HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST 13E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date• ��- Permit Numbe
RECEIVED
NOV .0'2 2020
Building Perm- it Application
Planning and Development Services Permitting Department
Building and Code Regulation Division Commercial Re i L d!Pil u e e Get4ft FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
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Address: a1100 lhode,._UmJ.• ue
PropertyTax lD#: S'() L1"0 0-3 Lot No.
Site Plan Name: Block No.
Project Name: 1
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Additional workto be performed under this permit--check all that apply:
_Mechanical _-,Gas Tank _Gas Piping _Shutters Windows/DoorsPond
Electric "_Plumbing _Sprinklers _Generator Roof Pitch
Total Sq.Pt of Construction: $q”Ft. of First Floor:
Cost of Construction:$ u�- _ _ Utilities: —Sewer _Septic Building Height:
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Name piptit Name ( Gn San r gCl�uri)
Address: 9400 V,60dr,' IS30taLN4 Company: [-51gCiu911 anti 641 Al S
City: R fier(--e Stater Address: 54 L<Uc�e 1a�e
Zip Code: IL19 83 Fax: City: 5tate:FC_
Phone No.'T) CP L 1000 Zip Code' 3LO R0 - Fax:
E-Mail.. Phone No 771 -P,01-10 —
Fill in fee simple Title Holder on next page(if different E-Mail 13tacwe ll unr So�S�►� adi. asM
from the Owner listed above) State or County License I fdl(o`7 QI I
if value of construction is 2500 or mare,a RECORDED Notice of Commencement is required.
if value of HAVC Is$7,500 er more,a R5CORDED Notice of Commencement is required.
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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:
Zi 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.
$t.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 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 G mencement,
Signa re of Owner/Lessee/Contractor as Agent for Owner Signature o Contra or/License Molder
STATE OF FLO DA STATE OF FLQR A
COUN"T"Y OF � COUNTY OF
Sworn
irmed)and subscribed before me of Swo o(or affirmed)and subscribed before me of
�.� a Online Notarization __Ph sic ence or O Ine Notarization
this day of 2020 by this day of [° 2020 by
Name of person making state t. Name of person making stateme
Personally Known OR Produced Identification _ personally Known OR Produced Identification
Type of Identification Type of identification
Produced Produced
(Sighatt of Nofary Pu Nc-State of FI❑ri MELISS J.%igWure Notary Public-State of •",n M£LISSAI S C
J Notary Public State of FloridaNo[zry Public Stat o
lCommission No. V/ Commtssio pn ?Q� ;a . Commission!t G 2 d
f My Comm.£Xp re e�, 33 ?o, My CCmm.Expires F b 1
7 Bonded through Nat onal Notary Assn. Bonded through National io r
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECI=IVSD
DATE
COMPLETED
ev.
This combination qualifies for a Federal Energy Efficiency Tax Credit when
IMF
placed in service between 1/1/2015 and 12/3112020.
CuutificateopAProduct "Ratings
AHRI Certified Reference Number;201487036 Date:11-02-2020 Model Status;Discontinued
Old AHRi Reference Number,,10095191
AHRI Type:SP-A(Single-Package Air-Conditioner,Air-Cooled)
Series:FOUNDATION
Outdoor Unit Brand Name:TRANE
Outdoor Unit Model Number (Condenser or Single Package):1:13C048A3"OA
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 regions)for
which they meet the regional efficiency requirement.
The manufacturer of this TRANE product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1,PorfontienCe Rating of Unitary Alt-Condifloning
&Air-Source.Fleat.Puriip,':EqulpmeRt apd sybJe •ta•rating aceuraCy;by,AHRlponsored,inde)7endent;;third party•tetiiigt: ;
s .
Cooling CapsoiSingle or.High Sti ije:(85F)r.$tu11 48044
SEER 14.00i.
EER(A2)=.5ing)e•or,High Sfage(95F) 12.00.. .
TModels with°Discontinued"Model Status are those that an AHRI Certification Program Partfclpant no longer produces AND is no longer selling or offering for mie.
do s ihet ere accom anied Involuntary ra ratio ie shown vioue i.e.W
DISCLAIMER
AHRI doers not endarsb the produotfs)listed enthts Certificate and makes no representations,W,-Motieg orguarantees as to,and assumes no responsibility for,
the Vtouctfs)listed an this Certificate.AHRi eVre%sly 0iscialms all liability for damages of any kind arising out of tine 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.shrldirectory.org.
TERMS AND CONDITIONS
Wa Certificate and its contettts are proprietary products of AHRL T111%Certificate shall only be used for Individual,porsOnal and
confidential reference purposes-The contents of this Oertfricate 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 CO?I0j=R T10N INSTITUTE
CERTIFICATE VERIFICATION &'REFRIO!"RATION iN871TUTE
The information for the model cited on this eertiflote can be verified at www.ahrldlrectory.org,click on-Verify Certificate"link „w malce lift better"
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, _—T
which is listed above,and the Certificate No- which Is listed at bottom right. ;. �TT j32487963&4117 •:,'•',;
m2020Air-Coridltloning,Heating,and Refrigeration Institute CERT�FRCI�►TE NQ.:
This corttbination qualifies for a Federal Entergy Efficiency Tax Credit when
■ QD
placed in service between 1/1/2015 and 12/31/2020.
Certificate of Product Ratinas
AHRI Certified Reference Number;75018566 Date:11-D2-2020 Model Status:Active
AHRI Type;SP-A(Single-Package Air-Conditioner,Air-Coaled)
Sories;XR14
Outdoor Unit Brand Name:TRANE
Outdoor Unit Model Number (Condenser or Single Package);4T004024Al
Region: All(AK,AL,AR,AZ.CA.CO,CT,DC,DE,FL,GA,Hi,ID,IL,IA,IN,ICS,KY,LA,MA,MD,ME,MI,MN,MO,MS,
MT,NC.ND,NE,NH,NJ,NM,NV,NY,OH,OK,OR,-PA.Rl,SC,SD,TN,TX,UT,VA,VT,WA,WV,WI,WY,U.S.
TerrltWries)
Region Note! Central air conditioners manufactured prior to January 1,2015 are eligible to be installed In all regions
until June 30,201 B.Seginning July 1,2016 central air conditioners can only be Installed In reglon(s)for
which they meat the regional efficiency requirement-
The manufacturer of this TRANE product Is responsible for the rating of this system combination.
Rated as1iollcOsIn edition.'of AHRI$10/240 with Addehdurjrt.':T,,Perfdrrnapce Rating of Unitary.Air.Conditioning
&AlrSoulce.Hegt'Pump .LC{uipmeth and subjeatto ratitig accuracj�by.A�fIRI.-spoiosore'd,:lnd'epiindenf,ttilyd pat#ytesting+•
Coaling 4pacity.(A2):-Single or-High:Stage(951=),btuh`.23000 WAS'24600
SEER 14.00'.'
EER(A2)'=8in9le:6r.High Stago(95F) ':11-3T.WAS 12;00
t"Aclive"Model Status are those that an AHRI certification Program Paruelpant Is currently producing AND selling or offering for sale;OR new models that ere being
marketed but are not yet being produced"Production Stopped"Model Statue are those that an AHRI Certillmllon Program Participant Is no longer producing BUT 1s still
selling or offering for sale. -
Ratings that are accompanied by WAS indicate an irty[t untaru r&-Tate The neW PuBlished ratinsl is shown along wlth36. SI-Ming,
AHRI does not endorse the product(s)listed on this certificate and makes no representations,warrantie&or guarantees as to,and assumes no ruponsiWiity for,
the product(s)listed on this Certificate-AHRI expressly dlscialms all liability for damaAeg of any kind arising out of the use or performantO Of the product(s),or the
unaulthortxed alteration of data listed on this CertiBeale.Certified ratings are valid only for models and conHguratiohs pitted to toe
directory at www,ahrictirectory.org_
TERMS AND CONDITIONS
This Certificate and its contents are proprietary pratueia Of AHRI.This certificate shall only be used for individual,personal and
confidential reference purposes.The contents ofthis Cantticate may nut,in whole or in part,be reproduced;copied;disseminated;
entered into a computer database;OF otherwise utilized,In any form or manner or by any medns,except for the user's individual,
personal and confidential reference. AIR rmFUIG RATING,HEATING,
&REFftIGERATi6N INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cltedon this certificate cern he verified at www•ahrldlrectory.org,click on'Verify Certificate"link Nee mal<thftbettef°
and enter Ute AHRI Certified Reference Number and the date op which the certificates was lssued. _ _
which Is listed above,and the Certificate No.,which is listed at bottom right, f '' 1324879620.37059258.-
®2020AINConditloning,Heatln ,and Refrigeration Institute !` ERTI:FICI4T NO.: .
i
r
uenfificate of Product rRatima^
AHRI Certified Reference Number,7501860 Date;11-02-2020 Model Status:Active
AHRI Type:SP-A(Single-PSCkage Air-Conditioner,Alr-Ccoled)
Series:XR14
Outdoor Unit Brand Name;TRANE
OUWOQT Unit Model Number (Condenser or Single Package):4TCC4048A1
Region: All(AK,AL,AR,AZ,CA,CO.CT,DC,DE,FL,GA,HI,1D,IL,)A;iN,KS,KY,LA,MA,Mil,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 t4 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 TRANE product Is responsible for the rating of this system combination.
Rated asfcfloinrS'Irt acconianoewitli:;ttie IEileAt ddifiort o'FAFIRI.P14/240'With'}.I�dendum 1;Perform�npe'C�atng;of Uni€ary•Air-Cpridltiotalrig.
&Alr-Sout't e:lieat'Pump;gjUip"ht and subject to rating accurfidy-:byAF4k4,Po ring:
Cooling Capacity 0,4-Single or Migb.Staga(s5F),btuh;,46500,
8EER.:,14:0a..,
EER(A2):-Single•Of:High.Stage•(95F) 1:1'-51]::.. :.:.• . :•. .. .• •... •. •, .
fActive"Model Status are those that an AHRI Corlificabon 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
Inor offering ibr sale.
lalvtolytacbommHied by WAS indicate an in I n
DISCLAIMER
AFRI does not endorss the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responslbltlty for,
the product(s)listed on this Certificate.AHRI expressly disclaims all Hability 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_eart)fteq ratings are valid only for models and contiguratlons tisteq to me
directory at www.shrldlrectory_org_
TERMS AND CONDITIONS
Yhls Certificate and itg cantrents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and IMB
confidential reference purposes.The contents of this Certt<icate may not,In whole or in part,be reproduced;copied;dlsserntnated;
entered Into a computer database;or otherwise udUxed,In any form or manner or by any means,exceptforthe user's Indiuiduai, JEW
personal and confidential rafor"m. AIR-CONDITIONING,HFATING,
CERTIFICATE VERIFICATION &Rt;FRIWMATION IN5TITUYe
The information for the model cited on this certificate Can be verified at www.ahridirectDry.org,click on`Verify Cartifleets"link we nuke life better"
and ontar the AHRI Certilletl Refafence Number and the date on which the certificate was issued,
which Is listed above,and the Certificate Na,witioh is listed at bottom right. i"... •; T — "'"
RT- IFI ;jty'Y`E"NO.;
02020Air-Cortdl ;,
tinnln ,Heatln�,and Refrigeration Institute 13z4e798as.9r aas0 :: :,:.