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Home My WebLink AboutPATRICK DUBE PERMIT APP ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ib Permit Number: s 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 LOCAT QN Address: IM -QIJI IDS l (- Legal Description: -,�0�Pl( k t IIE Q K- 1,161 Q - 2. � P3) 1A61f b-0�3 T -� Property Tax ID#: �}'�O SOS'DOZE ' obO Lot No, Site Plan Name: Block No. Project Name: -b & -- -- Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTlOk0=-WORK CONSTRUCTION'INFORMATION. Acid itiona I work to e e orme under this permit-check a app y: s OHVAC E]Gas Tank OGas Piping Shutters Windows/Doors 11 Electric ❑Plumbing Sprinklers Generator ORoof Roof pitch Total Sq. Ft of Construction: . S .Ft.of First Floor_ �7U Cost of Construction:$ 5c`b C `� Utilities: sewer E]S,eptic Building Height: OWNER/LESSEE.: CONTRACTOR: ^ I1C --- ,Name Address: Tr01('Lil1 ISl6 1* a llc/ Cornrarty: /Ayj�^(1ECIi C �i2 TG City: LiJ�+ I�� ,f {, State: Address:�� ]. WQ_ ,I,-I`1 1e- Zip Code: s 34g$E Fax City: P 0 9,e+- T__>elat State:, Phone No. 2-DI- q 30- I(QG Le Zip Code:��i�l¢�'Z. Fax: � E-Mail: N _ Phone No. 's Fill in fee simple Title Holder on next page=N different E-Mail: "40 0UMI+ fibyonvAxwl _ from the Owner listed alcove) State or County License:,( . If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. $U"WENTAL CONSTRUCTION LIEN-LAW INFORMATION'. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: 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 dome 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 our Notice of Commencement. Signature of Owner/lessee/Contractor as Agent for Owner Signature of Contractor/license Holder STATE OF FLORIDA , STATIE OF FLOJUQ A , COUNTY OF L��C C� --t COUNTY OF # �6'��t The forgoing instrument Was acknowledged before me The forgoing instru t was acknowledgeV efore me this day of 1 .20�by this day of -1_ .20� by r� � Name of person making statement Name of person making statement Personally Known 'A OR Produced identification Personally Known. OR Produced Identification Type of Identification Type of Identification Produced Produced -qy� 94cc'-k (Signature of Notary It [Signature of NotaryZD NAM.Fl1LL _ MY9D38Commission N - = ' , cld GC 089035 Commission NEX�ES: pril30,2029 �' ' 6andedThtu HBonded Tfw Nolary Public undew�riG a vrllers REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2117 This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. CERTIFIE 1 www.abridirectory.org Certificate of Product Ratings AHRI Certified Reference Number:9115222 Date:04-26-2018 Model Status:Active AHRI Type:SP-A Series:LX SERIES Outdoor Unit Brand Name:CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package):PCE6B42* 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. 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 ANSIIAHRI 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:42500 SEER:16.00 EER(A2)-Single or High Stage(95F) :12.50 t"Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND selling ar 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 sate. Ratings that are accom anied b WAS indicate an involunta re-rate. The new published ratin is shown alon with the reviaus i.e.WA 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.ahridivectory.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 whale 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. 131692333319085076 02018Air-Conditioning,Heating,and Refrigeration Institute [CERTIFICATE NO.: