HomeMy WebLinkAboutBuilding Permit Application To: Permit Division St Lucie County Building Page 2 of 4 2018-08-13 15:10:54(GMT) 17722063146 From: Holly Kulinski
Au APP41GAe..E INFO MUST BE COiti1PLETEU FOR APPLICATION TO BE ACCEPTED
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Fermit:Nu t L
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Date.
0luild ng
Permit Apiji. ati n AUG 13 2018
p1griningancl-Development5ervfces Pei l'11IttIng Department
Suil4ing and:Gode.Re.g.ulution Division a County, FL
2300 irginiaAuerzue;FprtPrerce.Ft 34982 Commercial R is f
Phone:(772)462-1553 Fax.(772)462-1578
PERMIT APPLICATION FOR.: Mechanical
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Legal Description: I. �
�.� Lot N.a•� .
Property Tax:0#: — .29 s } D 1:.3 `�
Site.Plan Name: Biock'No..
Project Namez
Setbacks Front Back: Right.Side: Left Side::
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Ct7NSTl�IlC�`I�� lllil=�'ftJ1�lA`ft�N,�
Aitiona.l Work to.. a er orme, un ert is permit c ec a appy:
tAC LJ Gas,Tank Gas Piping: _Shutters. a Windows/Doors
F,I'ectric a.PlumbingSprinklers, Oh enerator .a Roof F--1 :Roof pitch.
Total Sq.Ft of Gonstructio.n: Sq.Ft.of First.Floor:
Cost of Construction;.$�. : .( c> T Utilities:0Sewer aseptic Building Height:
���I� �ESSaT�• CC�NT'RA T� ,{.. -
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Name a Name, ! `c, Y,,i 0-. 1 -CIYIN
Address:. Company: 9. .
.ay: ,t4 a�_ 5tateY`i _ Address 1, S?feiy"—L—
Zip Code �6 �� Fax- Gty - �:�.,kX, Slates
Phone No. �- � " 32 A Zip Code. Fax:L�rl
E-Mail:
Phone No:""'t. n c f
�. Fill in fee simple Title Holder on next page(1f•different f-Mala
from-the. tilted above) State or ty.LicenSe 1�
11 value of construction is$2500 or more,a'RECORDED Notice.of Commencement is required.
To: Permit Division St Lucie County Building Page 3 of 4 2018-08-13 15:10:54GM
� T) 17722063146 From: Holly Kulinski
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k.�E�iC#tiERIEN61NEER� � x.:Nat AppiicableMORTGAGE COMPANY: Not Applicable
Address-.__ Address:
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FEE SIMPLE E T1 f$E.l9C E E3E�: pt:Applicable 13ONDI>MP CO1 PANYe �v, .loot 401,icabte
Name;-—. Name
Address: �� . ___ _ Address _
Zip Phone.,_______— Zip: Phone. _
C3 1€4$ER;prONTRACTOR AFF16VIT'i App licatlim is.herebV maderiO obtain a t ermlt to do:thework and in.Siaflation as indicated.
i certifythat no:work or irlsralfation hiss conirnencjgd prior to the Isskrareee:a€:rl.:pern.it.
St.:Lucie Count,. mattes no representation that Is•granting a permit will autharizethe ermit.holder to btjiid.the.subject structure:
which is to con ict w ith any,applicable Home Owners Association rules,bylows-or aria:covenants that rlidy restrict or prohibit.sut;Ys
strkttt#tre.:i�iease ernsisit vtrfh your Home.Owners fi�sst�cratlon;;rnd review ycsur..deed for any reslri?dons vrhich may arspfy
In cons'ideratign,of the granting o€this requested permit;f do hereby agr that i will,.in all respects,perform the work
in accordancewith.the:approvecf.plans,the Florida Building:Codes and St,Lucie County.Amendments.
The following building permit appilcattions are exempt from undergoing a full concurrency review:room additions,
acce.siary structures,swfimrriirig pools,,fences,walls,.signs,screen roorns and accessory uses to another njon-yesi, entj I use
WARNING liNG i O OWNER:`dour failaure to record a Ali voo of tolls tepeement may r0sult in your paying twice for
improvements to your property.A Notice of Crrrrmrrrlencerment must:be:recorded,and posted:ori the jobsite.
,before the far t it}speiwtlari..lf you irrterrd io Obtailr fie arlc ng,.+ of SulC Fth lender:.or ar attorney be pre
Commendna work or reci'ardin your Notice of Comrnencement,
I
Signature o caner/Le sWIContractor as Agent for Owner Signatrire o€Contractor/License:Holds
STATE FPLO121t1 SiA"�E`4�F FLORIDA,
C 81I.I f4( P C6�9�NTY�31"� _�' �__�..1Q .
The forgoing Instr,Rrner t was-acknowledged ledged before me The fs going Instrument was,a cknowiedged,before me AA
ills:day o,. +3 �4 L{1��j .uY this _ day;9� cal 2(
T �-�•--'�--`---•"- 0-.,tea„- 1�, .`�.,-�..�-L,...�..,.,__..._:.�....,_..� � -_,1.,...4 -�@'4(��c`"� � )i �� # 3t�'t:�•,,,d..:.. �� ,
'• flame of#� rs ro.mafcur staten�eilt Mame o€psis sr�al ii�g statement . .
�;.A rsonally Koown ._C)ti Produced itienti�fcatibn t?erKotlaily Known 41i Produced icieniifi�atfo.n.—
pe Q€lrl tfication iype.of'Idertitl' a#lon '
duced Producer)
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nature:of N ty,Publ c>Stott of Florida} : {S'inn.attire. €Nota ,f?ublic:State s?f 1 lti>lda} W
missi4n'€vs, (seal} I Commission U0, :_, ` � ti {Seal}
REVIEWS FRONT T ZC'NfNG SUPERVISOR PLANS ` VEGETATION � SEATURTLE MANGROVE
OUNTEIt REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
To: Permit Division St Lucie County Building Page 4 of 4 2018-08-13 15:10:54(GMT) 17722063146 From: Holly Kulinski
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AHRI.Certified Reference Number;201295245 Oate.:6f3-93-2018 Model Status:Active.
t 4. OId.AHRI Reference Nurnber;7943714
AHRI Type:.RCU-A-CB .
Outdoor Unit Brand Name!RHEEM. '
`. 4lr#door.Unit Madel'Number (Condenseror Single Paokage.)'.RA1660AJ.1.
Indoor Unit Model Number.(Evaporator and/or-Air H.andfer)::RFI t T6024STAN
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Region Note! Centrai airconddioners'manufactured prior to January.1,2015 are eligible to be installed in all,region's f'
untfi.June 30,201.6.1eginning July 1,201.5 Gentrai air-conditionerscan.only be installed in'region(s):for
which they rneet.tiie regional efficiency regulrement;
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Alr Cotldlhcntng'&1#ir:Sotirce ileal Fgmp Equfpmen#and subject ko tdttng accuracy by AhRI stlansored independent,third pally tt troy
Cooling Capacity(A2);-,Single or High Stage(3IF),.btuf?'Sa000 t
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' "Active"'Model Status,are those-thatari AHRI'Csrtifcation'Proraoi'Parti6pant IS currenti producing AND'scilin or offerin for sale;012newmodets that are being,
madceted'b{dargno ettsein 9 yp 9 g g I
y, 0 proCuoed.Production Stopped"Modal Status ace those that ar[.AHRI.Certification:firogram Participant is no longerproduc;ng'f3UT is sutl
selling or'offering forsale.
Rafings that are c 2m qnin.dQy.WA ndicMa an(nv uhta re-rate. iha new ipblishad rating Irn hoaw ,aloft with[he b v ous ':e,.WAS ratio
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pISCLAlMER
AHRI does not endorse the product(.%)listed on this Certificate and makes no.representations,warranties or guarantees as to,and assumcs'no.responsibility for,
the product(%)listed owthis Certificate.AHRi''expressly disctaimsail liability for'd6hiages of,®uy.kfnd arising out of the use or pertormance.of Rhe product(sj,oribe
unauthorized alterailon of'dtlta listed On this Certificate.Certtfied'ratings are valid.only for models:and configurations listed in the
directory at'su%t�ti nr+ri<ffTti c++[,{Nrg-
TERMS AND CONDITIONS
y This Certificate and its.contents areproprietsary products.of AHRI.This Cet(ificate.shelf onlybe used.for.tgdivldual.necsonal,and �
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personal and contidentlalreference. ;.,itt•Ci7FftFdTiva d,;f[UTINr,. g
CERTIFICATE VERIFICATION. a rr art,urrt;iien e is <ttL' '
y t The information for the.model.cited on this ceWficale.can be yeritiec"at:sJ [v'sshrt�E etory,:Urp;click on Vas Sty r nrtrttcnto Imi[ `•
and enterthe AHRI Certified Reference Numl[er.andahe drite nn which She crrdrycare Was Issued, _
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which is.11sted above,and the:Ceri38cato No„whlah is listed at bo[tom right. "-
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201:$Air-Condltfonjng,Heating,and RefrigeratTon'iltstitute ERS IFICAT E.NO