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Home My WebLink AboutBuilding Permit application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit NumF s Date:10,,,, ECEIVE®is..0 0 w� Building Permit AppliNOV 19 2020PlanningondDevelopment$ervices itting Department Building and Code Regulation Division LUCie C nty, FL ,2100 Virginia Avenue,Port Pierce FL 34982 Phone:(772)462-15a53 Fax: (772)462-1578 Commerciai Residentia PERMIT APPLICATION FOR: -PROPOSED iNPRQVE ENT.LO• TI Address: Legal Description, Property Tax ID#: — (D Lot No. Site Plan Name: f Block No. Project Name: / Setbacks Front Back: Right Side: Left Side: DETAIL Q, ES'C. 1P.TTI,0t4 OF WQRK ' . c NSTRucTio ,�iV�ORMATioI :°:i, :;: Addit ona worko e pe orme under is perms -�check k a a app y: _Mechanical _Gas Tank _Gas Piping Shutters _Windows/Doors _Electric _Plumbing Sprinklers Generator Roof Total Sq.Ft of Construction: 5q. Ft.of First Floor: Cos struction:$ Utilities: _Sewer ,.,,^Septic Building Height: CONT•.• .CTOR:' rc1�INE E: e i Name: �r Addr Company: City: State: Addr zip Code: Fax: City: state. Phone No. Zip Code: Fa E-Mail: _ Phone N Fill in fee simple Title Holder on next page(if different from the Owner listed above) State r County License: 6W bl�3/ :�> /f va/ue of construction Is 2500 or more,a RECORDED Notice of Commencement 1s required, SUPPL ; t1� i `CONS''RU,t 'I"!pN L Ai..�:�1WINFO�iNtir� C�i1l: 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: Narne: Address: Address: City: City: Zip:_ - Phone: Z(p: 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 authorlie 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencin reco di otice of Commencement. Si of Owner/Agent/Lessee signature ��ror/�iiLicense older STATE OF FLORID STATE OF FLORIDA, COUNTY OF LsA e COUNTY OF SG.v.t L. ,k c t x The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of N 0-t")3 ,20;kR by this day of Y\ 2Oa by OAenrlt�, �4tc'S �i k 42V)ri i,S CU e,& (Name of person acknowledging) (Name of person acknowledging) (Si a of Notary Public-State of Florida) ( ' ure of N0*XZNJWk_SJaLqaf Florida) Personally Known K OR Produced identification Personally Known Y OR Produced Identification Type of identification Produced Type of Identification Produced Commission No.G,6 3 1o11yi %Sea ission No.G'G��1� Nomery Pubut St4o of Fit a Nofery publlo State of Flo Chrl6 1 1110140114 td COIT�IIIF*Ipt(3C3 3 Oa Aims 01/21/2023 REVIEWS FRONT lil a PEI'NMR P S VEGETATION SE COUNTER W REVIEW REVIEW . REVIEW DATE RECEIVED DATE COMPLETED ev. r CERTIFIED"mmal Certificate of Product Ratings AHRI Certified Reference Number:201188350 Date:11-10-2020 Model Status:Active Old AHRI Reference Number:7491225 AHRI Type:RCU-A-CS(Split System:AIr-Cooled Condensing Unit,Coll with Slowar) Outdoor Unit Brand Name'RHEEM Outdoor Unit Model Number (Condenser or Single Package):RA1430AJI Indoor Unit Model Number(Evaporator and/or Air Handier):RH1 P3017STAN Region: Southeast and North(AL,AR,DC,DE,FL,GA,HI,KY,LA,MD,MS,NC,OK,SC,TN,TX,VA,AK,CO,CT,ID,IL, IA,IN,KS.MA.ME,MI,MN,MO,MT,ND,NE.NH.NJ.NY,OH,OR,PA,RI,SD,UT,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 reglons until June 30,2016.Beginning July 1,2016 central air conditioners can only be Installed In region($)for which they meet the regional efficiency requirement. The manufacturer of this RHEEM product III responsible for the rating of this sys%m combination. Rated as follows In accordance with the latest edition of AHRI 210/240 with Addendum 1,PaM'ormanpa Bating of'UnlWry Air-Ccnditt N00 &Air-Sours Hieat Pump Equipment and subject to rating accuracy by AHRI-sporle0red,Independent,third party teltgrig; Cooling Capacity(A2).Single or High Stage(96F),btuh:28600 SEER:14.00 EER(A2).Mrigle or High Stage(06F) :11,00 fActive"Model Statue are those that an AHRI Cartlficatlon 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 Certifloauon program Participant Is no longer producing BUT is still I n o rin for gale. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no reprosentatloim warranties or guarantees as to.and assumes no responsibility for, the products)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arlsing 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 tar models and conflouratlons listed in the directory at www.shrldlr*otory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI,This Certificate shall only W used for individual,personal and confidential reference purposes.The Contents of this Certificate may not,in whole or In part,be reproduced;copled;disseminated; entered Into at computer database;or otherwise utilized,In any form or Manner or by any means,except for the user's Individual, Ross personal and confidential reference, AIR-CONDITIONINQ,NEATINQ, CERTIFICATE VERIFICATION 4 RC6 URRATION INGTITM L. L,The information tar the model cited on this certificate Can be verified at www.ahridirectery.org,click on-Verily certifleate-link w tAko 1.6,lum-- and enter the AHRI Codified Reference Number and the date on which the certificate was Issued, which Is Ilated above,and the ConlAcate No.,which Is listed at bottom right @2020AIr-Conditioning,Heating,and Refrigeration Institute �t"TIFICATE NO.: 13zaasteo�es111est