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HomeMy WebLinkAboutBuilding Permit Application r7 9, q5 55% All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: CL • • � `�x,019 Building Permit Application- Planning pplication Planning and Development Services pecR�ttt�n9 �o�n vent ii Building and Code Regulation Division 5t k-uc%e 'I 2300 Virginia Avenue,Fort Pierce FL 34982 I Phone: (772)462-1553 Fax:(772)462-1578 Commercial--X Residential PERMITTYPE: 14v4C PROPOSED IMPROVEMENT LOCATION: Address: logoo S. a-!c',4iKJ #' D Property Tax ID#: _�t,j l - 5 l�3 -UO.�'6- QD6- - Lot No. Site Plan Name: ATLAIUT/S / (( 13y -r7f1' 9Block No. Project Name: ETAILED DESCRIPTION OF WORK: Lill, ,I CONSTRUCTION INFORMATION: Additional work to be performed under this permit-check all that apply: i _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Electric _Plumbing —Sprinklers _Generator _Roof Pitch Total Sq.Ft of Construction: ,/,5 Sq. Ft.of First Floor: Cost of Construction:$ Z800 J Utilities: _Sewer _Septic Building Height: ;OWNER/LESSEE: CONTRACTOR: Name Name: F�Te6/:�GL Address: S'• 04CAid & Company: &=� 12CG/A6Cf_ City: State:FL• Address: /OS/ NX �4JTia ej2[J?_ 2 Zip Code: `�C��$7 i Fax: City: 1,�4C114 State,� cc_ Phone No. Zip Code:gerl(?5-2_ Fax: 7 -015-So E-Mail: I Phone No 77a- Gga'S'-?Sd II Fill in fee simple Title Holder on next page(if different E-Mail CUv C Cv berLSOL)rh from the Owner listed above) State or County License Ckos-g,51 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. I ' SUPPLEMENTAL CONST RUCTION LEEN LAW INFORMATION. ar DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _XNot 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 i "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 WI OUR LENDER OR AINATTORNEY BEF E RECORDING NOTICE OF COM NCEMENT." 0001, ignature of O Lessee/Contractcdras Agent for Owner nature of Cont . ens olcl STATE OF COUNTY OF FLORIDA A_ \� C COUNTY OF STATE OF FLORIDA ,5k- LU Q AA The forgoing instrument was a knowledged before me The forgoing instrument was acknowledged before me this ) ay of (U 20 1 by this I,t4 day of ,20_1!�by Pn in ( 1� E6CName of person making statement. Name of person making statenient. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced C _ -ELLEN VAUGHN iic (signature �131i@- t �� �q Ck�P079 (Signat Commies fres ELLE 'y plc My Commission Exp N VAUGHN `�� October 22._ 2 �r°4 Ue_State of Florida-Notary p( a Commissio IVoF���• Commi b ,_ 270079 My Commission Expires ONO REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. . o Ce- rtificate of Product Ratings AHRI Certified Reference Number:201630179 Date:11-07-2019 Model Status:Active Old AHRI Reference Number:7493727 AHRI Type:HRCU-A-CB Outdoor Unit Brand Name:RHEEM �I Outdoor Unit Model Number (Condenser or Single Package):RP1436AJ1 Indoor Unit Model Number(Evaporator and/or Air Handler):RBHP-21 1 The manufacturer of this RHEEM product is responsible for the rating of this system combination. 1 Rated as follows in accordance with the latest edition of ANSIIAHRI 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(950,btuh:34800 SEER:14.00 I EER(A2)-Smgle-or'Htgh Stage(95F) 11 50 Heating Capacity(H12)-Single or High Stage.(479,;34800' . HSPF(Reglan M":'9.00 1"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 L I ing 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. Ratino,that are aacomDanied by WAS indicate an Involuntary re-rate. The new published ratino is shown along with the Drevious fi.e.WAS)ratina. 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.ahrfdirectory.org. TERMS AND CONDITIONS Amon 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 users Individual, BMW ON MY 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.ahridlrectory.org,click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, we make life better" which is listed above,and the Certificate No.,which is listed at bottom right 732175987671311395 ©2019Air-Conditioning;.Heating,and Refrigeration Institute CERTIFICATE NO.: