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HomeMy WebLinkAboutBuilding Permit PackageBE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: l LC� CM -- Permit Number: Building 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 I PERMIT APPLICATION FOR: �0 onP PROPOSED IMPROVEMENT LOCATION: l Address: t. LP L I JcYrucs C (^,,1 1 rwu L Property Tax ID ti: �'��A I u._ ,X.1 k -" `r"1 i Z - �O if Lot No. Site Plan Name: p Block No. Project Name: DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: Mechanical _Gas Tank _ Gas Piping _ Shutters -Windows/Doors Pond _ Electric _ Plumbing _Sprinklers Total Sq. Ft of Construction: tr��11 Cost of Construction: $ Uro _ Generator Sq, Ft. of First Floor: Roof Pitch Utilities: -Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name nc Name:IJUMM UIV , Address: Company: 1 c . C, City: L Stater Zip Code: Fax: Phone No. Address City: S L Zip Code: '1 1 Phone No State: F(✓ Fax: E-Mail:l. jWQIM-LLAz Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-MailL.bify � i) . (�`� State or County License v�}d�i 4 J; i5c, - IT 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 C0NSTRUCT,0 �1�LAW 1NFt�R�ATt©�: ., M,..,.u�. ..,.. 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 County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an aaWey before commencing work or recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDAsy `" COUNTY OF J1 �. _ -C STATE OF FLORIDA COUNTY OF '� W Swop to (or affirmed) and subscribed before me of ✓ Physical Presence or Online Notarization Sword to (or affirmed) and subscribed before me of ./ Physical Presence or Online Notarization this day of , 2020 by this day of 2020 by Ifimis Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known &-­�OR Produced Identification Type of Identification Type of Identification Pr duced_ Produced aP KandicePWest of Notary Public- St o 0%Lda �lotary Public Sta113 No. 1� 2� yySMy,�ommission GG 312804 �'1 @es 03/1712023 (Signature of Notary Public- r ;ry Public State of Floridture Kandice P West COmmI5510n No. 1'- • -.� (S��I�ommission GG 31280fission Expires 0311712023 as PLANS VEGETATION SEA TURTLE MANGROVE REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. ��L�e1S�w�i ,�(�-- �: v""Ira T� �,c�,�z.S T AHRI Certified Reference Number: 202445777 Date: 06-24-2020 Model Status: Discontinued AHRI Type: RCU-A-CB Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package): RAI 460BJ1 Indoor Unit Model Number (Evaporator and/or Air Handler): RBHP-25 Region Ail (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. TerTitories) 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 RHEEM product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSIIAHRI 2101240 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 : 55000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.70 tModels with -Discontinued' Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new Dublished rating is shown alona with the previous (i.e. WAS) ratin DISCLAIMER AHRI does not endorse the product(s) Wed 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 TERMS AND CONDITIONS This Certificate its AHRI. This Certificate be for individual, 41, and contents are proprietary products of shag only used personal and confidential reference purposes. The contents of this Certificate may not in whole or in part, be reproduced; copied-, disseminated: 0i TWO - 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. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at click on' Mk 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.: 1323747821956532N