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HomeMy WebLinkAboutSLC PERMIT BERGOINEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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 Residential4 PERMIT TYPE: mt vi a-n c a — PROPOSED IMPROVEMENT LOCATION - Add ress- co7o II I CLk), V (� Property Tax ID #T I a ' �i ©' �Qp� 7� Lot No. Site Plan Name: r Q f L T. _ �a d 'J r0'(Block No. l I Project Name: it 14 [DETAILED DESCRIPTION OF WORK: i z i I ti i L� ` c'o A J'I 1`. v n -r" r I', v o t. i-►n mr, , • 0'F f'V1 : I [ /J H Ir&G I CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: Mechanical _ Gas Tank ^ Gas Piping Shutters Electric — Plumbing Total Sq. Ft of Construction: ce> Cost of Construction: $' C Sprinklers — Generator Sq, Ft. of First Floor: Utilities: Sewer _ Septic (OWNER/LESSEE: CONTRACTOR: Name * ' i "I r C, I , �� Name:. i �$�lrl G Company: i � fi 1- Address: Q w1 11 p J City: (-f- 1 Stater Address: Zip Code: � Fax:, n I a _ City:stla ( qH I Zip Code: L4 Phone No. E-Mail: In I a Phone No� E-Mail r, LO Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License 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. Windows/Doors Roof Pitch Building Height: C If I A� r (o cl - _ State: R_ Fax: c nr:.r rs. OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and instauation as inoicaiea. 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 structure. Please consult with pyoiur Hlome Owners Association Association andrreviewyyour deed for any restrictions wh which restrict may ap. prohibit such 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." ig ure of Owne essee/Contractor as Agent for Owner Sig re of Contractor STATE OF FLORIDA STATE OF FLORIDA COUNTY OF i1 _ COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this{ day of 20f by this% 2 day of 2Q by n Wt� Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification , • ; -a - - Commissi . �, i Iw 6� � �raa a S�larina�i ' G 2p'=� 2t 4 6,V1412922 REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED *OY - Nuaw ruw+ Gikno,:r R S�btr+a� G 22�dI� 5 PERVISEGETATIATURTANGRO REVIEWOR 1 REV EW I PNSVREVIEWON 15EREV EWLE I ..RE EWVE ��l�oiCL2 Certificate of Product Ratings AHRI Certified Reference Number : 201285995 Date : 02-06-2020 Model Status : Active Old AHRI Reference Number: 7942207 AHRI Type: RCU-A-CB Outdoor Unit Brand Name : RUUD Outdoor Unit Model Number (Condenser or Single Package) : RA1636AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T3617STAN Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, It 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 RUUD product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, 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 : 35400 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering far 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. fin that are accom ied b W 5 indic to an involuntary re -rate. The new published ratinq is shown alanci wild the provious i.e. AS rating. 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. Certltled 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 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, AIR-CONDITI(INING, HEATING, personal and confidential reference. & 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 we matte 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. 132ZS4851356709123 c0202OAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: