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HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: S�'n i .0 ,LL h 6� w' ° `' t;2 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: "qC C.. PROPOSED IMPROVEMENT LOCATION: Address: � 3q -2 /vl w I a i Lfr-e,Ie Property Tax ID #: _ 33 Z7 5 oZ C>l C)y () 00 -;� Lot No. Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: 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 _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ `-1 0 _ Generator Sq. Ft. of First Floor: Block No. Windows/Doors _ Pond Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name eve. Greer Name:(rnlli's FireirfL ctnd Air Address: c6 LI7 /-I L'Ol I,Qn,.x circ (e Company: Cod v c-O r'.5 fl City: ELL Lucre State: F& Address:16talz L.0 Ieelsev (Jckv Zip Code: 3LIQ fK(o Fax: City: G r 4 Sar'n4 Lccc+a State: FL Phone No._Nt/0 q KSe Zip Code: 3c(C4C6 7 Phone No ?7 Z Y70 �oDctS` Fax: E-Mail: E-Mail Col 155f . C61-, Fill in fee simple Title Holder on next page ( if different State or County License xr-L C_'4 C 1a z ® o from the Owner listed above) IT value OT construction is ZSUU 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 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 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 vour Notice of Commencement. igna re of Owner/ Lessee/Contractor as Agent for Owner re ignat of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S t 1_tar�'e_ COUNTY OF54, L uc.�'e Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization k Physical Presence or Online Notarization this day of 2020 by this day of 2020 by r 4'� Coigns r o c/ v (o/l, s Name of person making statement. Name of pe son making statement. Personally Known k. OR Produced Identification Personally Known )<- OR Produced Identification Type of Identification Type of Identification Produced ---~— Produced „ ig at.of"Notary Public- State of /� nature of NQt DEVIN COLLIS �f oNAY w, DEVIN COLLIS �� p........ Commission No. `r" OM MISSIo9@9¢943516 :: C mmi ission No. MY COMMISSION#�f�>;6g�g EXPIRES: JAN 01, 2024 ,� EXPIRES: JAN 01, 2024 Rnnded through 1st State Insurance Bonded throu h 1st S to inmimn— REVIEWS FRONT SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE ZONING COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 516120 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/31/2020. Certificate of Product Ratinas AHRI Certified Reference Number: 8899634 Date: 11-24-2020 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: LX SERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TC7132421 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE24BX21+TXV 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 CHAMPION HEATING AND COOLING 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 parry testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 24000 SEER: 17.50 EER (A2) - Single or High Stage (95F) : 14.25 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 Oubllshed rating Is shown along with the orevlous (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. ©2020Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132506960648767007