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HomeMy WebLinkAboutBuilding Permit Applicaiton i All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit'�Q'�� Permit Number: _ RECEDED � - Building Permit Application °��e��y°n` Planning and Development Services 5t. Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 / Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential I PERMIT TYPE: 4r,2 C'6,J4o/ :�d,✓r�G PROPOSED 1MPROUEMENT LOCATION f Address: �,tidS �J�a/ACUS �0 Property Tax ID#: J 1 ' (�5 �' ��( /j Lot No. Site Plan Name: Block No. I i Project Name: vn DETAILED DfySCRfPT10N0E C L C S fo,✓ Sys r! .)96r--)T A6 .� &r6- /C7n 6Gloe36H3� i CONSTRUCTION iNF`ORMATION Additional work to be performed under this permit-check all that apply: �/lechanical _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:$ L/./OD.,00 Utilities: —Sewer _Septic Building Height: I OWN,ERjLESSEE 1� � f10"NCONTRACTOR is �s. Name JC)HI-i Name: /`/�`�,Gy NGni`:AlG Address: �6�.5- /�/��.SCrils Q/J Company:�i4l Y 116) /ir/G/AAW /-I,, City: 1:,-7. 19'�&C State-/-'L, Address: 7 /4 Zip Code: 3 y 9S1 Fax: City: smd-s%Z f4 / State: Phone No. 3I�S �7�'/�/-�s7 Zip Code: 9S� Fax: ��,�-�,�•�'���JI E-Mail: Phone No 7-2,2 - 7/- Fill in fee simple Title Holder on next page(if different E-Mail eyz ,a (fD/n from the Owner listed above) State or County License If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. j If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. i i I i 5 up, PLEMENTALCOiV5TRUCTIQN LIEN#LAININFaRiVIATION .., DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: I Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: p 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 LAYING 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 FINAPICING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ' I � 4 i Signature of Owner/Les /Contractor as Agent for Owner Signature of Contractor/ ' nse Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF �� COUNTY OF_ �(r�ra Zi✓�✓C- The forgoing instrument was acknowledged Pefore me The forgoing instrument was acknowledged before me this 9-0 day of jy,.L_ 20 by this 20 day of `7o 201^ by hA C,... /� u BKo CO- d�e clu t A 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 Identification Produced (_ n Produced (Signature of Notary Public tate of Florida) (Signature of,Notary Pttate of MIMA L CLOS :��: Commission No. Commission No. MY COMM)�4S N 0 GG070545 4F•py pVeO� ELLE U G H N �a EXPIRESI a 07,2021 ?a° <f'_State of Florida-Notary Public �, i9FOP°. � ' y Commissio __E�"x'eIres REVIEWS F � ZORId�r22 Zp12ERVIS R PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED i ev.2/7/19 � I � I i - This combination qualifies for a Federal Energy Efficiency tax Credit when 2' placed in service between Feb 17,2009 and Dec 31, 2016. CERTIFIED I Certificate of Plam%o%duct Ratings AHRI Certified Reference Number:7567544 Date:06-07-2019 Model Status:Active i i AHRI Type:RCU-A-CB i Series:XR14 Outdoor Unit Brand Name:TRANE Outdoor Unit Model Number (Condenser or Single Package):4TTR4031 L1 Indoor Unit Model Number(Evaporator and/or Air Handler):TEM6AOC36H31+TDR 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 I 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 withthe latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2,Performance Rating of Unitary' i Air-Conditioning,&Air-Source Heat Pump-Equipment and subject to rating accuracy by"AHRI-sponsored,independent,third-party testing: G Cooling Capacity(A2)=,Single or High Stage(9517),btuh:29400 I SEER:16.00 j EER(A2)-Single or High Stage(95F) :13.00 I 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 BUTIis still selling or offering for sale. Ratings that are accomaanied by WAS indicate an involuntary re-rate. The new published ratino is shown along with the Drevious(i.e.WAS)rating. s® DISCLAIMER A 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 Nve 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.: 1320438!37483618365