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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: �w • 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 P1=RMITTYPE:. Ckctx)p�t oc+ wi PROPOSED IMPROVEMENT LOCATION: Address: .1 r� Property Tax ID #:3q Lq _15D I - ()GY Lot No. it `C Site Plan Name: Block No. Project Name: tYY lha � � CONSTRUCTION INFORMATION: I Additional work to be performed under this permit -check all that apply: Mechanical _ Gas Tank —Gas Piping Shutters _ Windows/Doors Efectri`c _ Plumbing Sprinklers Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name 1 .." 0k, Name:-, (106i &( ert_ C.Z.0 Company: Pte' Address:, j— ,'n QA J City: l_ - ,�t,t(,t2 _ State: �FC Zip Code: C Fax:` /� Phone No. R �. -q6 41 Address: r t City: State: ;`L- Zip Code:.; a6 1.1 —Fax: _ Kf J P Phone No '-n;)-- (A'J5-(4U!Q 1 E-Mailav '3 ` f 'rv1C' E -Mail- A146 Fill in fee simple Title Holder on next page (if different from the Owner listed above] } State or County License 7 52 r it value or construction is $ZSpp or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: _ Nat Applicable Name: Address: City: State: Zip: Phone Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: City: 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Rev. 2/7/19 )c "lure ?ftwntracto-r/License Holder Sig ur�cf Owner"/ Lessee/Contractor as Agent for Owner STATE OF FLORID COUNTY OF �i�._Ft'`l STATE OF FLORI�A COUNTY OF r - this day of �% 120 Lt"i[ bythis The forgoing instrument was acknowledged befnLn The forgoing instrum t was acknowledged, before me day of 20 i C'I by T Name of personi''making statement. Name of person making statement. ; Personally Known �' OR Produced identifiPersonally � Known OR Produced Identifica oraType of IdentificationType of identificationProduced Produced m aI r r lr Wto 4 c P (%nature of Notary PubCc- State of Florida (signature offNotary blit- State of Florida A E T Commission No. a C� gqq� o (Seal) Commission NoA�-N Jct (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. *..TIMM, 411LO AHRI Certified Reference Number : 8884337 Date : 05-02-2019 Model Status : Active AHRI Type: RCU-A-CB Series. LX SERIES Outdoor Unit Brand Name: LUXAIRE Outdoor Unit Model Number (Condenser or Single Package) : TC7B4821 Indoor Unit Model Number (Evaporator and/or Air Handier): AE48CX21+TXV Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, Mi, MIN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Rl, 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 LUXAIRE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSIIAHRI 2101240 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 : 45500 SEER: 16.25 EER (A2) - Single or High Stage (95F) : 13.25 t Active"' Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; DR 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 Eublished rating is shown alona with the previous fi.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.ahridireetory.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 we make life borer" 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 02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132012951117A07726 This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. AHRI Certified Reference Number: 9853850 Date : 05-03-2019 Model Status: Active AHRI Type: RCU-A-CB Series: LX SERIES Outdoor Unit Brand Name : LUXAIRE Outdoor Unit Model Number (Condenser or Single Package) : TC7131821 Indoor Unit Model Number (Evaporator and/or Air Handler) : AP18BBA21 Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, [A, IN, KS, KY, LA, MA, MD, ME, Ml, 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 LUXAIRE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 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 : 18000 SEER: 16.25 EER (A2) - Single or High Stage (95F) : 13.25 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" Modei Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinas that are acoomoanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous fi.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 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 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- f Q2019Air-Conditioning, Keating, and Refrigeration Institute ; CERTIFICATE NO.: 132013589560374317