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Home My WebLink AboutCHARLES WALDRON PERMIT APPALL APPLICABLE 1gFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ---'t '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, elicit arrow at the and of line PROPOSED iMPROVEWNT LOCAT- 10 - _ Address: r7)2 S- Z�= Si Legal Description: E l ,Sb 1 t4 - -i Property Tax ID #: 4- l l 5 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back. i3ightSide: Left Side: DETAILtbl'DESCRIPTION 0 fi3 K U f6t Rf-j Gholm pt W , _VC,1 eu bz;I ; Al k, CONSTRUC-TIO.N .iN ORMATION A-daitional work to be nartormed urs er t is permit -- check a apply: HVAC 0Gas Tank QGas Piping _ Shutters Q Windows/Doors Electric 0 Plumbing U Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor. Cost of Construction: $ Utiliities:_Sewer QSeptic Building Height: OW ER%LESSEE:CONTRACTOR• Name r h Name: T 1 Address: LL-�] � Company--koW! 1iCAL k, D1 • i hcl City: T State: Address: r Zip Code: Fax: tJ City: A b State -_a Phone No. dW" U024, Zip Code: ArJEz. Fa 5" E -Mail: Phone No. Uo Fill in fee simlale Title Halder on next page (if different E -Mail: from the Owner listed above) State or County License: P LLQ ,p it value of construction is 525W or more, a RECORDED Notice of Commencement is required. SUS L MENTAL. E @�"5fl9"E! OW1WQRMAMN VE5I115NERf ENGINEER: Not Applicable Name: Address' City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable � Name: Address: City. .. _ State: Zip: phone: BONDING COMPANY: Not Applicable Name. Address: City: Zip: Phone' OWNER% CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and instattation as indicated. I certify that no work or installation has commenced prior to the issuance ofa permit. St. Lucie County makes no representation that is granting a permit will authorize theermit holder to build the subject structurewhich 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 Nome 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, wall,., 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 Ownerf Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this._ day`p of ' 20 -.IL by Name of person making statement Personally Known *)5 OR Produced identification Type of Identification Produced (Signature of notary Imm. HILL Commission N A 7EUXP1yE!SFrPMii43Q NGE#DMM ,2ti2i REVIEWS I FRONT I ZONING COUNTER REVIEW DATE COMPLETED Rev. 8/2/3.7 Signature of Contractor/License Holder STATEGIF cQ . At COUNTY OF . The forgoing instruen was a6nowledg before me this.I„L day of i 20 l by _(S arg L -C, I I ., . Name of person making statement( Personally Known ;4 OR Produced identification Type of Identification Produced '1J�1��a� (Signature of Notary Pubs' =�. %, i)i3NlVA i4Q. HILL Commission N M'=I0N#GG09Q038 Aptto 30, 2023 ftwbdTft Now— Pubs - uftdenwmem SUPERVISOR I PLANS I VEGETATION I SA T I MANGROVE REVIEW REVIEW REVIEW QZW Certificate of Product Ratings AHRI Certified Reference Number: 8908415 Date: 07-16-2018 Model Status : Active AHRI Type: RCU-A-CB 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 Handier): AHX61 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 : 52500 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 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 fpr solo. Ritinps that are accompanied by WAS indicate an involuntary re -rate. The new published ratino is shown along with the previous {i.e. WA51 ratino. . 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 personal and confidential reference. AM 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 and enter the AHRI Certified Reference Number and the date on which the certificate was issued, r+re make life better" which is listed above, and the Certificate No., which is listed at bottom right. @201$Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NQ_: 131762189503689086