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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: - � r s SC i��� 1 _ Building Permit Application ���9oP 11P d P ,O Planning and Development Services co ,,� Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PROP©SEM IMPFtINA EMHN L©99CATlO Address: Property Tax ID#: 7?0.1 - 01 ^Ooo b Lot No. Site Plan Name: Block No. Project Name: METAL+I_EM DEhSC*RbPM O - IM. C1,117c= t V tcj C CONSTRUCTION INFOR3 ATIO'N: Additional work to be performed under this permit-check all that apply: 044echanical _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:$ Utilities: —Sewer —Septic Building Height: OWNEFtf LES�SE CONTRACTOR: Name # aq- �� LN Name: Quilac.tr�/ Address: V( �f Company: !T City: ,���.. Stater- Address: S" Zip Code:3 SF45 a.. Fax::,. City: 4L State:�L Phone,No. .�70 Zip Code: - c��j � Fax: E-Mail:-. Phone No '�Fy Fill in fee simple Title Holder on next page( if different E-Mail - ��r1"� from the Owner listed above) State or County.LicenseC�J�/ /� 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. IIs-UPPLEMENTA C*ONSTR CTI N LIE LAW INF4RMATIO : 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 AFFIDAVIT: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." gnatur of ner Lessee/Contractor as Agent for Owner ignature of Contractor/License Holder STATE OF FLORIDA ��v�gFLORIDA COUNTY OF J l COUNTY OF The forgoing instrument w s acknowledged before me The forgoing instrument was acknowledgedfore me this day of 20� y this day of 1() C, ,20 by r>-)N ol cZL4 1`4e�� `�s�.Q� 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 EL D Produced (Signature of Not -rNtnt.o to ids ) (Signature of Nota --State of Florida) o�p`nr'6�e�Eta ELLEN VA GHN ;.o;PaYPBB,, ELLENCommission No. _s of Flor(��l�tar Public Commission No. ,sHNY of Flori of ry Publicmission #GG 270079 , Commission#GG 270079 'o;�0Fi4oeCommission Expires %�„ oPA.' M Co IK OctobOr 22, 022 REVIEWS FRONT ZONING 77MVISOR PLANS VEGETATION VE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW' REVIEW DATE RECEIVED DATE COMPLETED lev. 2/7/19 I �uaW�pdao 6u! .i�P 1t 6�O1 S 010 GBAS:)Wd Certifitcate f dust KAtimas 'alms i. AHRI Certified Reference Number:7492880 Date:10-08-2019 Model Status:Active. AHRI Type:SP-A Series:R41 OA AC SPP ; Outdoor Unit Brand Name:ARCOAIRE Outdoor Unit Model Number (Condenser or Single Package):PAJ436000K**OA 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 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 which they meet the regional efficiency requirement. The manufacturer of this ARCOAIRE product is responsible for the rating of-this system combination.. wrt Rated as follows'in accordance with the latest edition bf ANSI/AHRI 210X240 withAddenda 1A d 2,Performance Rating of Unitary Air-Conditioning 8 AIr-Source Heat Pump Equipment and subject to rating accuracy by AHlponsored independent third party testing. Cooling;Capacity(A2} Single or High Stage_(95F) btuh35000 _ j' + SEER:14.00 a ;. ; ti I n , EER(A2)-Single or Hlgh Stage(95F} 11.50 { �f ii; il- 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 Dublished ratina is shown along with the previous(i.es 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 arisingAout;of the use or perfoiinance'of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and'conflguratlons listed In the directory at www.ahridirectory.org. }• t,. TERMS AND CONDITIONS 111 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 fol the users 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. 132150184754552113 ©2019Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATIE NO.: i 1 i