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Home My WebLink AboutMELISSA ANDREWS PERMIT APPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7y Permit Number: -ij1 _ w Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierre FL 34382 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: Legal Description: 1 o ex tsincs Property Tax ID ##: a . Le t D - UP I3 ` 000 L _ Lot No. fS Site Plan Name: Block No. -0 1— Project Name: Setbacks Front Back: Right Side: Left Side: LDETAILED DESCRIPTION OF WORK: AC, MM* DMAf ti� � � mAD I t>n 'Y1 P ; QS T JUILIU11di wvrK w oe verTormea unser QHVAC Gas Tank QElectric Q Plumbing Total Sq. Ft of Construction: Cost of Construction: $ S , permit— cnecK allapply: Gas Piping _Shutters Q Windows/Doors Sprinklers Q Generator Q Roof Roof pitch S Ft. of First Floor: _ Utilities:Sewer QSeptic Building Height: OWNER/LESSEES CONTRACTOR: Name WI _ �j Name: , Address: a Company: Address: UDUS ' City: State: P i Zip Code: 44A 9'21r Fax: A Phone No. 11`e� ' So'i ~ s City: TA Zip Code: Rhone No. Stater Faxlla 41249'45 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: State or County License: h L:f �� varuv ve.Wluc§ vt.uun €a .?c7vv ur mUre, 3 Kr .UMUr-U ivotice OT LOlm17e1cement is requires. SUPPLEMENTAL CONSTRUCTION LIEN LAW` INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable Dame: Add ress: 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, perforin 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 commencine work or recording vour Notice of Commencement. 7 7 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA - COUNTY OF -' STATE OF FLOJU.QA COUNTY OF ,�6_x� The for Ding instrument was acknowledged before me The forgoing instrum nt wa cknowledgeefore me day this day of _ ,CAXC \. �. 2p� by this of 20 by Name of person making statement Name of person making statement Personally Known -S OR Produced Identification Personally Known _ )C� OR Produced identification Type of Identification Type of Identification Produced Produced (Signature of Notary l (Signature of Notary Publi. .. Via• .' ,.,'.� NA M. HILL Commission N CG yJ N # GG 099038 �'>e EXPIRES: .., I?ONNA M. HILL Commission N - '- MY 514N # GG 099o38 P,,: pri130, 2021 `O'` 8"" Thru No •• tart' i'abfic 3lndaraurlters P,• :April 30, 2o21 f D :3'° Bondsd Thnr Notary public Underwr':Ears REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COM PLEf ED Rev. 8/2/17 Certificate of Product Ratings AHRI Certified Reference Number : 8456855 Date: 03-15-2018 Model Status : Active Old AHRI Reference Number : AHRI Type: RCU-A-CB Series : LX SERIES Outdoor Unit Brand Name : CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TC4B3021 Indoor Unit Brand Name : Indoor Unit Model Number (Evaporator and/or Air Handler) : AP34BX21+TXV Furnace Model Number : Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, 5C, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 CHAMPION HEATING AND COOLING product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 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 party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 29800 SEER : 14.25 EER (A2) - Single or High Stage (95F) : 11.75 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 fior sale. Ratin S that are accom anied b WAS indica a an involunta re rate. The new vublished ratinci is shown alcina with the revious i.e. WAS ratin 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 shelf 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; AM 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-CONDmONING, 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" fink 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 fisted at bottom right. 131656000403169646 02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: