HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: + !:� -3 • ao a 0 Permit Number:
ii.
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34962
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential I`
PERMIT TYPE: M eco n i �=1 I
PROPOSED IMPROVEMENT LOCATION:
Address:! d 1J L-0fk W= D i- � PI -C
Property Tax €D #: 13 0 1 — (0 03
Site Plan Name:
Project Name:
010&-oco -
DETAILED DESCRIPTION OF WORK:
A H -- F 4-4 1 e -3 (_o 1 A7 S-Fz% rti1 14 ��� ►� -
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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:
Cost of Construction: $ i�
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name r
Address: 0-5- % n�& W ED- i
Company: LAn i GCS
Ar
Address: 2- ■ph/ C-ab:�7faP_ 1�f")4 C «'
city: State: Ii
Zip Code: 3445�4q4 Fax: -772- 6L4-7 _25�2
City: F74- P16 r(fcf State: F�I
Zip Code: ��` Fax: i
Phone No.
E -Mail:
Phone No 7 -7,72- &
78- &&-7�o
Fill in fee simple Title Holder on next page (if different
E -Mail M,0rtq
t, n lC( VQ6. CQ
State or County License
C�,G' l 1 q -q "2C)
from the Owner listed above]
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.
a
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 HOLDEN: _ 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 IN TAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N O EMENT."
ttev. 277719
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature kf Contractaolyense Eder
STATE OF FLORIDA r frh n
STATE O� ORIDA j--�n
COUNTY OF 1 o
COUNTY OF
The forgoing instrument was acknowledged before me
The for ging instrument was acknowledged before me
4
this day of t ]_rr 2oW by
thi day of Pt?>T-1 r 21] by
�C j'1�-�In1
CCS �G1r�1C�
Name of person making statement.
Name of person making statement.
Personally Known moducedI ratification
Personally Known OR Produced Identification
;,: U
Type of Identification YP MARTAM,AGUIRRi=
Type of identifica
Produced _ MMiSSION � GG 13321
Produced . a """ '- MARTA ilIRRE
�f
EXPIRES: March 3, 2822
= _ MY COMMISSION # GG 191321
Bonded Thru Notary public underwrlle�
F• •:,: o "4 EXPOS, Marr 9, 2o22
(Signature of Nota P blit- State of Florida ]
(Signature of Nota ublic- State of Florida l
Commission No, (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ttev. 277719
Unico Air Conditioning Company
25 SW Cabana Point Circle
Stuart, FL 34994
Phone: (772) 578-6676 Fax: (772)647-7525
Contract
Billing Address Document Number 51007510222
Unico Air Conditioning Company pate 04/23/2020
25 SW Cabana Point Circle
Stuart, FL 349924
Shipping Address:
Terms of payment:
Term of delivery:
Equipment really for
up at HD Supply
Scott Artman
7805 Lockwood Dr
Ft. Pierce, FL 34951
Net 15 pays
2OR(FOB Origin)
Item Material/Description Quantity Unit Price Amount
I Install Indoor/Outdoor AC Unit 1 $2,200,09 $2,200.00
int. Article NQ_ 25937855
3 Ton Ruud 14 Seer 8410
Signature-,
Subtotal:
Tax:
Shipping
Grand Total:
Certificate of Product Ratin
AHRI Certified Reference Number: 201285988 Date: 04-23.2020 Model Status: Active
Old AHRI Reference Number: 7942205
AHRI Type: RCU-A-CB
Outdoor Unit Brand Name: RUUD
Outdoor Unit Model Number (Condenser or Single Package) : RA1636AJ1
Indoor Unit Model Number (e=vaporator andlor Air Handler) : RHI P3617STAN
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,
IMT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, Wl, 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 regions) 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 ANSIfAHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning 8, 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 : 35200
SEER : 14.00
EER (A2) - Single or High Stage {9517) : 12.20
?"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 Partiapant 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 (ie. 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), orthe,
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www.ahrid€rectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and "IMP,
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered
entered Into a computer database; or otherwise utilized, in any form car manner or by any means, except for the user's Individual, i
personal and confidential reference. AER -CONDITIONING, HEATING,
CERTIFICATE VERIFICATION F REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" 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,
@2020Alr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132321277974205196