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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q O q. Date: �- rLIs`t Permit NumbU.- "/ mm'OW4 MM - - -=, ' R'LU: VED . m SEP 2 5 2019 -- - -- - - Building Permit Application Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: A C CA•0'1�4 oa* 1`VUL fW ` PROPOSED IMPROVEMENT LOCATIOW Address: y.wq� Pr_\h_NW_1q 0 d Property Tax ID#: 13®I Lo\q "C r)Q - oo-n Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION:- Additional 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:$ `���J Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: Z CONTRACTOR: .r_ Name Name: :TCCSC&h- S�'c,� Address: kA 2. 1p czarnIRaoU (I-OL Company: V-e� N\C t City: f, Q%e—T4o State: Address: k':4,.Q CXC e o AQ4 Zip Code: Fax: City: R\Q (t_Q State: Phone No. Zip Code: ` ,Q\R 8'a Fax:270a-WA- E-Mail: I� E-Mail: Phone No 'a-7--2,- L114,\' Fill in fee simple Title Holder on next page(if different E-Mail 1 CI► Cr `\'e- C&W-, from the Owner listed above) State or County License_',px-\at Lag z!] 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. SUPPLEMENTAL CONSTRUCTION LIEN,LAW INFORMATION: 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 F R IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF NTEND TO OBTAIN FINANCING, CONSULT WIT BYO R LENDER OR AN ATTORNEY BEFORE RECORDING YOY NO ICE OF COMMENCEMENT." (1104-A Signa re o Owner/Lessee/ nt for Owner Signatur Contractor/License Holder S /f►TE OF FLORIDA Q STAT OF FLO LINTY OF COU TY OF The fpmoing instrufnent was acknowledge before me The forgwng instru Qnt was acknowledged before me thday of 20 j by thisday of 20 by o bus Name of person making statement. Name of person making statement. Personally Known—,--,", nown� OR Produced Identification Personally Known / OR Produced Identification Type of Identification Type of Identification Produced Produced 12r- (Signature 9f otary Public-State of F rida) (Signature of N ry Public-State of Florid ) Commission N "id •, UDREYB.ggNIggREY Commission :O{ VP?� AUDREYB.HU �( MY COMMISSION#GG 300817 =: ISSION#� G 300817 ,. S:March 6,2023 `-: o4j EXPIRES:March 6,2023 yr•....•Q� F�dr°' Bond Thru Notary Public Und nttitorsIR FOF F�° Bond(d Thru Notary Public ndernrilers REVIEWS — ISOR PLANS V ROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. r This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate ®f Product Ratings AHRI Certified Reference Number:10259480 Date:08-15-2019 Model Status:Active AHRI Type:RCU-A-CB Series:MERIT 14ACX SERIES Outdoor Unit Brand Name:LENNOX Outdoor Unit Model Number (Condenser or Single Package):14ACXS036-230A** Indoor Unit Model Number(Evaporator and/or Air Handler):CBA27UHE-036-230*+TDR 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,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. 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(9517),btuh:34600 SEER:16.00 EER(A2)-Single or High Stage(95F) :13.00 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. Ratin is 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 far, 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; AM 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. ©2019Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 132103551959409949