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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO)MUST BE.COMRLETED FOR APPLICATION TO BE ACCEPTED Date ! `�.7 ' Permit Nuffib7e JUL 15 2020 Building Permit Applicatio�n��i. ,4,.k , ya,r` .,_: L Planning and Development Services L Y elf s��'y � IfI Fy( p_ Building-and Code Regulation Division Commercial Residentiaf--- -- 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: 2F-p (A co--us W Address:` .7 L, ��. 2k C 37 2 I Property Tax ID#: 2 SE -.-7 l77 ' D `F _ Lot No,_ Site Plan Name:S /J\) 4-IUVA-I-1 Block No. Project Name: New electrical Meter Second Electrical Meter 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:$ �, cl Utilities: _Sewer _Septic. Building Height: ,'gin-+-v=zvv.,f.^[."`^+.e.a.�.a> _+ .± r'? +-r r-��. .a ,'-., o- �s-y� +.s - -yrw .�, .' •c+:� f`x� 14' M"s`'^ -. �.� -,r „r�- �^`i- �.:�. Name. ru Name: an^:t Address: 3Company: Sb" N (cC�(0-" City: 'Pop—c— S 4-,z!a; C_:L,�-c �.rc State: Fl- Address: Z ai(> SQ �kU,fi-Aub F L Zip Code: 3 L[ $ z Fax: City:T'N-(-cam C State: F Phone No. 7 ) Z -7 a G-- 6(-4 Zip Code:5 y g f a Fax: E-Mail: 3-A.e LZ,^ni d S t= c C ei-b C Z ".j Phone No 'i 1 2- -ZD d f L/ b Fill in fee simple-Title Holder on next page(if different E-Mail Z_A_,4 rt—0Cf"c C Da Lr_U 6. from the Owner listed above) State or County License CAL 10,111 y 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. F.rr DESIGNER/ENGINEER: N-6t 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-hat commenced prior to the issuance.of a permit St.Lucie County makes no representation that is granting a permit will authorize the permit hoiderto 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 consultwrth.your Home Owners Association and review your deed for any restrictions which may apply.- In pply.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 N'dtice of Commencement may result_in paying twice.for improveme-ntsto your property.-A-Notice of Commencement mus t.be recorded in the public record:. of 5t. 'C Lucieounty and posted 'on the.jobsrte.before the first inspection.lfyou intend to obtain financing, consult with-lender or an attorney before commencing work or recordin : our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder . STATE OF FLORID STATE OF FLO COUNTY OF COUNTY OF! S7S7 to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of Physical Presence or Oniine Notarization ­"Phsical Presence or Online otarization this J5:day of 20�by this day of l 'by 3>12.m i e n CG R a ip mar» l e n Name of person making statement. Name of person making statement. Personally Known OR Produced Identification �� Personally Known OR Produced Identification "Type of ldentificafEo Type ofid ficati n Produced nm (Sig Iic State of Fta da)`.' {Signature of Hata iic-State of orida) :to°`rrPu ..... AUDREY$.HUMPHR Com _ i AUDREYB.HUMPHREY rS I) Commiss � ° al) _ � Uy cow,S3i81�t -GG 300814 ;*; .*-1x41'eemmissioN#GG 30 ?l EXPIRES:Msrch 6,2023 ; . :"qr ¢o, EXPIRES:March 6,2023 Bnn = "i-4.41.1, Dulluvu 111R mEaryFU011C UnLery REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW ,REVIEW REVIEW DATE, RECEIVED DATE COMPLETED ev. CERTIFIEDP Certificate & Product Ratings AHRI Certified Reference Number:8338089 Date:07-15-2020 Model Status:Production Stopped AHRI Type:SP-A Series:LX SERIES Uutdoor Unit brand Name:YUHK Outdoor Unit Model Number (Condenser or Single Package):PCE4A36' 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.foil.SIC. T"..7—1 T../A =TIII A 1111./ 1AI1' . 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 YORK 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 of High Stage(95F),btuh:35200 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. 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.ahridlrectory.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.ahridfrectory.org,click on"Verify Certificate"link we male 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.: 132392919171140339