HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /3 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
1300 Virginia Avenue,Fort Pierce FL 34981
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATI N:
Address: C a5 S. r r r. �- FL- 3Y 9 5
PropertyTaxlD#: y,5)1 50� -��`�' J-� LotNo._
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
& 0iCK
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: I
Additi al work to be performed under this permit—check all that apply:
7 —
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:$ 1 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Sh Name:
Address:1Q 5 S �—, f IA 0, Company: v %
City: State:L Addr s:
Zip Code. ) Fax:w1a City: 5 State:,LL-
Phone No. �� f13�' � Zip Coder 53 Fax:
E-Mail: Phone No —AY 9YN
Llf,,alue
mple Title Holder on next page if different E-Mail rV A O�'h S (��-
ner listed above) State or County License C I �
truction is 2500 or more,a RECORDED Notice of Commencement Is required.
C is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 Assocation 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 your property.A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection.If you intend to obtain financing,consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLO ID!!{{ STATE OF FLORIFA
COUNTY OF_./'J-/ U1('le COUNTY OF,i, /11C'l('i
Sworn to(or affirmed)and subscribed before me of Sworpto(or affirmed)and subscribed before me of
V Ph Ical Pres or On line,_,Noolt`�afIrization �P 1 It�al Pr e e r Online Not rrzation
this ay of 2�L1by this 1T 3aYof �; 1� 20�y
Name of per n making staterfient. Name of perso making stateme .
Personally Known tiC OR Produced Identification_� Personally Known 00 OR Produced Identification
Type of Id lion Type of Ideptl lion ,
Produ Produced
(Signature of No r u c-Na e p o i a (ignatore of Nota ublic-S o Florida)
�.y` olary P Ohl bb Fbn08
Carxfy D MOTQag Notary Pubis $tab of TA
al)
No. P_'`4 3 Commissio Teague "Cal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
CERTIFIEW
Certificate of Product Ratings
AHRI Certified Reference Number:7615276 Date:10-08-2020 Model Status:Active
AHRI Type:SP-A(Single-Package Air-Conditioner,Air-Cooled)
Series:FRIGIDAIRE P7RE SERIES
Outdoor Unit Brand Name:FRIGIDAIRE
Outdoor Unit Model Number (Condenser or Single Package):P7RE-030K
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,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 FRIGIDAIRE product is responsible for the rating of this system combination
Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 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:28400
SEER:14.00
EER(A2)-Single or High Stage(95F) :11.00
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."Production Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale
Minos 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.ahrldhectoty.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, AM
personal and confidential reference. MR-0014017I01414e.HEsnNd.
CERTIFICATE VERIFICATION &REFRKiERAT10re iNsTrrUTE
The mtormation for the model cited on this certificate can be verified at www.ahridirectory.org.dice on'Verlfy Certlflcate'link wt m ke lily btt
acid enter the AHRI Certified Reference Number and the date on which the oN1MCete web Issued,
which is listed above,and the Certificate No..which is listed at bottom right. --
02020Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 132466609915428844