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HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1� - =P Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 6a I Legal Description: Property Tax ID#: q J-0 w z:p - Q eo,5"_ occ> v Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side:. DETAILED DESCRIPTION OF WORK: —4s. �, ,— ,' LA-0 tjtEio�na RUCTION INFORMATION: wor to e e orme un er this permit-check a app y: HVAC n Gas Tank 0Gas Piping Shutters �Windows/Doors Electric ❑ Plumbing Sprinklers OGenerator Roof Roof pitch Total Sq. Ft of Construction: 1 i0 S . Ft.of First Floor: Cost of Construction:$ e �.i Utilities: Sewer[]Septic Building Height. OWNER/LESSEE: CONTRACTOR: Name ly_/1 g- '_,"J e_ Name: a c1 Address: Company: City: State: F Lr Address: s Zip Code: 7 Fax: City; o.- State: C._ Phone No. - r k 3 Zip ode:_2 y S�'� Fax:-)-p- .x1 E-Mail: Phone No. Fill in fee simple Title Holder on next page( if different E-Mail:&cxy from the Owner listed above) State or County License: /N C- If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGN ER/EN GIN EEIR: _Not Applicable MORTGAGE COMPANY: ,Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: ` Not Applicable BONDING COMPANY: —Not Applicable Name: Name: Address_: Address: City: City: Zip: Phone: Zip: Phone: 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 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 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 commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner t1knature of contractor/License Holder STATE OF FLORIDNSTATE OF FLORIDA.— COUNTY OF S ,rr COUNTY OF S r ��yL The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this.27 day of 5!� ,20� by this 2 day of .S 20—thy Name of person making statement . Name of person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identificatio Produced ProducedZL Jk/,— {'' �. e 10 (Signature of Notary Public-State of rids)feaRlrer Tio ( ignature of Notary Public-State of i ) Her. TOO NOTARY PUBLIC tr 14pTARYPuBLIC Commission No. ylg2 ( j ATfi:OF fLOR19A Commission.No.rlr ''}ATE OF FLORIDA CM670 FF12M Canrrri#FF192MB E,xpirss 1/25/2019 Expires 112 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 i r Certificate of Product Ratings AHRI Certified Reference Number:7615276 Date:09-27-2018 Model Status:Active AHRI Type:SP-A Series:FRIGIDAIRE P7RE SERIES Outdoor Unit Brand Name:FRIGIDAIRE Outdoor Unit Model Number (Condenser or Single Package):P7RE-030K 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($)for which they meet the regional efficiency requirement. The manufacturer of this FRIGIDAIRE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSIIAHRI 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:28400 SEER: 14.00 EER(A2)-Single or High Stage(95F) :11.00 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, Ratin s that are accompanied by WAS indicate an involuntary re-rate. The new published rating is shown along with the orevious die WAS)ratings 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.ahridFrectory.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, 0%W 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.ahridlrectory.org,click on"Verify Certificate`link we make life betttr- 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 e2018Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 131825356849604050