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HomeMy WebLinkAboutBuilding permit app-k r 10 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED A Date: D l _zo Permit Number: L.�IC 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 PERMIT APPLICATION FOR: Address: �I(15 '�; rocLsmilf-h Kd 1 Tk hrref, �• c37`775 Property Tax ID #: '� zk- 31L Coo - d00vq Site Plan Name: Project Name: New Electrical Meter Second Electrical Meter Addit' nal work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: $ Na W Address: 41b.s h0cr-SmIlfr) Q(. City: k- /m'f State: Zip Code: 3 VW5 Fax: Phone No. d® - E-Mail: Sq. Ft. of First Floor: V Lot No._ Block No, Windows/Doors _ Pond Roof Pitch Utilities: —Sewer _ Septic Building Height: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: (.. eMr flee?& Company: Iu 01( Codify it /Lt Address: Wo lam% s . lP v City: Rieletlop State: Zip Code: 3 V 7 0 Fax: Phone No 7 7Z- TS "7iP 7, E-Mail fnC41"IL&IQ ge qoa/ i� 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. I Sa Raifta �.^,R LAN 2yY. 3 °�" ". 1 u F C... MW S. 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 yo property. A Notice of Commencement must a recorded in the public records of St. Lucie u ty and p ed on the jobsite be a the first inspectio . f you intend to g, consult with nd r or an Xtforney befor-ex-mmmencing work or recorog yo4r Notice ommenceme SiVnatureOw Lessee/Contractor as Agent for Owner Sig ature ofCo ice der SFLO DA L j f a�/le COUNTY OF JJ CATTY .LLB FORID Sw rn to (or affirmed) and subscribed before me of hysical Pre nce or Online Notarization S, n t or affirmed) and subscribed before me of ysical Pres ce or Online Notarization this �� day f 2020 by this � day I 2020 by r" �o� 1 Name of person making statement. Name of person making statement. Personally Known .— OR Produced Identification Personally Known K OR Produced Identification Type of entification Type of Identification Produ a Produced /M! (Sig6hature IWO.' b ic- St i MY COMMISSION # GG 976680 (Signa r�?t,f pry Publ TINt®IoflfN.brida ) , : „ MY COMMISSION # GG 976680 Commission EXPIRES: I CSr; . ° ( � P Comm' tiA' `�=' EXPIRES: April7,2024 (Sea ,. ° N otary ublicc Underwriters F of F�,•• • Bonded Thru Notary Public Underwriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 5/6/20 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/31/2020. Certificate of Product Ratinas AHRI Certified Reference Number: 8676068 Date : 08-11-2020 Model Status: Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series : SILVER 16 Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4A7A6036J1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOC42S41+TDR 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, INC, 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 AMERICAN STANDARD product is responsible for the rating of this system combination. , Rated as follows in accordance with the latest edition of ANSI/AHRI 21CU240 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), btu 36400 SEER: 1700 EER (A2) - Single or High Stage (95F): 14.00 ?"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 ratina 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.ahrldirectory.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 maize 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. — 132416530440177247 ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTJFJCATE NO.: