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HomeMy WebLinkAboutBuilding Permit ApplicationAll 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 r/ PERMITTYPE: PROPOSED IMPROVEMENT LOCATION:, Address: I -S \NC( Property Tax IDc#: 3-2Q] 10c Lot No. S� Site Plan Name: l OA 001-0I ✓i(f Block No. Project Name: .rQ DETAILED DESCRIPTION OF WORK: 7; L l r_ 1 r% ��►� £'G L X uj I CONSTRUCTION INFORMATION; Additional work to be performed under this permit —check all that apply: _XMechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ (0(—) 53 Utilities: _ Sewer _ Septic Windows/Doors Roof Pitch Building Height: OWNERAESSEE: CONTRA TOf x Name '671 vie Name: JOSE RAMIREZ Company: EAST COAST MECHANICAL 1500 N HIGH RIDGE RD Address: UV) City: P2 f--:J f ALA. State: -;a—,Address: Zip Code: 3't� Fax: Phone No. �a ��� City: BOYNTON BEACH State: FL Zip Code: 33426 Fax: 561-493-2701 Phone No 561-586-3739 EXT 2020 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail PERMITS@ECMSERVICE.COM State or County License CAC036812 If value of construction is $2500 or more, a RECORDED Notice of i-ommencemeni 1s regwreu. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN t0.UN IN*t�} DESIGNER/ENGINEER: _ Not Applicable Name: 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: 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." ( Signat re IfOwner essee/Con ct s Agent for Owner STATE 0 FLORIDA COUNTY OF PALM BEACH The forgoing instrume t was acknowledged before me this 110 day of 20JC1 by JOSE RAMIREZ Name of person making statement. Personally Known X OR Produced Identification Type of Identification GILLIAN C�V Produced NOTARY PUBLIC STATE OF FLORIDP Cow FF972357 1 ires 4R/2020 (Sig ture of Notary Public- State of Florida ) Commission No. (Seal) Signat re Contra for/Lice a Ho er STATE OF FLORIDA COUNTY OF PALM BEACH The forgoing instrument was acknowledged before me this I day of ,JU V1e. 20_C* by JOSE RAMIREZ Name of person making statement. Personally Known X OR Produced Identification Type of Identification GILLIAN CFI UCK Produced NOTARY PUBLIC WEI STATE OF FLORIDA �rptFF972357 fires 4171202n (SigNture of Notary Public- State of Florida ) Commission No. (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 Certificate of Product Ratings AHRI Certified Reference Number: 202607279 Date: 06-12-2019 Model Status : Active AHRI Type: HRCU-A-CB Series: Merit ML14XP1 Series Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : ML14XP1-048-230A" Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA27UHE-048-230'+TDR The manufacturer of this LENNOX 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 : 48000 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 Heating Capacity (H12) - Single or High Stage (47F) : 47000 HSPF (Region IV) : 9.00 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. Ratinos that are accompanied by WAS indicate an involuntary re -rate The new aublished rating is shown along with the previous (i.e. WAS) ratino. 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.ahfidirectory.org. TERMS AND CONDITIONS 61101 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;Arms 11111M entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link ve make ble 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. 132048274811813612 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: