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Home My WebLink AboutCCE_000025ALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11 Date: I n 1 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) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: IUOL-i1-I S. ctk_ n br.#I✓ woo ienS ri FjQCv,h rt- gcrt--j Legal Description: S'0, LUInt S CU(-dDMI6UtYI j!�q21 iDO7 Property Tax ID #:..q Sore • (2)OLI • b O- y • oco O Lot No. t J 0, Site Plan Name: C-) U_a (Yt(L4- Block No. NO, Project Name: JL.,. tIJG`'i .n C)U_; WU_*- Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Upla,c_e, a -IC egLLtp fZAmSaAi I 126HP-•'�rI LIc 3/S 1'Vt fDr' II" Cho- roto i1 M'ln y0 SLLC S1 LI RLLu.b 2•1540no m 'maA '-IS I�cS��i' WSVt�` WirU41'D Lul�e#48 �BGoP��l1'S CONSTRUCTION INFORMATION: Additional work oe ertormed under tispermit-check all appy: HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors n� Electric 1:1 Plumbing ❑Sprinklers ❑ Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Li ;Z! c•C> Utilities: Sewer Septic Building Height: OWN ER/LESSEE: CONTRACTOR: NameS\II\IOLIn OLt trYLQ.-i- Name:_r_,an'(c I5VaLuVe Address: ?ICS'61 9CL I- &O-ld ROI Company: C�S A -i c C 0 nd i ti c i (y�, 44" C inn dL if S Si- - tuateR Address: P•0 • F50< I Il -1 0atebftS-)-Jertc) LQituc: QC, 'JSL City:Je0<k(1 Bez0 &V) State: -L Rddyetw®. r PrNkl�:A Zip Code:""'-±JQS`1 Fax: fJa 44iafk. PIX(Iie. 5114 - 0 0 `a- Phone No. -11 "1 •33`3 Z-IS3 1 Fill in fee simple Title Holder on next page ( if different E -Mail: ) �s co f cc i f l 0(1 1 State or County License:I from the Owner listed above) If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW I ORMATION: DESIGNE GINEER: _ Not ApplicableRTG Name: COMPANY: _ Not Applicable Name: Address: Address: _ City: State: Zip: Pho _ City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: _ of Applicable Name: Address: Address: City: Zip: Phone: City: 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 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 C ement may result in your paying twice for ements to your A Notice of Commence e mus re e a posted on the jobsite before t first ins tion. If you i d to obtain finan 'ng,_cgnsuh wl lender attorney before 'Corrifrlencln or recordin our Notice oiGe n merriit. Rev. 8/2/17 + Signatur ner ontractor as Agent for Owner Signatu Co icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF M 6 -al n COUNTY OF iVl Q 1 1 The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 12J" day of0I,LW 201 S by this 12'0' day of)L L,1 20_` by ba_yl21 6h0'WV1er MnIG[ Dnvfr Name of perso making statement V' Name of persyn making statement Personally Known OR Produced Identification Personally Known V OR Produced Identification Type of Identification Type of Identification Produced Produced �'r rAr rl A- K hfj J "t (Sq"at re of Notary Pu lic- State of Florida) (S nat a of Notary Public- tate of Florida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratin AHRI Certified Reference Number: 201176267 Date: 07-12-2018 Model Status : Active Old AHRI Reference Number: 7493633 AHRI Type: RCU-A-CB Outdoor Unit Brand Name: RUUD Outdoor Unit Model Number (Condenser or Single Package) : RA1430AJ1 Indoor Unit Model Number (Evaporator and/or Air Handier): RBHP-21 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, NO, 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 RUUD 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 : 29800 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.'Productlon Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published ratlnQ 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, warrantles 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 www.ahridirectory.org. AND ND CONDITIONS This MSGertificate and Its contents are proprietary products of AHRI. This Certlflcete shall only be used for Individual, personal and confldentlel reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copied; disseminated; AM= EMM 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 CertlReate" link ,"A", Inti• baaur^• 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. 131758777414841568 02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: