No preview available
HomeMy WebLinkAboutPERMIT- DYER RESIDENCEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: /�%G (�2�(IiCS�I Address: t SAv ' Property Tax ID #: Lkm 7 (c" -961 C Site Plan Name: Project Name: Lot No._ Block No. �� ►r`i ACN- t ri ox -A- 1C' leC- {cccal �o�c 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: Cost of Construction: 4q –% Sq. Ft. of First Floor: _ Utilities: —Sewer —Septic �- .Code: E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name:–A Company: Building Height: City: CaYA kAf sl State:–L(r Zip Code:Fax: Phone No — E -Mail r 0i> k: Chi Itcc State or County License , CI 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. 62 EW IN NO' 01" M-" 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 that or such which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants may restrict prohibit 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 TOO ER: Your failure to Record a Notice of Commencement may result in paying twice for improve nts o your property. A Notice of Commencement mus be recorded in the public records of St. Lucie unty nd post on the jobsite before the first inspecti . I you intend to obtain financing, consult with nder r an attney before commencing work or recorOng vdur Notice of ommencement. of wn essee/Contractor as Agent for Owner Sig atu�oont or/License Holder OF FL IDA ;O�UNr �O TY OF 0 j� OFA (� Swojm to (or affirmed) and subscribed before me of Sw�o}rto (or affirmed) and subscribed before me of Presen Online Notarization P�ysical Prese a or. Online Notarization Y Physical a or this /V d of 2020 by this �0 day of 2020 by IMV Aq M (W a Name o person makingstatement. Name of person making statement. Personally Known V/'OR Produced Identification Personally Known ✓OR Produced Identification Type of I ntification Type of Identification Prodjd&� Produc 0 r (Sigriat (Signatu PAT MY COMMISSION # GGM Commis iiaa �' . 7,20 i�?! ! PATRICW R HILL :t= MY COMMISSION # GG@>7) CommisN , •�= OF F�� gem Thru Notary Public Unde Wters •o; :ApN 7, 2024 f PF F��p Bonded ThN N Public Unde REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED .5/6/20 Certificate of Product Ratings AHRI Certified Reference Number: 8714913 Date : 09-09-2020 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4A7A40361-1 Indoor Unit Brand Name: AMERICAN STANDARD Indoor Unit Model Number (Evaporator and/or Air Handler) : TMM4AOB36S31 SA 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. 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, hat are accompanied by WAS indicate an involuntary re rate The new published rating is shown along with the previous (i e. WAST 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.ahrldlrectory.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, Arms 1101L 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 "Verity 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. i3a44f3297i�,. AIIOp4 ©2020Air-Conditioning, Heating, and Refrigeration Institute CE"FI�•� A