify Certificate" link we make life Ix•Ner^' 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 ©2014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131572535453537198