HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
Building Permit Application
Pltrnning and Develapment Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential
PERMIT APPLICATION FOR: � Ic- ���� i- C
��
PROPOSED IMPROVEMENT LOCATION:
Address: ,MQ � j P S q
Property TaxlD#: ��'Q—Oj��Lw'1 —C)-()Q �ej
Site Plan fame:
Project Name,-
DETAILED DESCRIPTION OF WORK:
New Electrical Meer
ow
�(— L� V �L
Second Flectrical Meer
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
�iechanEcal _Gas Tank
electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
_Gas Piping
Sprinklers
Lot No,11
Block No.
_Shutters Windows/Doors Pond
Generator Roof pitch
Sq. fit, of First Floor:
Utilities: _Sewer � Septic Building Height:
OWNER/LESSEE.1 CONTRACTOR,
Name 'C^1 S'V �� S ,.,.....
�'� Name- 3 �C C,N.) �-
Address: CL.]�., Company:
City: Stake: � �` Address: %��e -C
Zip Code: Li �' � ��x: city:A, Yk�� State-0 0,
a
Phone Na. Zip Code: Fax:
E-Ilia€!: Phone No
Fill in fee simple Title Helder on nett page (if different E-Maid � LP.�' � WJ��- �,
from the Owner fisted above) State or County License to-S"PjF)
,ff. .zwVW.,W.P %A IF"IIm--%.r■1INWL14-, W1 %w 1i1111'C114C11f1C11L 1 requir u,
If value of H is $7.,,500 or more,, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:
Name:
Address:
City .0 State:
1 P : Phone
FEE SIMPLETITLE HOLDER: _Not Applicable
Name:
Address:
City--
Zi P: Phone:
Not Applicable
.Em�
Name:
Add ress
City:
State
Zip-. Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City!
I PPhone:
OWN ER/ CONTRACTO R AFF1 DVIT: Application is hereby made to obtain a permit to da the work and instal lation as indicated.
I certify that no work or installation has commenced prier to the issuance of a permit.
t. Lucie ou nty makes no representation that is grantinga permit will authorize the permit holder to build the subject structure
hick is in con IictFrith 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.
I n con si deratio n of the granting of this requested perm it, I do hereby agree th at I wil l* i n al I 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.,
acre so ry stru ctu res, swi rim i ng pools,
fences*
wa
I I s, signs, screen roo m s a rid
accessory uses to an othe r
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
P�
winder or an attornev before commencing work or recur finizour Notice of Commencement.
Signatur� Ef Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY LuC�E
Sworn to (or affirmed) and subscribed before me of
K P ysical Presence or Online Notarization
this ILI day of Ni6V tlz F 2020 by
Name of person making statement.
Personally Knows K OR Produced Identification
Type of Identification
ProdAced
Signature Contractor/License Holder
STAGE F FLORIDA
COUNTY OF -SAINT L-00- 1"E
Swore to (or affirmed) and subscribed before me of
� physical presence or Online Notarization
phis 14 day of J�l o V E cl4$E R, , 2020 by
Name of person making statement.
Personally Known -- -OR Produced Identification
Type of Identification
Produced
((jgalure of Notary P�.blic- �� � +t� ( � Lure f otar Public- �F;r4&Pp COLVILLE
} •
t.y u� �204mmi con o! on o. ! I 26t 2024
FA
AS +•F``''ExO
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVI EW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DTF
COMPLETED
Certificate of Product Ratinas
H I Certified Reference Number : 204289055
Date ; 1 1-17 - 0 0
AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Col! with Bower)
Series.- MERIT ML14XCl SERIES
Outdoor Unit Broad Name: LE H X
Outdoor Unit Model N umber (Condenser cr Single Package) : M L 1 4XC 1 S 0 - 0 **
Indoor Unit Mode I Number (Evaporator and/or Air Handler) : C BA25 U H -0 - 0-4*
Model St2tUS : Active
Region * Southeast and North (AL, , D r DE, FL, GA, HI, KY, LA, MD, , OIL, SCI TIC, TX, VA. AK, GO, T) I[ , IL,
MA, ME, 111I, MN, MO, MT� 1D, NE, NH, NJ, NY, OH, OR, PA, R1, SD, UT, VT, WA, WV, 1 1, 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. Beginnlng July 1, 2016 central air conditioners can only be installed in region( for
which they meet the regional efficiency requirement.
The manufacturer of this LENNOX product is responsible for the rating of this system combinafior.
Rated as follows in accordance with the latest edition of AHEM 10/ 40 with Addendum 1, Performance bating of Unity Air -Conditioning
Air - Source Heat Pump Equipment and subject to rating accuracy by AH I- p nor d, independent, third paw testing:
Coaling Capacity (A2) -Single or Nigh Stage (95F) 3 btuh ; 33800
SEER : 15.10
EER (A2) -Single or High Stage (95F) : 12.50
t° dive' Model Status are those that an AHRI rtificat-lon Program Participant is currently producing AND selling or offering g for sale; OR new models that are being
marketed but are not et being �
g prod uced."Produetion Stopped" Model Status are those that are HRH ertificatien Program Participant is nc) longer producing BUT is still
Sailing or affect ng for sale.
Ratincis that are accompanied by WAS indicate an involuntary re -rate. The new Dublished ratin i shown aloniq With the jorevious I.e, 1 rats rl
DISCLAIMER
A#- R I does not endorse the prod uct(s) listed on this Cerfiftate and makes no representations, warranties or guarantees as to, and assures no responsibility for
the product(s) listed err this Certificate. AHEM expressly disclaims cif liability far damages of anbind arising out at the use of a
� p�rf�rrn�r�� �tt�� �r~��u�����, or
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www.ahr*idirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AH R1. 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; copiled; 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.
IERT11FICATE VERIFICATION
The information for the model cited on this certificate can be verified at w .ahridirectory.or , dick on "Verify Certificate" link
and enter the AHR1 Certified Reference dumber and the date on whiGh the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right.
02020Air-CondftianEng, Heating, and Refrigeration Institute
CERTIFICATE NO.:
AIR- ONDMO iNG, HEATING7
we make- life betteem
132501030099255395