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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: - j 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 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED.IMPROVEMENT LOCATION: Address: S I 2�..._. Legal Description: r- � Property Tax ID #: / - c - p7 . ' R_g ~ Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION.: Additiona wor to je�e orme under this permit - c ec all apply: HVAC lr�J Gas Tank Gas Piping _ Shutters Win i� 8 � doves/Doors Electric Plumbing Sprinklers E Generator Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ ,2 —� 0 S . Ft, of First Floor: _ Utilities:ll Sewer O Septic Building Height: OWNER/LESSEE:. CONTRACTOR. . Name .- Name:v7 Address: jr-1:2 L L s­nea42 . C--f Company: 6� L-. C. City: =-�' r`crC-e ^TState: i�L Address: Zip Code: - Lu - I T� Fax: City C_ State:JL- Phone No.:2 Zip Code 'Lt . _Y-3_ Fax: E-Mail: Phone No. t, Fill in fee simple Title Holder on next page ( if different E-Mail: a U:...r` from the Owner listed above) State or County License: C-A C,_ ( �F-j.�/� IT Value of construction is $2500 or more, a RECORDED Notice of Commencement is required. vrvlrenl Lvim i R/N4I UK AFFIUVII I: 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing —work or recording vni,r Nntirp of rnmmonra+mnnt igna re of Owner/ Lessee/Contractor as Agent for Owner ignature of Contractor/License Holder STATE OF FLORIDA L- STATE OF FLORIDA COUNTY OF 14~ 571 COUNTY OF "' l -C_ The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 7 day of t�i"� ZpJ by this . f I day of Q 20_L� by Name of persoryma king statement Fume of person making statement Personally Known OR Produced Identifica Type of IdentificatioW �.'o *'Y6" t= Personally Known _ OR Produced Identificati =� ' _s? Type of identification,,, Produced - �_ =�* ,�; Produced 4 �n (Signatu of ry Public- of F rida ] 2 3 a r- (Signatur of Notaryc- 5 e of Florida) O u �. Commission No. 6G ioi (Seal) N o. E Commission No/,L l (Seal) o �mL7 N M G) C)a D X t'x' w-;Z a*rwo0 wA -, Z wom '° -4 REVIEWS FRONT ZONING S JE4k0R PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED tev_8/2/17 Certificate of Product Ratings AHRI Certified Reference Number: 201278739 Date: 10-11-2019 Model Status: Active Old AHRI Reference Number: 7940891 AHRI Type: RCU-A-CB Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1624AJ1 Indoor Unit Model Number (Evaporator andlor Air Handler) : RH1 T24417STAN Region ; All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, 1, 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 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 RHEEM product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSIIAHRI 210I240 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: Coaling Capacity (A2) - Single or High Stage (95F), btuh : 24000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 fi"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 s that are accom nied by WAS indicate an Involuntary re -rate. The new published rating is shown alan vrith theprevious 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, Al W! 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.abridirer-tory.org, click on "Verify Certificate" link wv make life better"' and enter the AHRI Certified Reference lumber and the date on which the certificate was issued, which is listed above, and the Certificate No., which is fisted at bottom right. - -- ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132152925045626450