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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO'MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�"'� Date: U r ;of� P9 Permit Number: IVA/0 V � Building Permit Application �GCP O O-e jojO Planning and Development Services G�t��OoF Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: J.VgRk&Q@.-5E5PJlJMPR ON' [TdLOCAT1,Uffl.. 11lllllllll N. Address: )1/0e S 6 Cm..-) jam`✓ 14' Eo2y Property Tax ID#: 3521,"�©(v ' 00 0 `7- ao C - Lot No. Site Plan Name: Block No. Project Name: D TAILED DESC«RbPTION O WORK: V-/.,CJ G l uwjw'� DJ� •ONSTRUCTIO'N fNFORMATICON: i Additio alworkto-'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:$ ;,t4 a O Utilities: —Sewer _Septic Building Height: OWNER/LESSEE; CONTRACTOR: Name £' g/+. ,. > Mo tip✓ . Name: Address: -700 S o CF%�,✓ ...�'`� Company: ' '�_ - P y: S� S;LC �r� CotiflF��o��nl6 '�T�A City: State:EL Address: 3/4 A)t- Zip Code: Fax: City: 1R.-04-V State!►�� Phone No. Zip Code: 33 y3 Fax: E-Mail: Phone No :z>J -TZ-9-7 Fill in fee simple Title Holder on next page(if different E-Mail C�^M�c � �MOJiL. eor- from the Owner listed above) State or County License If value of construction is$2500 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. i S A S R U ON DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: 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 YOPP LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Sign ure f Owner/Lessee/Contractor as Agent for Owner Sign u e of Contractor/License Holder STATE OF FLORIDA � STATE OF FLORA Lu ��� r\_.�?1� COUNTY OF— L A��Ono � COUNTY OF C The forgoing instpyrrient was acknowledge•�b-efore me The forgoing instrument was acknowledge before me this day of 201`i by thiday of 20by Name of person making statement. Name of person making statement. Personally KnownOR Produced Identification Personally Know OR Produced identification Type o.f cation of Identificatian—� Produc d`ts�rP�' Nipt�eyo�r rr r�iry�EFt Produce E TURNER -MY COMMISSION#GG058740 MY COMMISSION#GG058740 EXPIRES December 28,2020 '',oFn EXPIRES December 28,2020 (Signature o Notary Public- i natur a Commission No. (Sea Commission No. (Seal REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 1jLLL7j-h1 min . , Certificate of Product Ratings I AHRI Certified Reference Number:201168356 Date:08-20-2019 Model Status:Active Old AHRI Reference Number:7491225 AHRI Type:RCU A-CB Outdoor Unit Brand Name:RUUD I Outdoor Unit Model Number (Condenser or Single Package):RA1430AJ1 Indoor Unit Model Number(Evaporator and/or Air Handier):RI-111 P3017STAN 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, i IA,IN,KS,MA,ME,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. -- - ----- ---- --- --- - I The manufacturer of this RUUD 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 ounx Heat Pump Equipment and subjectto rating aaxiracy by AHRI-sponsored;irtdepbrldent third party testing I Cooling Capacity(A2) Single or High Stage(95F) btuh 28600 SEER:14.00 EER(A2)-Single or High Stage(95F) :11.50 i i i I I I 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 BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re-rate. The new published ratinq is shown along with the previous(i.e.WAS)rating. DISCLAIMER AHRI does not endorse the product(s)fisted 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 �„e 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.: 132107821380722530- i