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HomeMy WebLinkAboutimg-181112114933All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 1300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPOSED INPROVEMENT OCATI N: 01 Address: �-�/ A� rn <l %O.rtro T�L1�1�1 PropertyTaxlD#: 6�1G,.1 - -kol)n Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Lot No. Block No. I CONSTRUCTION INFORMATION: I MUU lith WUI IN w uc Per iurrneu unuus Wier uperrmt -cnecK an mai apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors Electric _ Plumbing _Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: Cost of Construction: $ 3a%3�-•� Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: I CONTRACTOR: Name Name: Address: Company: 9 City: .. [ Q + ` State: _ Zip Code: Fax: Phone No.(!3((-:?- Addre : City: Zip Code: ­tVOOC, Phone No. State:? Fax: -Q/ E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mai : Qg vr4C, czv State or County License: IT varue or construction is zsuu or more, a ittcoRDED Notice of commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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 commencln PzaGi9rkim—mrordin2 vnllr Nntirp of rnmmanramant Lessee STATE OF FLORIDSTATE OF FLORIDA, COUNTY OF + f! (�, COUNTY OF Lt,6 The f r oing instru ent was a knowledge efore me The forgoing ins meat was cknowledged before me this ayofb 1 Mn 20 by 20[6 by iS �ve S�-q Nn/i �S (name of person!�r g) (Name of person acknowledgiqg) (Signature of Notary Public- State of Florida) nature of NotaryPublic- State of Florida ) Personally Known � OR Produced Identification Personally Known '— OR Produced Identification Type of Identification Produ Type of Identification Produce Q Notary Public State W Flgiee Commission No. �� 1 g ne Cam Mary Public state f Floritla O V,ero ommission No. \7F/ I)e Caidero Y ommiasion GG aeF aExP�na677 Pie di comms an E.YPaes 01128120227777 REVIEWS FRONT ZONING SUPERVISOR PLANS [VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW VIEW REVIEW REVIEW Certificate of Product Ratings AHRI Certified Reference Number: 8714903 Date : 11-06-2018 Model Status: Active AHRI Type: RCU-A-CB Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR40241-1 Indoor Unit Brand Name : TRANE Indoor Unit Model Number (Evaporator and/or Air Handler) : TMM4AOA24S21 SA 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, 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 TRANE 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 8 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 : 23600 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.20 T"Active" Model Status are those that an AHRI Certification Program Participant Is currently producing AND selling or offering for sale; OR now 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. atinns that are accompanied by WAS indicate an involuntary re -rate The new oublished ratina is shown along with the previous (i.e. WAS) Who. 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 produchs) 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"n' This Certificate and Its contents are proprietary products of AHRI. This Certificate shell 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 a REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link make lire hettrr'• 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. -- _-- ---- - ©2018AIr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NC.: 131860183794346921