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HomeMy WebLinkAboutBuilding Permit Application rAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: I I - -- - - - Building Permit Applicatioitfq 'moo 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 �S PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: i Address: 0Salol: Cuc.14EE Property Tax ID#: 2� b. ��� q —Q — i Lot No. I Site Plan Name: Es eU S Block No. Project Name: �s1� 5 DETAILED DESCRIPTION OF WO.RK: To 0 i L� I i CONSTRUCTION INFORMATION: I Additional work to be performed under this permit—check all that apply: Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors) Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: I Cost of Construction:$ Utilities: _Sewer _Septic Building Height: I OWNER/LESSEE: CONTRACTOR: ' Name Name: Address: Bq I 1--� WSQini L-L)dC 'Wts Company:JupaffTeaurYfA OC OunihA&,4+ LLr• City: Parky f"gi 6UGI� State:�rL Address:5J 2;2 lel oS Ellam � 'I Zip code: "3Lf q 9L Fax://-- City:—Fp 0()tA6 State:Iq Phone No. :7.7'.2-?DQ-'�16b Zip Code 9( kq Fax: I E-Mail: Phone No Fill in fee simple Title Holder on next page(if different E-Mail o C)fsO o itcr_t '�tSfo,-Cdr) from the Owner listed above) State or County License ) I 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 i I I I SUPPLEMENTAL GONSTAUCTION VEN LAW INFO'RNIATION DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: Stater 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. 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLO DA COUNTY OF . (�f)(a COUNTY OF 5-"- LUC',i k The for oing instrument was acknowledged before me The for oing instrument was acknowledged before me� this , day of r 201L by this day of V1 1('v 20 20 by i H(x4,, * U a&z HGF A,&s V,�w-fiz Name of person making statement. Name of person making statement. Personally KnownOR Produced Identification Personally Known OR Produced Identification, Type of IdentificatioType Identificatio Produ P uc d (Sign t re of Notary Public- I oFld n ture of Notary Public-Stat o Florida) i OoP Pos, Notary Public State of Florida Commission No. ? ^ (SE54LLA PAULINO mmission No. N"lI'),blic State of Florida �r My Commission GG 151455 GESELLA PAULINO Expires 10/15/2021 My Commission GG 161455 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION R COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 I i CERTIFIEDPU900111 �� 6- O � A^Ad O certificate of Product Ratings AHRI Certified Reference Number:9170609 Date:01-02-2020 Model Status:Production Stopped I AHRI Type:RCU-A-CB Series:COMFORT 16 AC Outdoor Unit Brand Name:CARRIER Outdoor Unit Model Number (Condenser or Single Package):24ABC636A*030* Indoor Unit Model Number(Evaporator and/or Air Handier):FX4DN(B,F)037L Region: Southeast and North(AL,AR,DC,DE,FL,GA,HI,KY,LA,MD,MS,NC,OK,SC,TN,TX,VA,AK,CO,CT,IFJ;IL, IA,IN,KS,MA,ME,MI,MN,MO,MT,ND,NE,NH,NJ,NY,OH,OR,PA,RI,SD,UT,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. I The manufacturer of this CARRIER product is responsible for,the rating of this system combination. j f Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2;Performance Rating of Unitary Kir-Conditioning,&Air-'Source Heat Pump Equipment and subject to rating acburacy by AHRI-sponsored independent,thlyd•paity testing: i Cooling Capacity(A2)-'Single or High Stage(95F),btuh c 342,0.0 SEER:16.00 i EER(A2)`-Single or High Stage(95F) :13.00 i i I I I 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 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)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(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.ahridlrectory.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, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information forthe model cited on this certificate can be verified at www.ahrldirectory.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 bette" which Is listed above,and the Certificate No.,which is listed at bottom right. 132224662976029376 ©2020Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: I II