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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I 1 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division / 2300 Virginia Avenue, Fort Pierce Ft 34982 Residential Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Address: Legal De! Property Tax ID #: -�) c'( 2-5 !U ! . U I I U — Uc Site Plan Name: Project Name: Setbacks Front Back: Right Side Left Side: Lot No. I Block No. 3-7 ,Mechanical _ Gas Tank — Gas Piping _ Shutters _ Windows/Doors _ Electric — Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: — Cost of Construction: $ A-3I I - G Utilities: —Sewer _Septic q Name 1 1 Q a �- Address: �.��Thr�c. ���� � City: iv c- State: L Zip Code: 34 � Sa Fax: Phone No.1—%0._ '5-3`{15 E-Mail:Y6�'tL�� Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Roof Building Height: Name: �l/� i1✓1 �R,C'(�zA Company:" -IA Ile- [ aKbin ai�`4it- Address: r � % �j Vj�f`�1 Ij" e-''n . City:, 0t,+ �j -c3G�� State: C� Zip Code: 34 q 5 2 Fax' 3 3. 3 Phone No J- 9,. 33`7 A 3 2-2-Z E-Mail lO co-).i CIO/" State or County License C--&� ( f3 l .17& Y. If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: — Not App Name:_ Address: City: _ Zip: i e ; FEE SIMPLE TITLE HOLDER: Name: Address: Citv: Zip: Phone:_ State: _ Not Applicable MORTGAGE COMPANY: — Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name:_ Address: City:_ 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 for improvements to your property. A Notice of Commencement must be recor ed and posted on the jobsite before the first�pection. lyyou intend to obtain financing, consult with ! nder or an attorney before r, rs .xr rii nr,rornr�+inQ vnrrr �i n'tit'P of r'nmmPri C'Pm Pri1'..r /1 r Signature of Owner/ Agent/ Lessee/Contractor Si ature of Contractor/License Holder STATE OF FLORIDA. 3T STATE OF FLORIDA COUNTY OF S7, Lc. cir COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument vyas acknowledged before me this / Yrday of ll/UVCrn 1�� 20 f 4 by this / k" ay of /? W-,A, 20 Ir by Al C(t 1ZPe ,4 (Name of of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida ) (Signature of Notary Public- State of Florida) Personally Known OR Produced Identification Personally Known `-, OR Produced Identification Type of Identification Type of Identification Produced ROBERTA.BURSON MY COMMISSION # GG 04$117 oduced <"""' TA BURSON ,:;sue •°'•..� c t r i MY COMMI�GG 048117 Commission No. =" *-' (S(0ARES:Januwy31,2021 +,� �' •.,,ov �� „� Bonded Thri Notety Public Un mmission No. ", <° EXPIRE 31,2021 �7 For o '' Bonded Thru No Public Urxhniriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 7/2014 AHRI Certified Reference Number: 7615285 Date : 11-14-2019 Model Status: Active AHRI Type: SP-A Series: FRIGIDAIRE P7RE SERIES Outdoor Unit Brand Name: FRIGIDAIRE Outdoor Unit Model Number (Condenser or Single Package) : P7RE-036K 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 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 FRIGIDAIRE 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 (95F), btuh : 35000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.00 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 prod uced"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 published rating is shown along with the previous (i.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.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 d 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, personal and confidential reference. & AIR-CONDITIONING, 7iERATING, HEATING, REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link Nve 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. 132182324967586706 ©2019Air-Conditioning, Heating, and Refrigeration Institute L CERTIFICATE NO.: