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Home My WebLink AboutBuilding Permit ApplicationALL APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � Date: oz w 'g 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 Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION. Address: f jU (2 'S_"04LA__kCLUS Legal Description: t Property Tax ID #: 2,509. " Le 01- W 9_0 O(- T Lot No.�� Site Plan Name: Block No. Proiect Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: 41 �k Y- L2 5 tt)r1 t Le Sa* l 0 CONSTRUCTION INFORMATION: Additional work to b rtormed under this permit -&eck all appy: 1_1HVAC Gas Tank E]Gas Piping Shutters Windows/Doors L_J Electric � Plumbing Sprinklers � Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ ( 0 S 0 L) OO jL� Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name 1 tifflcLn Name: K 1 ,,--ll Address: CYI�J ��II.Ji1 m�IQv-., City: {-0 nn ,� �Y C� State. Zip Code: Fax: N t I Vk Phone No. 1I be j' � ZrL I Company: 4W IL Address: City: �(1i 'i State: lam{ Zip Code:'_5"s Fal Phone E -Mail: Vf) Ik Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: I Kb -l - State or ounty Lice se: i If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPKEN4ENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicabie Name: MORTGAGE COMPANY: Not Applicable Marne: Address: City: Stater Zip: Phone Address: City: State: Zip: Phone: FEE SIMPLE TITTLE HOLDER: _ _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: Address: City: Zip: Phone: OWN ER/ CONTRACTOR AFFIDVIT. Application is hereby made to obtain a permit to do the work and installation as tncttcatea. 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 Dome 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 foil 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 Commencement. Signature of owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this ,%ay of _ UC)^.— ' 20_A by s 1 drt rt a= Name of person making statement Personally Known ')S OR Produced identification Type of Identification Produced (Signature of Notary P, Commission REVIEWS IFRONT COUNTER HATE RECEIVED DATE COMPLETED Rev. 8/2/17 - DONNA M. RILL CO IUI�N # GG 099038 EXP ES; prJ 30, 2021 Bonded Thw Notery Public Undenvrliers ZONING SUPERVISOR REVIEW REVIEW Signature of Contractor/License Molder STATE OF FLOQA COUNTY OF The forgoing instru nt was acknowledged before me thisl&Kof rte, 20_$ by day Name of person making statement Personally Known - )�— OR Produced identification Type of identification Produced (Signature of Notary Pubo Commission N - PIANS VEGETATION REVIEW REVIEW 'DONNA M. }TILL MY =ION # GG 099038 ApnT 30.2021 Bonded nru Notary Public undeAwitem SFA TURTLE I MANGROVE REVIEW REVIEW This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number : 8908415 Date: 03-20-2018 Model Status : Active Old AHRI Reference Number : AHRI Type: RCU-A-CB Series : Outdoor Unit Brand Name : CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TC7B6021 Indoor Unit Brand Name : CHAMPION HEATING AND COOLING Indoor Unit Model Number (Evaporator and/or Air Handler) : AHX61 Furnace Model Number i 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, SO, TN, TX, UT, VA, VT, WA, WV, WI, VVY, 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 ANSIJAHR1 210/240 with Addenda i and 2, Performance Rating of UnitaryKir-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 : 52500 SEER : 15.00 EER (A2) - Single or High Stage (95F) : 13.00 IEER : -r'Active" Modei 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 setting or offering for sale. Ratings that are accamoanied by WAS indicate an involuntanr re -rate The new ublished rating is shown along with the reviousJi.e. WAS) rating. �^ DISCLAIMER AHRI does not endorse the product(s) tisted 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 vaild 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 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 form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate' link 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 listed at bottom right. 1316130392582789091 02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE 110.: