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HomeMy WebLinkAboutBuildig PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date --:210--7 i f _ Permit Number Building Permit Application Planning and Development Services Building and Code Regulation Division 23W Virginia Avenue, Fart Pierce FL .34982 Prone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Property Tax ID #:c�Lt-I I - %01 -0001- 000 -3 Lot No. Site Plan Name: Project Name: Setbacks Front Hack: Right Side: Left Side: Block No. DINNER/LSSE CONTRACTaR. -. Name dame Name: -SPrrn ,o- Company: Address: f +� City: c2f)-Jg66�2 State: zip Code: 3 (7476;2- Fax: •77,q -?-1&T- �IggV5 Phone No.-?-) a- q/(o U0 to E -Mail: l�lc��E� Ci�l►2Gr— _C Address: Q! W S�S hrc o(o d 4 -h. City: F4--12[ cc, -P- State: -C- Zip Cade:: �q 9 6 �- Fax: Phone No.l - "r? -^-- E -Mail: Fill in fee simple Title Holder an next page (if different from the Owner listed above) State or County license: J 9 If value of construefion is $2540 or more, a RECORDED Notice of commencemenx is required. DESIGNER/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: Zip: Phone: OWNER/ CONTRACTOR AFFIDViT: Application is hereby madeto Obtain a permit to do thework and installation as indicated_ I certify that no work or installation has commenced prior to the issuance ofa permr-t. 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 Godes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: roam additions, accessory structures, swimming pools, fences walls, signs, screen rooms and accessory rises 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. C-galt--^2J - 13 A�2 Signature of Owner/ Lessee/Contractor as Agent far Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE QF FEGgTA COUNTY OF COUNTY OF tee The forgoing instrument was admowledged before me this a-? day of —,Sti I Ct 20 18 by Name of person malting statement Personally Known )S OR Produced Identification Type of Identification Produced (Signature of 'Notary Commission N L #GG GUM .E.... EXF' $: pd130,21)21 REVIEWS I FRONT ZONING COUNTER REVIEW DATE COMPLETED Rev. 8/2/17 The forgoing instrument was acknowledged before me this] day of --S7,k4 20 -IR by Name of person making statement Personally Known. _ZOR Produced Identification Type of Identification Produced j (Signature of Notary Publr OONlAM. FIILt Commission N - myCIf31+f#0G09B038 Apdi 30, 2021 bonded ligrrr NatBry Prtb�ic ilruiarvmtars SUPERVISOR REVIEW v REVIEW SEA TURTLE REVIEW I REVIEW MANGROVE Certificate of Product Ratinas AHRI Certified Reference Number: 8439411 Date: 07-27-2018 Model Status: Active AHRI Type: RCU-A-CB Series: LX SERIES Outdoor Unit Brand Name: JOHNSON CONTROLS Outdoor Unit Model Number (Condenser or Single Package) : YCE48B21 Indoor Unit Model Number (Evaporator and/or Air Handier) : AP48CX21+TXV 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, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, VVV, Wl, 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 JOHNSON CONTROLS 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 : 48000 SEER: 14.00 EER (A2) -Single or High Stage (95F) :11.75 1"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. Ratinas That are accompanied by WAS indicate an involuntary re -rate The new published rating is shown aiona with the previous fie WAS) ratina 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.ahridlrectory.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, AM 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 lite better" 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.: 131771932211312496