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HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: - a"Cr''Oo Permit Number: Building pp Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: .PROPOSE1DIMPROVEMENT..LOCATIQN Address: Property Tax ID#: k3Gl ` ) ) I '( nC) I a ms Lot No. Site Plan Name: Block No. Project Name: u i DETAFLED:DESCRIPTIONOFt1NORK LA. / k New Electrical Meter Second Electrical Meter -CONSTRUCTION tNFORIVIATION Additional work to be performed under this permit-check all that apply: Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Utilities: —Sewer —Septic Building Height: .OWNERAESSEE CONTRACTOR: Name Name: aa-AIJ S-h� o Address: C-�"ZUl Company: C O� City: State: , ( Address: k` ' -Q p Zip Code: J - J Fax: City: fk_ Qk Q-u Stater Phone No. Zip Code: , 4qg] Fax: ? E-Mail: Phone No (_2'2D-- kAU-�-SI')-1 Fill in fee simple Title Holder on next page(if different E-Mail R 1 c (>JG\, Cciw, 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 HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. $¢, „r+ra"f` ¢., .£ .{„-z '� ..-Ii^ sej '` - SU1RPkEIVIEfV CAL r VS RUCTIONMEN LAW INFL� Nf T1Q W� N : AOct i. .,i:: z'-°.-:xia.343',�Z3F. 'k'k..*` t 3't,34 r. ... '.,j't� .Ln i`".ts7z:^ 41.c ;a.•.�wE} .tv`A :s ".viY ,< ”'r,h ,,.a ? ,..... 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 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie ounty and posted on the jobsite before the first inspection. I you intend to obtain financing, consult wit le er or an attorney before commencing work or record in ur Notice of Commencement. Sig7NTYOF Owner/Lessee/Contractor as Agent for Owner Signa of Co ctor/License Holder STF FLORIDA ST7E OF FLORIDA , CO ;�.t— L06: 4- COUNTY OF 5E )\.t>( Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of 1o""Physical Presence or Online Notarization Physical Presence or Online Notarization this_j__day of ,�� 12020 by this I day of 5Q n: 2020 by Name of erson 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 U (Signature of Notary Pub ic-St4te of Florida ) o am m N (Signature of Notary Public-Stat orida ) ww N 0 0 X N Commission No. (Seal) o;�N Commission No. (Seal) co o`co 0 0 tp mak'in- .20 o rn LLf .o m _— y W01— o �u _� E9 REVIEWS FRONT ZONING SU iRl'* PLANS VEGETATION SEA TURTLE M m COUNTER REVIEW )AAA; REVIEW REVIEW REVIEW DATE _:° RECEIVED DATE COMPLETED _a 5�d o ry.o rg Certificate ®f Product Ratings AHRI Certified Reference Number:7845702 Date:05-26-2020 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 m accorda66-_w­th fhe IatesYedltion of,-'ANSI/AHRI 2101240 with Addenda 1 and 2 Performance Rating of Unitary Air Conditlornng&Air Source Heat Pump Equipment and subject to rating accuracy by AHRI sponsoretl independent_third party testing: Cooling C6pacity-,(A2) Single or High Stage(95F) btu'fi 34000; SEER 4:00 . 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."P roduction 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 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; 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. 132349731501112517' ©2020Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: