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Home My WebLink AboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:-!I (%' 202- Permit Number: O ' . s �? 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: PROPOSED IMPROVEMENT LOCATION: Address: 2-1 1 ► pG-`-p ti t�Fir, F�C� Property Tax ID#: _Z31-1 43 _ t -(, _ 0� - Lot No. Site Plan Name: r L-A--►' 6 C(-.,S L� _ Block No. Project Name:_�_['k.V" V--) DETAILED DESCRIPTION OF WORK: 10 1Lvv New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: 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: Sq. Ft. of First Floor: Cost of Construction: $ _� I Ct 4 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name N4 i Ct CA -E I it e c s L,I, Name: &'v I 1V'V_ Address: 'Z-l- I ` F3V Z:'L- SYYI i "1 d Company: City: F State:F(— Address:fir- Zip Code: 34C'q'J Fax: City: pi)vt si , L'Ci.c i Stater Phone No. ( 1-72-) 2-05. Zip Code: ., Fax: E-Mail: Phone No (C'( C . ;`j C, Fill in fee simple Title Holder on next page(if different E-Mail K_I q 5 tZk.d C QCCs'. tf- �Gw-i'77. from the Owner listed above) State or County License_C-A-C 1 E Z & i Yer 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 A Applicable pp 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 contlict 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 wiH,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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR.PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. It YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE,RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Lessee/d tractor as Agent for Owner Signature of Co tractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Sr 4AZ;C COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of duty 2020 by this Wd y of "T1 ,i U 20 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification_ Personally Known OR Produced Identification Type of Identification Type of Identification Produced P7L41- Produced F L D L (Signat e f Notary Public-State of Florida J (Signature of otary Public-State of Florida j u Commission No. Commission No. �� PU •.. AuoREt< r�MrR tisY►o''.. AUDREY 5TUEHMER Notary Pubtic•State of Florida =_°• Nola Public•State of Florida er Commission 9 QG 317544 a Commission M G 317544 REVIEWS FR °Fae ,Expire I OR PLANS VELETA •ond thn i,h Na Tonal Not sn VE B.o d anon 1 CO REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. This combination qualifies for a Federal Energy Efficiency Tax Credit when ® placed in service between 1/1/2015 and 1213112020., y.org Certificate of Product Ratings AHRI Certified Reference Number:202274154 Date: 11-10-2020 Model Status:Active AHRI Type:RCU-A-CB(Split System:Air-Cooled Condensing Unit,Coil with Blower) Series:Gold Outdoor Unit Brand Name:AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package):4A7A7048B1 Indoor Unit Model Number(Evaporator and/or Air Handler):TEM6AOD48H41+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,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 AMERICAN STANDARD 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,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:48000 SEER: 17.00 EER(A2)-Single or High Stage(95F) : 13.00 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 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.ahridirectory.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 make 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. 02020AIr-Conditioning, Heating,and Refrigeration Institute I CERTIFICATE NO.: 132495139361925355