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HomeMy WebLinkAboutBuilding PermitAll APPLICABr IN7 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I C_ 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 TYPE: +\/,AL PRC}POSED IMPROVEMENT LOCATION: Address: ! -4-- f �, r Property Tax ID #: 4- t% O `J%� j ' -- Lot No. %--_ Site Plan Name: ! '� S _._.T ___._ Block No. 1_ Project Name: /I 11�-S E -= --C R -- ALLED DESCRIPTION OF WORK j CONSTRUCTION INFORMATION: � -- - --- --- --_--_ Additional work to be performed under this permit - check all that apply: J�Mechanical _ Gas Tank Gas Piping _ Shutters _ Windows/Doors ( _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: _ Cost of Construction: $ OWNERAESSEE: Name Address:l -1 f )-( 0 Xh.c. I^ -- — City:F+ p i YL _ stat Zip Code:I Fax: Phone No -Y7`1- 3� % E -Mail: v� Sq. Ft. of First Floor: Utilities: —Sewer __Septic Building Height: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: —Name: i <- ^�fi� - \\%t P4) Company: tkk -L.-� A C� Address: 11:76 1-�, City: 7 Stater Zip Code: - If Fax: _ Phone No 17, a- E -Mail An 4. (C' LJ A �t � �•A- � �, State or County License_,: U If value of construction is $2500 or more, a RECORDED Notice of Commencement is r-quired. If value of HVAC is $7,500 or more, a RECORDED r• otice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY. _ Not Applicable Name: Name: Address: Address: City: tate: City: Zip: Phone —State: Zip: "Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: _ Address: Name: 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 thepermit 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 LENDS OR AN ATTORNEY BEFORE RECORDIN_G_YLLUR NOTICE OF fOMMENCEMENT." Signatu of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA n N STATE OF FLORIDA I1,1 COUNTY OF , "t tl-y 1 COUNTY OF ! t The forgoing instru%ent as acknowled d befri: e ane The forgoing instrum t w s acknowledged before me this 1 day ofN 201 by this —(— day of 20� by Name of person making s atement. �s •, Name of person making statement. L - Personally Known OR Produced Identif _ Personally Known U/ OR Produced Identificati n'� z Type of Identification Type of Identification Q os Produc d 4 f 0 Z Produced �v (Si ature of Notary Pub c State of Florida) c $I (Sig ature of Notary Public- tate of Florida) /'�' � (� wQ /'/� Commission Nol�;` �� D� (Seal) SL Commission N6C/-- v Q t (Seal) m n REVIEWS FRONT ZONING PLANS VEGETATICN SEA TURTLE MANGROVE REVIE� REVIEW REVIEW REVIEW COUNTER REVIEW REVIEW REVIEWA/ —I - --- --- — - — — DATE i RECEIVED DATE � — ---- ---- — -- COMPLETED tev.2/7Tg — -- — - ANHILICERTIFIED0 Akt www.ahridirectory.org Certificate of Product Ratinqs AHRI Certified Reference Number: 10143332 Date: 10-28-2019 Model Status : Active AHRI Type: HRCU-A-CB Series: 14 SEER R SERIES R410A HP Outdoor Unit Brand Name: ARCOAIRE Outdoor Unit'Model Number (Condenser or Single Package) : R4H442(A,G)KC* Indoor Unit Model Number (Evaporator and/or Air Handler) : FXM4X42**AL The manufacturer of this ARCOAIRE 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 AHF.; --sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 40000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 Heating Capacity (H12) - Single or High Stage (47F) : 41000 HSPF (Region IV) : 8.20 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 Certit., atlon Program Participant is no longer producing BUT is still sellina or offering for sale. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate o,nr; makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disciai,ns ail 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. Cortifie:9 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 Certificata may not, in whole or in part, be reproduced: copied: disseminated; vim entered into a computer database; or otherwise utilized, in any norm or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONOITiONING, HEATING, CERTIFICATE VERIFICATION & REFRIGI:RA'TION INSTITUTE The information for the model cited on this certificate can br, terJ:ed at www.shridirectory.org, click on "Verify Certificate" link we make life netter'" and enter the AHRI Certified Reference Number and the ddtd nr� which the certificate was issued. ................... - which is listed above. and the Certificate No., which is listed -,t. bottom right. ©2019Air-Condition Ing, Heating, and Refrigeration Institute CERTIFICATE NO.: 132167434897391843