HomeMy WebLinkAboutCrowe paAll APPLICABLE I FO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 20 �?c Permit Number:
o 'A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-•1553 Fax: (772) 462-1578
PERMITTYPE:
Building Permit Application
CDmE'i'1ercia!
PROPOSED IMPROVEMENT LOCATION:
Address: ;91 5 1) C_& PP'400 0 `I y Ci�l
Property Tax ID 3#:
Site Plan Name:
Project Name:
Residential
Lot No.
Block No.
� DETAILED DESCRIPTION OF WORK: I
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-- check all that apply:
echanical — Gas Tank Gas Piping _ Shutters -Windows/Doors
___. Electric —Plumbing ___. Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name f°
Name:iCL-!
Add Tess: C,
Company:
FL' IAK
City; �r• LG� State: FC
! Zip Coder Fax: C�
Phone No. � ' 3clo ` _73 D
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
.'
Address �'
City: ,-14 C
Zip Code: � gj`20
Phone No 7 tiE
State:F�..-
Fax: 9 341' / 11[P
/
E-Man iL0
&&CALliv, -t
State or County License
ry
IT value or construction is �mZ5oo 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone ---
Not Applicable 1, BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
Not Applicable
State:
^Not Applicable
a.auv+vr-st/ %.UN I KAl.1 UK Al-FIUVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
l 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 l 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 exemptfrom 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 TARN FINANCING,,. CONSULT
WITH YOUR LENDER OR AIKT 'ORNEY BEFORF PF;tnPniNr: Yni jD mnTirF nr rn riur�cm cmr �r . �
I's J,
Signature of Owner/ essee/Contractor as A t for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 'v'
COUNTY OF
The forgoing instrume was acknowledged before me
this day of Z
The f r ing instrujpent was acknowledged before me
�f
_�Ua 20ZV by
this day of Y/"�ff4, _ , 20-&) by
RLM&` /'f+7_27/U/
rrr, ti A22_61cc f
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
Produced
Produced
(Signature of Not ry,p iG- k I!SIVO
(Signature of Notar ubfic- tate f Florida
corllm919102
Commission No. 'N: s October[2agA�
Commission No.li?YP` - CH W�Q� BERRY
PLO,; Bonded ihru Troy Fain insurance 940.385 7018
:.: *: Corn��ibii # GG 919102
Expires October 2 2023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
Pau ruy
SETURTLE
rain rrarrnc8s
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Pv_
Certificate of Product Ratinas
AHRI Certified Reference Number: 7845702 Date : 03-24-2020 Model Status : Production Stopped
AHRI Type : SPY -A
Outdoor Unit Brand Name : LENNOX
Outdoor Unit Model Number (Condenser or Single Package) : LRP14AC36P
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 LENNOX 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 Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 34000
SEER ; 14,00
EER (A2) - Single or High Stage (95F) : 11.00
?"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.
Ratin s that are accorr anied 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 produet(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 ail 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
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 for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link w make life b,2acTI,
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which s listed above, and the Certificate No., which is listed at bottom right.
_
02020Air-Conditioning, Heating, and Refrigeration institute CERTIFICATE - NO.:_132295441602874s2s