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HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPUTED FOR APPLICATION TO BE ACCEPTED ©ate:. - r i 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: D -0 legal Description: ._s ..-, r ,►`� _ [_� l'� 11��� Property Tax Tax ID #: _ Id�� Q - - 0 E'7� - _ Lot No. Site Plan Name: Block No.. 2 _ Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION .OE WORK: CONSTRUCTION INFORMATION: Itiona .wo to rfonned under this perm CH&A all apply: k4CJl4VAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ 2 �2 4-"--) Utilities: [:]Sewer [:] Septic Building Height: OWNER/LESSEE: Name L7 Address: -on wo�e� City: L State:�- Zip Code:,3 �--1 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( If different from the Owner listed above) Name: Company: G a Address: i city: State: �f Zip C de: 3 �! 51J -K — Fax: Phone No. - L- E-Mail:P ooL, ,G r -- State or County License: r !y > If value of construction is $25W or more, a RECORDED Notice of Commeneement Is required. SUPPLEMENTAL. CONSTRUCTION LIEN LAW INFORMATION: 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 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. Lucle 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 ana 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 eoncurrency 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 workiw—rer-nrding ►intir Nntirra of f nmmonroman+ Signature o Contractor/License Bolder gnature of Owner Lessee/Contractor as Agent for Owner STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ��` [���,• COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day ofZ2e e_ . 20_1_!j by this_L/ day of- - -c-e- _ , 20L�_ by Name of person making statement Name of person making statement Personally Known OR Produced Identification j,_� Personally Known OR Produced Identificatione- Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State, of Flor' (Signature of Notary Public- State of Florida } TA�O GA GNE PIP ' State of Florida Commission No. "s otary #= Commission # GG 293167 iOmmission NO. :.�"Y Pa°-, TAY�AGNE otary Pu to of Florida My Commission Expires Commission # f3c. ^�i1 w REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED tev.8/2/17 TAYLOR GAGNE Notary Public -State of Florida = •� Commission # GG 293167 My Commission Expires JanuaTy 21 2023 Certificate of Product Ratinas AHRI Certified Reference Number: 201285854 Date: 12-11-2019 Model Status: Active Old AHRI Reference Number: 3588628 AHRI Type: SPY -A Series: RHEEM RSPM SERIES Outdoor Unit Brand Name : RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RSPM-A043JK Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, ;A, 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 2101240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heal Pump Equipment and subject to rating accuracy by AHRI-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) : 12,00 I"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. Ratinas that arxe accom anted WAS indicate an involuntary re rate. The new published rating is shown alonst witFuthe previous {i.e. WAS) retina. 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($), 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 Cenitimte 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, ammon personal and confidential reference. AIR-coNDi ONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on 'Verlfy ver::fiCate° 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. - 02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132205771212723145