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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: : LU L:LL a� F " ' Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 452-1SS3 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 1 Property Tax ID #: - r d _ 4G - 3 Lot No. Site Plan Name: p - s � �]�� _ Block No. Project Name: a Jl�G DETAILED DESCRIPTION OF WORK: r /I 'eF - CG New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: I! echanical — 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: $ w3 !) z DG Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name zn ! �1.v 11 15 Name: 14.4 a 773,-­7'r�z Address: !& 5 r d Company: _.... _ ._...__ City:-4a"5111_I► - • - - Stater Address:,,�0� City:j/���,,�,� Stater Zip Code: 1(r _ Fax: Phone No-31 ' cj'� /�'(� f{ Zip Code:3�Zj 7 Fax: I E-Mail: Phone No 7 Fill in fee simple Title Holder on next page [ if different E-Mail n6c i rerd z5Cod11., 1 (.-P State or County Licensee / /e 21Y from the Owner listed above] 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. cur t LtIVILN I AL CONSTRUCTI DESK NEtER: f Name: Address: City: Zip: Rhone FEE SIMPLE T1TLE HOi-aER: Name: Address: City:— Zip: Prone: State: LAW INFORMATION: MORTGAGE Co MpANY: Name: Address City: zip: -'Phone: otAppliceble BON1i ING COMPANY: Narr�e: Address. City. Zip: Phorme Not Applicable State: Applicable QWf11ER% CONTRACTOR AFFiI]VIT: 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 t a permit. St. Lucie County makes t?❑ representation that is granting apermit will authorize the permit holder to built# the subject structure which is in contrict with atly applicable Horne Owners Association rules, bylaws or and covenants that may restrict or structure. Please consult with your Home Owners Association and review your deed for an restrictions which may apply. . Inconsideration of the granting of this requested permit, I do hereby agree that I wilf, in all res ects prohibit such lrt accardarrce with the a y pA Y Aproved plans, the Florida building Codes and St. Lucie County Arnendrne is perform the work 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 - "wAlNilliiC TO OWNER; YOUR FAILURE TO RECORD A IVOYICE OF COMMENCEMENT MAY RESULT IN YOUR pAyING TW'CE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST IIAdSPECTlC�fil. IF YOU IIIl�' ND TO OBTAIN ANCING, CONSULT WITH ®tIR I.EN[3EIs° CD dlll �3i € Y BEFORE RECORDING�7UR NOTIFCiM1Ey ll Signature ❑(Owner Les e/Contractor as Agent STATE OF FLORIDA COUNTY Ofi f}7 `i`7 —7, / The foAVng instrum nt was acknowledged before erne this day of 01 20L� by Name of person making sta ment. Personally Known R Produced Identificatio rope of Identification n re of REVI DATE — RECEIVED b7— ATE COMPLETED Public -State Of Fforlda ) x�w:. sw<<r leer. 4v[a.y aL]. 50W o' Fbliida ._ Commissiorn - GG 3;5466 STATE OF FLORIDA % COUNTY OF ] The forgoing instrr rn n was acknowledge laefore me this j day of U fl } by Name of person making st ement. Personally KnownOR produced Identification Type of Identification tare of Notary �u6lic- State of Florida } �'j" -, SUPERVISOR I PLANS REVIEW REVIEW REVIEW RLLUE J, SWET haEdry Piblic • sidtC Of Florida IAN43ROVE REVIEW Certificate of Product Ratinas AHRI Certified Reference Nurnber - 101927B4 Date : 08-05-2020 Model Status: Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: 14 SEER R SERIES R410A AC Outdoor Unit Brand Name : ARCOAIRE Outdoor Unit Model Number (Condenser or Single Package) : R4A442(A,G)KB* Indoor Unit Model Number (Evaporator andlor Air Handier) _ FEM4P42""AL Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, IA, 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 Centrai 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 ARCOAIRE product is responsible for the sating 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 : 39500 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11,50 f"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 prod uced."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 acoompanied by WAS indicate an involuntary re -rate. The new oublished ratting is shown along with the previous 6-e. WAS) rating. DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the prod ucts)11sted on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the producKs), or the unauttiorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listen in the directory at www.a h rid irecIory.org. TERMS AND CQNDITIONS 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, BMW personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION iNSTiTl1TE The Inform ation for the model cited on this certificate can be verified at www.ahridIrectory.org, click on "Verify Certificate" I I n k "ve mA,? life 1,e[[erTM 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. ©202CAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13241t15187s1t?49$3