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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 00 Date: Permit Number: 'RE C E I MVINYMM a �COU L . `'D SEP .5 2019 Building Permit Applica *Lon Planning and Development.Services ermitting Department Building and Code Regulation Division St. Lucie OUnty� FL 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: �( L (�IAn e- • • -S P' , E EENT DC ip'FV; Address: 30100 'hVe R '5"11 •pierce. FL3qc? 1+ 7 Property Tax ID#: (}�,�0 -- Lot No. Site Plan Name: R r 92 J QGl �J, Block No. Project Name: YON t L S E71E �� � G��n9>z out w�+C� cv K,V4 , �ea-� , rr R TtC} R 's10Y T M . Additionalworkto be performed under this permit-check all.-that-apply- Mechanical _Gas Tank _Gas Piping Shutters _Windows/Doors Electric Plumbing _Sprinklers %' Generator _Roof Pitch Total.S.q..Ft of Construction: S,g..Ft .of First Floor: Cost of Construction:$ Utilities: —Sewer _Septic Building Height: Q N ESR E=Sti I +NTRI t . Name Helcvl Lrtt cAS Name: Ctrl *z. KywlTY A'its;f tic, Address: 3 200 AV 4- R Company: Ku tM Y u h City: �•�, �Iey&e- State:YL Address: $xpLp N,vJ, -vYOy Lt r Zip Code: 7 41 LO Fax: City: p $ .1,. State:T--L Phone No. 7A?�- Zip Code: �9 6 Fax: c� E-Mail: Phone No <`I71- SSP 7�3 Fill in fee simple Title Holder on next page(if different E-Mail ric'ty GL`1O( COCl►1T`f t!}t1'(1�,CT1MoAl 4ow ,, from the Owner listed above) State or County License C.�L t �► 7 7 3S 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. Sal ' PA @MENTAL�QNST iON L1@ LA { FINMATION: 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 YO LENDER OR AN ATTORNEY ORDING YOUR TICE OF COMMENCEMENT." Signature of Owner/Lessee/Contractor as Agent Signature of Contractor/License Holder STATE OF FLORID x o c STATE OF FLORIDA " o c COUNTY OF COUNTY OF oZNNmG The f ing instr ent w^ acknowledged-before o= The fo oing instr nt was acknowledged befor a o `v Z c z c this day of 20by f Q g this day of 20��/ by 3 Name of person maki g statement. ; Name of person making statement. N-A a a Personally own OR Produced Identificati Personally Known OR Produced Identificari'�ff°... Type of Ide ti tion � Type of Identification Produced t _J�1( Produced (Signature of Not*Public-State of Florida) (Signature of Notio Public-State of Florida) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. �y- Certificate of Product Ratings J ..................... AHRI Certified Reference Number:201184297 Date:09-05-2019 Model Status:Active c Old AHRI Reference Number:7499174 AHRI Type:RCU-A-CB Outdoor Unit Brand Name:RUUD F Outdoor Unit Model Number (Condenser or Single Package):RA1436AJ1 Indoor Unit Model Number(Evaporator and/or Air Handler):RH1P3617STAN Region: Southeast and North(AL,AR,DC,DE,FL,GA,HI,KY,LA,MD,MS,INC,OK,SC,TN,TX,VA,AK,CO,CT,ID,IL, 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 Jul 1,2016 central air conditioners can only be installed in re ions for 9� 9 Y Y 9� O t= which they meet the regional efficiency requirement. I. The manufactures 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-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:34000 SEER:14.00 EER(A2)-Single;or High Stage(95F) :11.50 �f 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 rating is shown along with the previous(i.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 ©2019Air-Conditioning,Heating,and Refrigeration Institute ,CERTIFICATE NO.: 132121612147363035