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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: -'J'= +�1 • 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 Residential PROPOSED IMPROVEMENT LOCATION: Q Address: 15 O C-4-crJ /_-,C Pr Property Tax ID #: zwv J2 / Site Plan Name:�9 Project Name: Lot No._ Block No. DETAILED DESCRIPTION OF WORK: I i %i CONSTRUCTION INFORMATION: 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: Cost of Construction: $ %_&D Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: J -e J Address: -�c��� Company: City: aaf: r � _%/,l /alp State: Zip Code: 3LJ !!? = Fax: Phone No. 1%1 10 6�Zg Address: lS � ���Pi✓� /� City: ,. �'� 7 �/ i State:��� Zip Code: y3g� Z Fax: Phone No E -Mail E -Mail: 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 $7,500 or more, a RECORDED Notice of Commencement is required. i`.T6�•" .4 -'k.- �,Yr.?+,v..>Sw�.. «k i:. VA? 4.'.�.✓i"�h �v DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT r17H YOUR LENULK OK AN AI IUKNLY t$LtUKL HMUKU1NIL, TUUK NV na.e ur a.VmmCn1.1MmC111. WA/w/ LWA Sig of Owner/ Lessee/Con ractor as Agent for Owner i STATE OF FLORIDA COUNTYOF za L.ucis CootAA Thefor oing instrument was acknowledged before me this day of YY\ FklA 20_-0 by Name of person making statement. Personally Known vO"' OR Produced, Identification Type of Identification Produced ./%//�'�jW Z J Sigr u eiof Contractor/License Holder - STATE OF FLORIDA COUNTY OF ST "clE The faooing instrument was acknowledged before me this ��'T day of f(r Ala 20-'10 by YA Name of person making statement. Personally Known _Z_ OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida) (Sign atury £ £;In'-;; ---a�P..:lS;:rSte of Florida Commissio N¢tr "' ;—� DRA ft SH r°State of Florida -Notary Publi My Commission REVI DATE RECEIVED DATE COMPLETED SANDRA Wjt� Wof Rod a -Notary ubl Commission # GG 197984 R IPLANS REVIEW I REVIEW REVI Certificate of Product Ratinas AHRI Certified Reference Number: 7615294 Date : 05-18-2020 Model Status : Active AHRI Type: SP -A Series: FRIGIDAIRE P7RE SERIES Outdoor Unit Brand Name: FRIGIDAIRE Outdoor Unit Model Number (Condenser or Single Package) : P7RE-042K 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 FRIGIDAIRE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 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 : 40500 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.00 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. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) 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. 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; rill No `, 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 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. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132343142800700745