HomeMy WebLinkAboutBuilding PermitPROPOSE
Address:
Legal Descr
ALL APPUCAR INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date:
Planning and Development Service
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Building and Code Reg"to ion Di46to
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Permit Number
B
uilding Permit Application
23W irilgin i-ra Avenue, fart Pierce FL 349,S2
Phone: (772) 462qftl!;53 Fax** (772j 462-1578
PERMIT APPLICATION FOR
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AC Gas Tank
Gas Piping � Shutters � Widows/Door's
I.� Electric L�1 plumbing Sprinklers � Generator � Roof � Ropf pitch
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Zip Code:
Phone No.
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fee slinp e Titi� Holder on next ffierent
from the Owner [fisted above)
Ft, of Fl*rst Floors,
Seweri He ht.
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Address.
ZI Code.*
Phony No,
E-Mail: �
F,
3 Fax.•
State or County License: c_;.-
If value of construction is $25tm or more, a RECAt�ED Na�ice of Comrr�eracement is required.
15
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PPLEMENTA�. coI�STRUCTEQN L1EN tAVl� I NF�RIt�IATiaN:
RTGA
DESIGNER/ENGINEER: Not Applicably MOCOMAANY: Nat Ap
State
PAPlicable
Name:GE Name'.
Ad'dress: Address-.
City: : City: State:
ZI�' Phone....... Zip: Phone.,
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING CiomNY: Not Applcable
Name: Name:
Address:, Address.
City: C%1L;
--dV-00
zip: Phone: dip: Phone,•
OWNER/ CONTRACTOR AFFIDVITO: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun�y makes no representation that is granting a Permit will authorize the ermiti older to build the subject structure
which fs in conflict with any applicable Home Owners Association rules, bylaws or an 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 ail respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit app{ications are exempt from undergoing a fuH 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 f11111111lure"lo Record a Notice of Co mence ent may result in paying twice for
improvements to your property. A Notice of Commencement must b recorded in the public records of St.
Lucie County and posted on the j`obs'iote before the first inspecti11 'd -A61-A, -a U a 06on. If you in en o obtain fin;;nri"no- rnnizt1it
Wiu+ ic«uer or an auorne petore commencin work or recordina,your Notice of Commencement
Signature of Owner/ Lessee/Contractor as Agent for Owner Signafur'e'
of Contractor/Ucense Holder
STATE OF FLORI E OF FLORIDA
COUNTY OF S FC....�. obuore.-I -di i COUNTY OFSwprn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
inPhysical Presence or Online Notarization Physical Rresence or Online Notarization
this � day of ""�c� ,,--� 2020 by this �, day of �'s.�_ 2020 by
"M P
awl
Name of person mak'
ing statement. Name of person making statement.
Personally Known r, pR Produced Identification Personally Known � to Produced Identification
Type of IdentIfication Type of Identification
Produced _.. Produced
Cl'!f��
(Signature of Notary Public- State of Florida'
}(Signature""—' `� �•''�"'
of Notary Public-P State of Florida
49
Commission No. (Sea!) Commission No. (Seal)
REVIEWS FRQNT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COU N R REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATEWPM-
RECEIVED
DATE
COMPUTED
ev. .5/6/
AHRI Cerfffied Reference Number : 8215491
Date : 01-06-2021
AHRI Type: SP-wA (Single -Package Air -Conditioner, Air -Cooled)
Series : R41 OA AG SPP
outdoor Unit Brand Name: 13RYANT HEATING AND COOLING SYSTEMS
Outdoor Unit Model Number (Condenser or Single Package): PA4ZNA036000—**
Model Status: Production6h
Stopped
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, ICY, OM, 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 cen#ral air conditioners can only be installed in region(s) for
which they meet the regional efficiency requirement.
The manufacturer of this BRYANT HEATING AND COOLING SYSTEMS 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-Conditioningioning
& Air-mSource Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party tosting:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 35000
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.50
"Active" Model Status are those that an AHD[ Certification Program Participant is currently producing AND selling or offering
marketed but are not yet being produced." Production Stoppedn Model Status are those that an AHRI Certification Program Pa
settinor offering for sale.
Rafina's that are a�cama�nied byWAS an invv�untary re -rate. Thy new Qub�is�ed �at�n4 �� howrM.� 2��onn w�tk� thet�rev
for sale; OR new models that are being
rticipant is no longer producing BUTis still
41
i
DISCLAIMER
AHRI does not endorse the product(s) listed an this Certificate and mikes no representations, warranties or guarantees as to, and assumes no responsibility for,
the nrnduct1s) listed fln thk CArtificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance 4f the product(s), or the
unauthorized alteration of data listed on this Certificate.. Certified ratings are valid only for models and configurations lisped in the
directory at www.ahrldirectary.arg.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRL 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; coped; disseminated*
entered into a computer database; or otherwise utilized, in any form or manner or by any m ns, except for the user's individual,
personal and confidential reference, AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION REFRIGERATION INSTITUTE
The i nformation far the model cited on phis certificate can be verified at www.ahridIrectory,org3 c1Ick on "'Verify Ce rtif I cate" link we make life bettef'"
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed above, and the Certificate Na., which is lisped at bottom right.
1321,5440801221-48650
@2021 Air -Conditioning, Heatwng, and Refrigeration Institute � C���
TFE NO*: