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HomeMy WebLinkAboutArvanetes PAAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Z'I Permit Number: U616. 0 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 TYPE: PROPOSED IMPROVEMENT LOCATION: Address: q100' S. ()akv 2 , (j (� �, pf//__ r r�4 Property Tax ID #: ��'0� - 6/1 ` 000,' OX Site Plan Name: 0 Project Name: DETAILED DESCRIPTION OF WORK: Lot No. Block No. tl�� Z10n CONSTRUCTION INFORMATION: I Additi at work to be performed under this permit- check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ —bg/- 27 Utilities: _Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR• Name I F Name: -� Address:__. ©C yQry stn fD Company: 0&f' T - City: Zip Code: Phone No. 7 a"" 4,W)" State: F6' Fax: Address: City: Zip Code: 30 ciFax: 772T. Phone No -F- State: '%lf E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail % .-fl'��,�r State or County License •'' •� Vw{uQ VI i fillbU ue:uun » ,?cauu or more, a rccwrcutu Notice or commencement is required. If value of HVAC is $7,504 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/EN+GINEER: Not Applicable Dame: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State:. Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: city: Zip: Phone: Zip: Phone: UWNtR/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated- [ 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 ¢VTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANA RNEY BEFORE CORDING YOUR NOTICE gf M ENCEMENT.„' Signature of Owner/ Lessee/Contractor Ag6t for Owner STATE OF FLORIDA COUNTY OF , The forgoing instrumept was acknowledged before me this day f Iff,20-Ly by ALL L'G/•r Name of person mak:70R ement. Personally Known Produced Identification Type of identification Produced Gomm' 241�� (Signature of No„ ' - l rida } Commission No (Seal) Signature of'Contractor/License HIr STATE OF FLORIDA` COUNTY OF . Z t_rr-__ The forgoing instrumei7L was acknowledged before me this __& day of2p `,1 by 817-tt.e Avlele-1 Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary Pu 1+ 4 FF9DB943 ..� pines Augusi 12, 2019 CommissionNo. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED CEOCertificate of Product Ratin S AHRI Certified Reference Number: 202305645 Date: 05-10-2019 Model SFatus :Active AHRI Type: RCU-A-CB Series : LX SERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TC4133622 Indoor Unit Model Number (Evaporator and/or Air Handler) : AP36BX21+TXV 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, INE, 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 CHAMPION HEATING AND COOLING product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition ofANSIIAHRI 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 : 35200 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.00 t"Active" ModeP 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. Patin— fh.+ I.C. vvAz rann 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 entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; personal and confidential reference. CERTIFICATE VERIFICATION AIR-CONDITION NG, HERTi G, The information for the model cited on this certificate can be verified at www.a hridirectory.org, click on "Verify Certificate" link & REFRIGERATION INSTI E and enter the AHRI Certified Reference Number and the date on which the certificate was issued, µe make lite benerw which is listed above, and the Certificate No., which is listed at bottom right. — @2019Air-Conditioning, Heating, and Refrigeration Institute j CERTIFICATE NO.: 152019645618440679