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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPL!CQBL E !NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Deveiopment Services Building and Code Regulation Division 2300 Virginio Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial IResidential - PERMIT APPLICATION FOR: To Select from dropbox, click here PROPOSED INPROVEMENT LOCATION: Address:Lam--rte Legal Description: '�fi-1L 1 S__ � a i C Property Tax lD #.- ?7—H y - r]>~ I 14 2cl-I C4 -..� �') Lot No. Site Plan Name: I ° Block No. Project Name: Setbacks Front_----- Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: L.L%_r YLA L --:Z (\rte eO CONSTRUCTIONINFORMATION: japply: ti nalworkto e e orme un er this permit - c ec a that � E] F]Windows/Doors HVAC Gas Tank ❑Gas Piping Shutters Electric a Plumbing ❑Sprinklers 1:1Generator Roof Total Sq. Ft of Construction: ad F!?, SFt. of First Floor: Height: Cost of Construction: S 3KI0 UtilitiesSewer Septic Building OWNERAESSEE: CONTRACTOR: Name_ � ��� �+ �-)--�- Name: CHARLES BEBOUT _ Address U Company: AMBER REFRIGERATION City: L_ fir'_%c- State: FL Address: 504 SYVLAKE MANATEE WAY Zip Coder 4Cd Fax: City: PORT ST LUCIE State: FL Phone No. E' — � 1 Zip Code 34986 Fax: -.- E -Mail: ___ Phone No. 772-528-5986 E -Mail• amberrefrigeration@yahoo.com __ Fill in fee simple Title Holder on next page ( if different i State or County License: CACI 814270 I from the Owner listed above) If value of construction is $2500 or more, a RECQRDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: r DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: J Address; City: State: City: State: Zip: Phone: Zip. Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable I Name:---- Name: i II Address: Address: City: City: Zip: Phone: Zip: Phone: I - -y 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 thepermit 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, 1 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 struc-ures, swimrning 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 commencing work or recordirll your Notice of Commencement. AS,nature gnature o Owner/ Agent/ Lessee o ontractor/License Holder I STATE OF FLORIDA STATE OF FLORIDi ' COUNTY OF((,[�� COUNTY OF (C� The fo o�,g instrument was acknowledged before me i A'dgy The forgojng instrument was acknowledged before me 1Gff►rjay 20�by this of � lC'Ylt /L�20M by! this of , ame of person acknowledging) (Name of person acknowles ging) • �� (Signature of Notary public- State of Fla da) (Signature of Notary Public State of F onda) Personally Known OR Produced identification Perso is y wn OR Produced Identification r H n K o Type of Identification Produced Type of Identifi io Pr d e Commission NCommission No .w' p 6'': DEBq%ftnUSSELL Florida tPa oA ., DE80R15SELL 5r°• • ": Notary Public State of Fwrida Notary Public - State of = - Commission # ff 179630 • = Commission F, Nov 30, 2018 � „� F� �,. My Comm. Expires Nov 30, 2018 Revised 07 Si o? My Comm. Expires REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE — — RECEIVED i i ELATE COMPLETED At LAO CERTIFIEDO Certificate of Product Ratin s AHRI Certified Reference Number: 201481979 Date: 09-19-2018 Model Status: Active Old AHRI Reference Number. 9657657 AHRI Type: SP -A Series: PRECEDENT Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : TSC048G3'(B,E,G)A 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 AMERICAN STANDARD 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 : 48000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.00 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."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 accompanied by WAS indicate an involuntary re -rate. The new published rating 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, 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 "IMF, 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.ahridl►ectory.ore, dick on 'Verify Certificate" link UC make lifc better" and enter the AHRI Certified Reference Number end the date on which the certificate was K ued. which is listed above, and the Certificate No.: which is listed at bottom right. -- ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131818463100859765