HomeMy WebLinkAboutJOSEPHINE KNIGHT PERMIT APPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 i 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) 462-1.578
Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED41VIP-R€3VEMENT LOCATION. _
Address: 4005 PNWU?-,, N
Legal Description: Su n0 r)(1 r -,,o r(J�S K. 2� T-,- N ti 2. T z wyl _ at I i o4 f=3
Property Tax ID ##:
Site Plan Name: _
Project Name: ___.
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION 13f IN'E}RK
+-; 7-6 n
Lot No. q3 5
Block No. 2S
CONSTRUCTION 'INFORMATION.
Additional work to be opi-formed under t is permit-- check a appy:
HVAC 13Gas Tanis DGas Piping _Shutters M Windows/Doors
11 Electric n Plumbing Sprinklers 11 Generator 1-3 Roof Roof pitch
Total Sq. Ft of Construction: S. Ft_ of First Floor.
�1D
Cost of Construction: $� "-� Utilities: _ Sewer Eleptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Address:
Name:
Company:
Address: U
City: _- T—)� State: E
Zip Code: Fax: FS l
Phone No. 2., "� QU b - . _
City: State:
Zip Code: Fax
Phone No.
E -Mail: N
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail:
State or County License: �s _(�1 L.l� 4-
it vaiue or construction is :�2yUU or more, a HF-GO11DED Notice of Commencement is required.
SI P 'EIVIENTAAL CONSTRUCTION LIENA1i'11 LINFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
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:
OWN ER/ 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 inyour 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.
Rev. 8/2/17
Signature of Owner/ Lesisee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA l
STATE OF FLO . A
COUNTY OF t, r'
COUNTY OF � .
The forg acknowledged before me
this L� 9 of M06 -Y by
The forgoi g instrument was acknowledge before me
this y of 201 by
Name of person making statement
Name of person making statement
Personally Known `x _ OR Produced identification
Personally Known. X OR Produced identification
Type of Identification
Type of Identification
Produced
Produced
bq4a-A.
cm A
(Signature of Notary t
•` M.
(Signature of Notary Publ' s DONNA HILL
Y+
Commission N �`
�(ANW8
AVE1
Efttk
Commission N - MY 141V#GG 099038
.., Bonded liotvti�ets
'Rg . ARal 30.2021
,. Banded Thn� Nary Pubfrc Undenrdteis
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Certificate of Product Ratings
AHRI Certified Reference Number: 8457359 Date: 05-16-2018 Model Status : Active
AHRI Type: RCU-A-CB
Series: LX SERIES
Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING
Outdoor Unit Model Number (Condenser or Single Package) : TC4133621
Indoor Unit Model Number (Evaporator and/or Air Handler) : AP36BX21+TXV
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, 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 : 34000
SEER: 14.00
EER (A2) -Single or High Stage (95F) :11.75
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.
Ratin s that areaccompanied-by WAS indicate an involuntary re -rate. The new Dublished ra 'no is shown alpn with the rewiau i.e. WAS rating.
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 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, BMW
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information far the model cited on this certificate can be verified at www.ahridirectGry.org, click on "Verify Certificate" link we make life better -
whichenter 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.
0201$Air-Conditioning, Heating, and Refrigeration Institute J CERTIFICATE NO.: 131709525448457039