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HomeMy WebLinkAboutBuilding Permit ApplicationALL 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 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Address: `1 U :J 11-Ltr_7 -1 111 Legal Description:(j`7l Residential V" Property Tax ID #: ���� •rJD.�7 - Is) 1-7 L% Lot No. i u Site Plan Name: ProjectName: Setbacks Front Back: Right Side: Left Side: Block No. CONSTRUCTION INFORMATION: Additional work to []Gas r Orme un er t is permit -c ec a thaapp y: ✓HVAC Tank 7GasPiping Shutters Windows/Doors 11 Electric D Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: _:� I-55 Cost of Construction: $ 5 �CD / SFt. of First Floor: _ Utilities:] Sewer []Septic Building Height: OWNER/LESSEE: L h5�� ��� CONTRACTOR: CENTURY AIR COND Name Name: JOHN RILEY Company: CENTURY AIR COND Address: -17V__) i' �I U mbi ez State:X Address: 3044 SE DOMINICA TERR City: STUART State: FL Zip Code: 11501-`7 R Fax: Phone No. -1 X1.2 - -7 f aJ�l Li0 Zip Code: 34997 Fax: E -Mail: ��— Phone No. 772-781-3040 Fill in fee simple Title Holder on next page ( if different E -Mail: centuryac@aol.com from the Owner listed above) State or County License: CAC057676 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: Notary Public - State of Florida Address: City: State: City: State: Zip: Phone: REVIEW Zip: Phone: REVIEW 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 your Notice of Commencemerit. Owner/,Agent/ Lessee se Holder STATE OF FLORIDA,,STAYE OF FLORIDA , COUNTY OF ( -L.-f o >✓ COUNTY OF 2 I-(,, n.ie _ The forgoing instru ent was acknowledged before me The forgoing instr ment was acknowledged before me this day of 20 by this _12tNay ofL, 2050 by C - l I FC t✓ 1 (Name of person acknowif0g g) (Name of person ackRo edging ) (Signature of Notary ,Public State of Florida) (Signature of Notary Public State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification PrQdt�ce Type of Identification Produced <<:a� Psi Commission N < = DEBORA SELL Commission N i� DEBORAH 9941-I ` = otary Public Stat of Florida Commission it FF 179630 ; o� ; _ �; '.° - •'�iP Notary Public - State of Florida fro", My Comm. Expires Nov 30. 2;s r 17 630 My Comm. Expires Nov 30, 2018 Revt5ed l); REVIEW REVIEW REVIEW REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Certificate of Product Ratings AHRI Certified Reference Number : 201264533 Date: 02-15-2018 Model Status : Active Old AHRI Reference Number : 7500905 AHRI Type : RCU-A-CB Series : Outdoor Unit Brand Name : RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1448AJ1 Indoor Unit Brand Name : Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1 P4821 STAN Furnace Model Number : 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, INC, 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. The manufacturer of this RHEEM product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third parry testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 45500 SEER :14.00 EER (A2) - Single or High Stage (95F) : 11.70 IEER : t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale: OR new models that are being marketed but are not yet being produced. -Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) ratina. 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.ahridirectorv.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; copied; disseminated; `■ -' entered into a computer database; or otherwise utilized, in any toren 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 he verified at www.ahridirectory.org. dick on "Verity Certificate" link %„c make I& h.:ttcr" and orator the AHRI Certified Reference Number and the date on which the certifirAte was Issued, which is listed above. and the Certificate No., which is listed at bottom right. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1316320069474790M