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Home My WebLink About SANSONEALL 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 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 SUN Address. 'S75f� 8t r Ck C, 0 Legal Description: kt_�L!�_T a VO L(lr\ (Akj�J)C PS 6L*-, 2� W'"T 1±(q. ri AC) Property ax ID #: T------- Lot No. Site Plan Name: Project Name: 50A-T) &_,) nk-L, Setbacks Front , Back: Right Side.- Left Side: DETAILED DESCRIPTION OF WORK,, - an !')rc 0 U I' r et) oc-1 I' L/on -e�r I a rj 11 L c+ r e ixmi " 0 CONSTRUCTION INFORIVIATI, N*.', Additional work to be erforme -under this perms_'t—___cte__ ll';,hat apply: LNHVAC Gas Tank Gas Piping Sh Litters Windows/Doors 1110 Electric Plumbing Sprinklers Generator Ll Roof E: J Roof pitch Total Sq. Ft of Construction: Cost of Construction: $" 51 Scl. Ft. of First Floor: Utilities.- :]Sewer . Septic Building Height: OWNERAESSEEi: COW-RACTOR., �J Address: ba_rrc�dc)u Company: Ac Se'EV*(Ct11 City: State: Address: Zip Code: L --1 rD, Fax: city: - Pot.4 State: Phone No.- (1?'K Zip Code: 3qq�G Fax:7'?Q 3q -3!S I I E-Mail: Phone No. "-71Z— V71 A"--)w Fill in fee simple Title Holder on next page 'if different E-Mail: ('1140 from the Owner listed above) State or County License: C11-41C I %I 16 33 it value of construction is 52500 or more, a RECORDED Notice of Commencement is required. ER 'M k, 1'N` AATTION. U, ERA NG N R Not Applicable MORTGAGE COMPANY. Not Applicable Name: Name: Address:. Address® - City State.- City: St a, zip: zip: Phone: FEE SIMPLE TITLE HOLDER. Not Applicable BONDING COMPANY: N co) t pp"" hc, a W, e Name. Name: Address. Address: City: City: Zip: Phone: Zip: Rhone 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 hermit 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 4ndergoing 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 jobs to before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing wmA or recording -cur Notice of Commence rnerf. Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF for+��. The forgoina rostrum t was acknowledged before me acknowledged this day of by � J)0W'I ) LV) Name of person making statement Personally Known X OR Produced Identification Type of Identification Produced— Public- State of Florida ,Signature of eoi�r� R, M le Daniel 'ho , '. . ojon Ff 9W96 � FRID NT ZONIN OUG CNTER I' REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Signatur4/of Contractor/License Holder STATE OF FLORIDA PL COUNTY OF The forgoing instru t was acknowledged beforeme this ) S day of I wle� C I, ) - 201�i by V1 J31j) Name of person making statement Personally Known OR Produced Identification Type of Identification Produced A. " Pin, (Signature of Notary PubW-: State of Florida ) Wal SUPERVISOR I PLAN REVIEW REVIEW Qal) Michelle Daniel My Commission FF 906496 EGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW AHRI Certified Reference Number: 8630133 Date: 04-18-2019 Model Status : Active AHRI Type: RCU-A-CB Series: XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package): 4TTR6049J1 Indoor Unit Model Number (Evaporator and/or Air Handler): GAM5B0C48M41 Region All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, H1, ID, IL, ]A, 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 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 & 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 : 47000 SEER: 15.50 EER (A2) - Single or High Stage (95F) : 13.00 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 accomoanied bv WAS indicate an involuntary re rate The new published ratin gg, is sh-own0along with the Rreviou§. 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.ahrid!rectory.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; . fidiRl 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 wevw�anddlrecteryperg,,click on "Verify Certificate" link we make life better," 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. @2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132000676683744907