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Home My WebLink AboutGierak Permit AppALL APPLI ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:Permit Number: Building Permit Application Plonning and Development Services Building and Code Regulotion Division 230OVirginio Avenue, Fort Pierce FL34982 Phone: 17721 462-7553 Fax: (772) 462-1578 Commercial Residential { -- Address: Property Tax lD #:Lot No.l7- Site Plan Name:Block No. 'h Project Name: Setbacks Front- Back: - Right Side: Left Side: Z"@ft nl \q:e eA Dv:u.l \\ec* Lage Ldnf \\vd1 e{ thts permrt - cl f]o", PipingEoro. I1r,".,r.,. Gas I anK Plumbing Shutters Generator n *,noo*s/Doors tr l-lsprinkters tr l-l noot f Roorpitch Total Sq. Ft of Construction:So. Ft. of First Floor: Utilities: l-lr"*", Et"*cost of constructionr s fu*T Building Height: lf value of construction ii$ZSOO or more, a RECORDED Notice of Commencement is required. PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line E-Mail: State or County Li Zip Code: Phone No. E-Mail: Fill in fee simple Title Holder on next pate { if different from the Owner Iisted above) 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 Countv makes no reoresentation that is srantins a permit will authorize the permit holder to build the subject structure wnich-ii in conflict w'tth anv-{oo[Cable ftome Owileis Asiociation rules, bvlaws or and covenants that may restrict or prohibit such structure. Please consult with tiour Home Owners Association and review'your deed for any restrictions which may apply. ln 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 beiore the first indpection.'lf y6u intend to obtain financing, consult with lender or an attorney before commencins work or recordi Notice of Commencement. Name of perron making statement Personally Known x- OR Produced ldentification Type of ldentification Produced- 8H,'-'r?tJt ing instrgment was acknowledge{before me dav of Y Y \Gll , 2op by Signature of as Agent for Owner Name of perso^n making statement Personally Known }l- OR Produced ldentification Type of ldentification ocr 28,2019 BONDEDTHRU 1SI FI'RIDA XOTARX ttc (Signature of Notary Public- DATE COMPLETED Rev.8/21L7 ffimr*ffifr&mm*m mff ffirm#asmffi ffimt&ryre AHRI Certified Reference Number : 7615238 Date:05-30-2018 Model Status :Active AHRI Type: SP-A Series : NORDYNE PTRE SERIES Outdoor Unit Brand Name : NORDYNE Outdoor Unit Model Number (Condenser or Single Package) : PTRE-030K Region :AII (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) Central air conditioners manufactured priorto 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. Region Note : The manufacturer of this NORDYNE product is responsible for the rating of this systern cortbination. SEER l.'11'9q ,,,,,,,,ii , , : :.r : 1,i..,:,::,i ,,,.i EER (ffi,' Single qi'High Stage, (S5Fli::, :1 I Q!= t"Active" Model Status are those thai 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 sellino or offerino for sale.niiiiiEiiniiiiij-abcbmoEnied bv WAS indicate an involuntary re-rate. The new publiqhed ratino is shown alo (i.e. WAS) ratinq. 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 conflgurations listed in the directory at w1{,w.ahrldirectory,srg. TERMS AND COHDITIONS Thls OBrtifi6alE atrd iti Gontcntr arB proprletarl preducts of AHRI. ThlE Oertlflaatc nholl only bo sood for indiYidealr Pereonal anC 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, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be yerified at trwr.ahridi?setory,srS, click on "Verlry Ceftifieafe" link and enter the AHRI Certified Reference Number and the date on which the certificate was is.sued, AIR-CENDIT}ONli}g, EI EATINE, & REFRI&TEATIOI.I }NSTITIJTI r.,e rnake liir txltter- which is listed above, and the Certificate No., which is listed at bottom right. [,f,,,]l-1;11;:1-.:,;,' 111i 111;:r;;:i :jr i1-.:; i @2018Air-Gonditioning, Heating, and Refrigeration lnstitute TERTIFICATE NO.:131721V73.1848647VE. i:, ::::':i:ir::::1:i::::..ii