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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:. d ST. LUCIE COU NT�Y. F Permit Number: 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 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION. Address: 7�/ Residential Property Tax I D #: l �C� 1 - f✓Ci� ` � 1 �'C/ ' PC?� -' �/ Lot No.� Site Plan Name: l M'Iler Block No. Project Name: Miller AC 61 ngeyt t DETAILED DESCRIPTION OF WORK: L, 6Ee L, C`tanin rc•'! 1 Hca 1- l4 Si hl New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: =.Mechanical _Electric Gas Tank _ Plumbing Total Sq. Ft of Construction: Cost of Construction: Gas Piping _ _Sprinklers Shutters _Generator Sq. Ft. of First Floor: Windows/Doors Roof _ Pond Utilities: _Sewer _Septic Building Height: Pitch OWNER/LESSEE: CONTRACTOR: Name Jq;eJktel Nij Name: JAfiel S Address: 74OZ (Qbcnt Ln hrk Pje;te, NL 7SYCIO Company: Cir f1l serv(coS Address: 81 Qvet:il9 ► tnL City: �crt J7dl'ir({ State:.& Zip Code: 3J%9 I Fax: Phone No. F71t) 3?L eys? I E -Mail: City: ori i2tetee Zip Code: 44gg6I Fax: Phone No (770 141 - 7 4 State: L Fill in fee simple Title Holder on next page (if different E -Mail : Jz&& e G yJ1 Serv,ce5 • t otA from the Owner listed above) State or County License (AC Irl 7 Z. 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: `d Not Applicable Name: Address: Address: City: Zip: Phone State: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: *. Name: Not Applicable BONDING COMPANY: Not Applicable Name: Address: Address: City: Zip: Phone: City: 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 County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Cor�nencerr!nt Signature mf Owner/ LesseeJCont� c�gent for Owner STATE OF FLORIDA COUNTY OF Sworwto (or affirmed) and subscribed before me of Ph sical Prese�e or Online Notarization ffirmed) and subscribed before thiso2�day of _ ,J cwlY%w(_ 2020 by Name of person making Personal) OR Produced Identification Type dentificat n (Signa'fure of Not ry ublic- Stat ' t' Qr111 Q m���a��� DEANNA M GERHART ( Commission No. ���AOMMISSION #GG232f EXPIRES JUN 26, 2022 "f a Bonded through 1st State Insur Signature of STATE OF FLORIDA COUNTY OF r Sworn to (or ame of Physical Prese or Online Notarization thisCyy� day of 2020 by Name of person making statem Personally Know Produced Type of Ident" ca on Produced (SJ'�nage of NPtary P�Lu"�lic- �ClhflU� :ommission No. Identification DEANNA M GERHART ;I�����d1MISSION #GG232; EXPIRES. JUN 26, 2022 Bonded through 1 st State Insur REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Certificate of Product Rationas AHRI Certified Reference Number :9504761 Date : 06 25 2020 AHRI Type : RCU-A-CB Series :LEGACY LINE AC Outdoor Unit Brand Name :BRYANT HEATING AND COOLING SYSTEMS Outdoor Unit Model Number (Condenser or Single Package) : 114CNA030'0"A' Indoor Unit Model Number (Evaporator and/or Air Handler) : F64CNF030L Model Status :Active Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 BRYANT HEATING AND COOLING SYSTEMS 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 : 28200 SEER: 14.00 EER (A2) -Single or High Stage (95F) :12.00 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. DISCLAIMER AHRI does not endorse the product(s) listed on this Cert ificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or pertormance of the th unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the product(s), or e 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 it 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. AOU 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 and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better"' which is listed above, and the Certificate No., which is listed at bottom right. r-- ---- ©2020Air-Conditioning, Heating, and Refrigeration Institute I-- CERTIFICATE NO.: t32375s49111189351