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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Date: - _ r - 6W- Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Residential Phone: (772) 462-1553 Fax: (772) 462-157$ Commercial_ PERMIT APPLICATION FOR: L��e z�C.Q, PROPOSED INPROVEMENT LO+vATION: Address: Q f Legal Description: Lot No. Property Tax ID #: �� JEa� f Block No. — Site Plan Name: Project Name: t1-1 Setbacks Front- Back: _ Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: - �t� nai wor to e per orme un er t is permit - cliecFaaT�that : v Mechanical Gas Tank Gas Piping _ Shutters Electric _ Plumbing Sprinklers — Generator Total Sq. Ft of Construction: CJ Cost of Construction: $ 51 oc) OWNER/LESSEE: Sq. Ft. of First Floor: Windows/Doors Roof Utilities: Sewer _ Septic Building Height: — � • - �iRr�1lL.(J�/nLU�i�l/�lLysr�:rs�� •.• E-mailCity: State: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Company: Address: ' City: Stater Zip Code: J� Fax: Phone No. E -Mail: f"'nC State or County License: if value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Address - City: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address.- City: ddress:City: Zip: Phone: State: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City' Zip; Phone: Nat Applicable y made to obtain a permit to do the work and installation as indicated. OWNER/ CONTRACTOR AFFIDVIT: Application is hereb I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no repre%entation 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 dnd 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 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 commencin work or recorclinp, OP Notice of Commencement. -- �Siggnat"re Owner/ Agent/ Lessee Signature of Co or/License Holder STATE OF FLORIDA_ STATE OF FLORIDA COUNTY OF / c aGt COUNTY OF_��,c C The forgoing instrument was acknowledged before me th2s�� ""Y of 201Eby (Name of person cknowledging ) (Signature of Notary Public ate of Florida ) Personally Known 7 OR Produ d I e if ' n Type of Id9,ilFieA00 ,.. ori rlda COmmissi = Notary PuUllc Slat"(g�Q Fc Commission # F 1 0 My Comm. Expires Nov 30, 2018 REVI DATE RECEIVED DATE COMPLETED The for Ding instrument was acknowledged before me th`day of VLJ 2016 by �t—/ k(n (Name of per on cknowledging ) (Signature of Notary Public- State of Florida I Personally Known _ OR Produced Identification Type of Id PR o1�1ky DEBORAH RUSSELL i COmmi55i0 gT ; ` = No tar Public - StatJSLfA'ida °' • = Commission FF 179630 +h P�` �e� 1nm Exolres Nov 30, 2018 E ONT ZONING I SUPERVISOR PLANS E ETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2003 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number : 10259374 Date : 07-25-2018 Model Status: Active AHRI Type: RCU-A-CB Series: MERIT 14ACX SERIES Outdoor Unit Brand Name . LENNOX Outdoor Unit Model Number (Condenser or Single Package) : 14ACX-024-230A" Indoor Unit Model Number (Evaporator andlor Air Handler) : CBA27UHE-024-230'+TDR 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 LENNOX 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), bluh : 24000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 f "Active" Model Status are those that an AHRI Certification Program Participant Is currently producing AND Belling or offering for sale; OR new models that are being marketed but are not yet heing produced. -Production Stopped" Model Status are those that an AHRI Certification Program ParGUpanl is no longer producing BUT Is still selling or offering for sale Ratinos that ata arrrmpad bte niey WAS indicaan involuntary re -fate. The new Published ratinq is shown alone with the previous 0,e. WAS) rating DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makm no representations, warranties or guarantees as to. and assumes no responsibility for. the product(s) listed on this Certificate. AHRI expressly disclaims all liahility 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 Certtflcate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridireetnrymrg, TERMS AND CONDITIONS "EDP 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; Amu On ILi entered into a computer database; or otherwise utflfzed. 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 "Verity Certificate" link we make life hotter" 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. 131770363485245801 P2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: