Loading...
HomeMy WebLinkAboutPeteGilbertPermitApp ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date-S L/I? Permit Number. e _ . Building Permit Application Planning and DevelopmentServices Building and Code Regulation Division 2300 Virginia Avenue,Fort fierce FL 34982 Phone:(772)452-1553 Fax:(772)462-IS78 Commereia! Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of fine PRPC]Si?`lMPROVEMEIVT EACATIDN _ Address: Legal Descriptioni- I.CiL War —U n,� -6&2 / /-0-A—, Property Tax lD#: 43 0 - CEO --CY2 I r QQQ Lot No. zs Site Plan Name: Block No. owl _ Project Dame: Setbacks Front Back: Right Side: Left Side: 1?ET' LEf3:Q1�5CRIPT#QN `CONSTRUCTION:l I1f F0fi1lATION., itiona wor to a orme un er this permit-check all apply-, [:JHVAC 13 Gas Tank E]Gas Piping shutters D Windows/Doors DElect:ric Q Plumbing 0Sprinklers 0 Generator hoof Roof pitch Total Sq.Ft of Construction: ' S .Ft.of First Floor: Cost of Construction:$ Lv J l#tiTrties: Sewer Q5.eptic Building Height: OWNERAk$SEE . CONTRACTOR. Name ,e •e— I Name: 5AMU91 � Address: U 64r-e.e- Company:,tcr �,.� City: r State: /C— Address: bap( S. i'�?e,-,� y --- Zip Code* Fax. A-)44 _ _ City:J� Stater Phone No. 7?a-5/%-S0670 Zip Code:_3(-/B -- _ Fax"a-yZ�6 _� E-Mail: /2//4- Phone No.-2 C/&I-lbc(.v Fill in fee simple Tate Holder on next page(W different _hv6lYl ' t _ from the Owner listed above) State or County License: if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address- Andress: City: State: City: State: Zip: Phone zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: iNot Applicable Name: Names Address: Address' City: City: Zip: Phone: Zip: Phone: OW NERD CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indieatec I certify that no work or installation has commenced prior to the Issuance afa permit: St.Lucie Coun makes no representation that is granting a permit will authorize the permit balder 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.agnee that 1 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 cone:urreney review:room additions, accessory structures,swimming pools,fences,wails,signs,screen rooms and accessory uses to another non-resldesrtial use WARNING TO OWNER:Your failure to Record a Nonce of Cornmencennient 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 financin&consult with lender or an attorney before commencing work or recording our Notice of Commencement. 7- Signature of Owner/Lessee/Contractor as Agent far-Owner Signature of Contractor/License Holder STATE OF FLORIDA STA>i'E aF lFCQ gr, COUNTY OF 1 COUNTY OF The for Ding instru errt iaw a rnowledged before me The fo oing instrument was clmowledged before me this o'tr day of ��r 20 a by this day of 20J,?E�by Name of person making statement Name of person making statement Personally known ')��OR Produced identification Personally Known- Y- Olt Produced Identification Type of Identification Type of identification Produced Producers (Signature of Notary (Signature of Notary Pubs _ s NAt11.HILL Dt7NNAM.MLL Commission iV w Ia c0ZES #GGM9038 Cflminissivn 11E _ 1ONi GGU99Q38 .n I pal 30,2021 April 30,2021 M 8oridedDpi*ENadataan B�IdsdTilra!kl- t�cUrtdary'ller REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.812117 OHM 1 www.ahridirecr Certificate of Product Ratings AHRI Certified Reference Number:8902727 Date:08-28-2018 Model Status:Active AHRI Type:RCU-A-CB Series:LX SERIES Outdoor Unit Brand Name:CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package):TC7136021 Indoor Unit Model Number(Evaporator and/or Air Handler):AVC60DX21+TXV 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 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),btuh:58000 SEER: 15.50 EER(A2)-Single or High Stage(95F) : 13.00 t"Active"Medef 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. Ratings that are aceom anied b WAS indicate an involunta re-rate. The new ublished ratin is shown alon with the previous i.e.WAS ratin . 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. 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, we make life better - and is fisted above,and the Certificate No.,which is listed at bottom right. ©2018Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 131799363452335225