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HomeMy WebLinkAboutimg10012020_0002All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 91To ILUME P Building pp Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID #: Site Plan Name: Project Name:_ Lot No. Block No, DETAILED DESCRIPTION OF WORK: I New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: LMechanical _ Gas Tank —Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ ) CC)C) CX _ Generator Sq. Ft. of First Floor: Windows/Doors _Pond Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameY) \ Name: Address: 'lDl1` \ r'— ?\(o?, ',vA Company:lk W—I''Cw�'Y>,3�i1J\YG City: \%?fC'�_1'C n Stater Zip Code: 1 Fax: Phone No.l , `Oh�S Address:'l65`1.iv�Fc�UirSUY�PYuP_ City'[{ �r \k Y aP_ State: FL Zip Code: Fax: Phone No �—t ki)F." I E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail State or County License AC\Y 1 tC7 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. rim maul CERTIFIED Certificate of Product Ratings AHRI Certified Reference Number: 204462461 Date: 09-29-2020 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: TGM Outdoor Unit Madel Number (Condenser or Single Package) : CTV14CN024A Indoor Unit Madel Number (Evaporator and/or Air Handier): CTA14CO24A Region: All (AK, AL, AR, AZ, CA, CO, CT, OC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, IA, MA, MD, ME, MI, MN, M0, MS, MT, NC, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, 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 TGM product is responsible for the rating of this system combination. Rated as follows in socordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heal Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third perry testing: Cooling Capacity (A2) - Single or High Stage (95F), bash: 24000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.20 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 produced'Produclion Stopped" Madel Status are Nose that an AHRI Cartificetion Program Participant Is no longer producing BUT is still or offering for sale. N Ratings that are a�anied by WAS indicate an involuntary reflate. The new published rating is shown along with the orevious Ii.e. WAS) rating. DISCLAIMER AHRI doss not endorse the producgs) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responslbllity, for, the products) 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,� .....I,I „f., IL3. �.OFg. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and "IM, confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copied; disseminated;.■ `' flu 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-CONOITIONING. HEATING. CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at ..ahrldi rectory.org, dick on 'Verify Certificar.' link r,v A,Ill,hotg- and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which Is limed above, and the Certificate No., which Is listed at bottom right. I 9)2020AIr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13245MBMI9143 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGN ER/ENGINEER:Not Name: Applicable MORTGAGE COMPANY: Name: Not Applicable Address: COUNTY OF TC: IV �, Address: S rn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: Name: _ Not Applicable BONDING COMPANY: Name: Not Applicable Address: Produced z C t (> (Signatu of Notary Public- Sta f I ri Address: Commission No. N Stets of Clones"11�_ City: E h Bowman MY Cammgwn GG 75a475 City: 7 Zip: Phone: REVIEWS Zip: Phone: ZONING OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 1 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 thepermit 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: Yourfailure to Record a Notice of Commencement may result In paying twice for improvemen to ur prgperty. A Notice of Commencement must be recorded in the public records of St. Lucie Coun nd po ted n the jobsite before the first in ion. If you intend t tain financing, consult with len r a att r e efore commencin work or r cor in our otice Co me ment. nev. 3/0//u Signatu of wner/ Less a/Contractor as Agent for Owner Sign ure f Contractor/Lic se Holder STATE F FLORIDA-„ STA OF FL IDA COUNTY OF * ', NIP— COUNTY OF TC: IV �, rn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization S rn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this, day of, Y'�iX�'L20('- 2020 by Y`cxk�yl r1 ��(M _ this � day of 2020 by J(1G1CYfiT1Pt('CkCSCCl Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identif catioType of Identification Produ d P�71 " D) kYY r Yl Produced z C t (> (Signatu of Notary Public- Sta f I ri (Signatureof Notary Public- State of Florida) Commission No. N Stets of Clones"11�_ (Alu��fY PUDIwState n F ommission No. T E h Bowman MY Cammgwn GG 75a475 ��ly,tn MY l:omn "= GG 55547 7 E.pm 57/N2oi5 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED nev. 3/0//u All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: O 11 P o N Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 1300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID #: Site Plan Name: Project Name: Mme` c DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: �A_vlechanical _Gas Tank _Gas Piping _Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ CY7 Lot No.P) Block No. _ Shutters _ Windows/Doors _ Pond _ Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name \ Name: ` Xa(A CfIAN \ 1_t 5 n Address: \kV4- 5 \-1np- Company:�ec'T \'Cx� 3 ccc�k [a CityNem State: EL Zip Code: .32 ALp`L Fax: Phone No. l 112)1n33 \to A Address:b.r-AA SW Y,V�c[ ot�e�lGre City:({ �k State:fL— Zip Code:? 53 Fax: Phone No L112-) P,\2 L02.0 E -Mail: Fill In fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail ('J tC Ccs\t��G�n^c1k1.Ccm State or County Licensee\��� 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: 1� Not Applicable Name: Name: Address; Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: fIWNFD/!'rlA1TDAIYnD wrr��nr. . •-• -•v. L v wn Arrivvi l ;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 OWNE Your failure to Record a Notice of Commencement may result in paying twice for improvements to your property. A Notice of Commencement �n. �nt the public records of St. L I County and poste on the jobsite before the first i tlobtajr� financing, consult With nder or an atiforny before commencing work or i= iomd�kncement. r�—�—��- as Agent for Owner I SiRdatUL,6 of STATE OF FLORIDA,, STATE OF FLORIDA COUNTY OF T L} P COUNTY OF _- 1 a f a S,+:Jgrn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this U day of o:t rf- ,,k 2020 by Name of person making statement. Personally Known _LL_ OR Produced Identification Typ�f Identification Commission No. l ;" %M, Idgwy lubk swe or Zn to (or affirmed) and subscribed before me of r Physical Presence or Online Notarization this � day Of- 2020 by Name of person making statement. Personally Known_ OR Produced Identification Type of Identification iatur4 pf Notary Public- S t o Flo i ) missi(o/n No. "hbbcsuro of Fimos Bowman +, j MY CorMV58icn GG 35x475 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED Certificate of Product Rati AHRI Certified Reference Number: 204462461 Date: 09-29-2020 Model Status: Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: TGM Outdoor Unit Model Number (Condenser or Single Package): CTV14CN024A Indoor Unit Model Number (Evaporator and/or Air Handler) : CTA14CO24A Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, Ml, 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. 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 TGM 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 W 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 : 24000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.20 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 am those that an AHRI Certification Program Participant Is no longer producing BUT Is still %ailing or offering for sale. Retinas that areatmmoanied by WAS indicate an invu men, re -rate. The new published rating is shown %lona with the Previous (i.e. WAS) ratina. 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 products) listed on this Certmcate. 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 onlyfor models and configurations listed in the dlrectoryat 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; .RI entered Into a computer database; or otherwise utilized, In any torte or manner or by any means, except for the user's Individual, personal and confidential reference. AIR-CONDITIONING. HEATING. CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www..h,idirectory.org, click on overfly Certificate' link we make lite hener" antl 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-Condition Ing, Heating, and Refrigeration Institute CERTIFICATE NO.: 132458628500519143