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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ` =� a zo 7-c Permit Number: �'r-. w_ y Building Permit Application Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE: PROPOSED IMPROVEMENT LOCATION: Address: ]N. ) k ►'im Ae�ftF Y1 !) l&r . 0,11,115-1 Property Tax ID #: Site Plan Name: Project Name: _ ri • /I DETAILED DESCRIPTION OF WORK: FM � CONSTRUCTION INFORMATION: Lot No. Z Block No. AdditioryaI work to be performed under this permit -check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Electric _ Plumbing —Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ � Utilities. —Sewer _Septic Building Height: Pitch OWNER/LESSEE: CONTRACTOR: Name r f�6 "t t, Name: ite,t Addres ',A . .-w �1 Company: � f City: - ` State: Zip Code: G 3l Fax: Phone No. QVIVY -0 55"-1 Addres : Z -9,2G, C LIC City: zip Code: ? Phone No State,. Fax: E -Mail: i �'(�% Fill in fee simple Title Halder on next page ( if different from. the Dwner listed above) E -Mail State or County License (p IT value yr construction Is ,iZ5UU 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: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: i BONDING COMPANY: Not Applicable 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 TQ OBTAIN FINANCING, CONSULT WITH YOUR LENDER O ORWY BEFORF41RECORDIING YOUR NOTICE OF COMME CEMENT " �u.11— Signature of Owner/ Lessee/Contractor ag / nt for Owner Signature of Contractor/License Ho r STATE OF FLORIDA STATE OF FLORIDA COUNTY OF/4o4_rW­COUNTY OF 11t'7C-4J The fo going instrum nt as acknowledged before me this day of 20 G�' by The forgoing instrum�j�'t was acknowledged before me "f1� 7 this day of - f 20 by Name of person making statement. Name of person making statement - Personally Known X OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notaryio, t gRRY (Signature of Notary Public- Otate of Florid . Commission �;`trwVg��c7-. CHRISWOODBERRy Sea! Sea[) Commissi #rsG9t9tD2 Commission No, oma: E 04SP,2bP3 omISWOODBERR onded Thr ; Troy Fein Insurance 800-385-7019 ;q Expires October 2, 2023 80ndid Thrimy Fain In8utance 800 38& REVIEWS RVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED �u.11— it "ESP Certificate of Product Ratings AHRI Certified Reference Number: 201907209 Date : 05-05-2020 Model Status : Active AHRI Type: RCU-A-CB Series: DAVE LENNOX SIGNATURE XC21 SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : XC21-036-230-10 Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA38MV-036-230*+TDR Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, Ml, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Rl, SC, SD, TN, TX, UT, VA, VT, WA, VW, 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 ANSifAHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary Air-Conditioning & Air-Source Heat rump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 35600 SEER: 19.00 EER (A2) - Single or High Stage (95F) : 13.00 ?"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. Ratings that are accompanied by WAS indicate an involuntary re-rate'"The new published rating is shown along with the previos ski e WAS) rating DISCLAIMER AHRI does not endorse the products) 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.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal andall R 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, irm personal and confidential reference. AIR-CONDITIONING, HEATI G, CERTIFICATE VERIFICATION & REFRIGERATION INSTIT The information for the model cited on this certificate can be verified at www.a hridirectory.org, click on `Verify Certificate" link we make lif 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. -- - -- ©202OAir-Conditioning, Heating, and Refrigeration institute CERTIFICATE NO,; 132331814799OD9311