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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: -11 q' 1 !> 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 v Address:�1Q//'�o r0i C t- PC) 0--t Jfi LA -Ac., C I L 3�-t U Legal Description: -SaVay-) CA C I LLb p 1C. J- (2 h CA Se., -M rU-C, 61 K- L -1 :L Property Tax ID #; �'�� 1 (`, • � ° (� 0C - ""I Lot No. 10 Site Plan Name: Carint) t) Block No. Project Name: ,(.firys I 11 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: I'fpI&te PCSCSC Lknl_r * CWOCnSer VAI-JZNAoti"d 1 fo( I 1 KJ, C11110Ccye W i V(,.Q 5► ?�C. C� 10 k) YtQCvr m x : CVn CONSTRUCTION INFORMATION: Additig,nalwor tc ff rorme un er t is permit- c ec a appy: EIHVAC Gas Tank Gas Piping _ Shutters L___t Windows/Doors 1-1 Electric 0 Plumbing Sprinklers Generator 11 Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ L1S4`1101� Sq. Ft. of First Floor: Utilities: Sewer FiSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name Linda My ISto Name: tAn le. I tSIqau)Ve ►� Address:(�'l WIICl Company: ILL) h ("()0(,lIh0( Address:T • L- P>C) %C 1 v) lnQ 1 City:,State: LLJ Zip Code:Q9f) ''i Fax: n Q City:,_Yn5bg uo-w Stater Phone No.`411 S Zip Code:�Sb Fax: nQ E -Mail: nik Phone No. 1-1 'Y �3'D_ L15S 1 E -Mail: In fu ' d <s' 6 I ('(_'(D( A'rh n I Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License:cprc, I If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. MENTAL CONSTRUCTION LIEN LAW IN RMATION: DESIGNE ENGINEER: _ Not Applicable MORTG GE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Ph e: FEE SIMPLE TITLE HOLDER: _ of 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 thepermit 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 in your paying twice for improvements to your operty. A Notice of Commencement must be recorded and posted on the jobsite b9f6—r—e-11m4irst inpi5ctioh. If you intend to obtain financing, cpq uit with lender or an attorney before ckmmenciniVVIk or recoMial your Notice of_Commencemerlt.\ �---� Rev. 8/2/17 s ontractor as Agent for Owner Signatu=FLORIDA ignat of Co" racto se Holder STATE COUNTY OF rVI(A(L;I LA STATE OF FLORIDA COUNTY OF The forgping instrument was acknowledged before me thi?� day of ; h,LA S i 201by The forgping instrument was acknowledged before me this i' — day of CSL SJ 20 IB by Name of perso making statement Name of perso making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced r. (Signa a aryl ipj, VAfQF*4 P) KLgfa a t r � Ic- I r k : 5a n4l"ichalle Gilmour Commis � hSy�i®mrtn�san GG �7e'h5eal F—E�cp*es 09tttf4029 ;�ch�iie Gilmour � ^ Satrrin i Commissio r;®mRnosan GG2a�p$'eal Exp*es 12022 1 ) a 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: 8215497 Date : 07-02-2018 Model Status : Active AHRI Type: SP -A Series: R41 OA AC SPP Outdoor Unit Brand Name: BRYANT HEATING AND COOLING SYSTEMS Outdoor Unit Model Number (Condenser or Single Package) : PA4ZNA042000—" 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 BRYANT HEATING AND COOLING SYSTEMS product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 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 : 41000 SEER: 14.50 EER (A2) - Single or High Stage (95F) : 11.50 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. Retinas that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the -previous (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 AIM 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. AIR-CONDITIONING, 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" 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. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131750249786629301