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Home My WebLink AboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: � Permit Number.- C) CC CCO), Lj�j- D BuildEY , " - ing Permit Application Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Rhyne. (772) 462-1553 Fax: (772) 462-1578 Commercial Residential 7 PERMIT APPLICATION FOR: C F,, � � PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID #: �U r � jj C) Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: >l (I'a .1:1:S -1-� �� New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional word to be performed XMechanical Gas Tank E I earl Plumbing under this permit — check all that apply. Total Sq. Ft of Construction: Cost of Construction: $ h _Gas Piping � Shutters � Windows/Doors Pond Sprinklers � Generator Roof Piteh Sq. Ft. of First Floor: Utilities: � Sewer � Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameH- $� R _Cl �iS�� (.LC N`ra�me. pv.s Address: � 0Q �w �-E['�{ f �LW S�a�R �(f�mpany: City: State: Address:� Zip Code: Fax: City: Phone No. E-Mail: dill in fee simple Title Helder on next page (if different from the Owner fisted abase) Zip Code. - Fax: Phone No'- E-Mail \t�5� State or County License,—r-,./A-r \ &J If value of construction is zoo or more - .1 If value of HAVC is $7,,500 or more , a RECORDED Notke Of Commencement is a required. ,, 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: No Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: VVJVr / � [M I K t I V� LJV1 I: ppli atRo is hereby made to obtain a permit to d the work are installation a indicated. I certify that no work r installation has commenced prior to the issuance of a permit. t. Lucie in makes no representation that i granting a r ft ill authorize the permitwhich i� conma � � � �t t�l�� to build t�� r��t structure t with n applicable Hone Owners Association rules, , laws or and covenants rats that structure. Please consult with your Home ov�nAssociation - � restrict or �r�� fit �� Owners Association and review your deed for are restrictions which apply. In consideration of the granting of t�i requested permit, I do hereby � ree that I will, in all ._� respects, perform the �� i n accordance with the approved plans, the Florida Building r� Codes and t, Lucre County r� r� d rr� r� . The following building permit applications are exempt from undergoing it full cony i . . � �rr�� r��: room additions, d. accessory structures, swimming pools, fences, wars, signs, screen rooms and accessory uses to another nary -residential use WARNING TO DINNER: Your failure to Rpcnrd a Nntirc, nf rnmr,n.,.-e.,,,a..t I :�r__ r.. v■ �,.va aqa,c��i ANNOY IC�Lf Ii 111 f.%Cfylli� (h/iLe j{J� i ments to your property. A Notice of Commencement be recorded in the public records of St. u�ie Co ty ar�d posted on the jobsite before the first inspeI you inter�d to obtain fiinancing, Gansu#t with fiend �- or an attorne fare co menc'rn work or �-ecaour Notice of Co r�cement, Signat of weer/ Lessee/ ontractar as Agent for Owner Signa ure Contractor/License Holder - - - ST E OF FLORID _ STA OF FLORIDA,- CO NTY OF �[_' - � : co NTyTY C F L 10 Swar o (or affirmed] and subscribed before me of P al Pre��c� or Online Notarization this �ay ofdr 2024 by Name of person making statement. Personally Known OR Produced Identification �V�. Type of Identification Produced (Signature O Notary Public- tat o 1 Commission No. REVIEWS DATE RECEIVED DATE COMPLETED F FRONT COUNTER or" (or affirmed) and su bscri bed before me of al Preece or Online Notarization this f T' r 202t by Name of person making in statement. Personally Known Type of Identification Produced :1 oR Produced Identification • - State Florida JIL .W Rebekah Hoy (Signature of Notary Public- of Ida Rebekah Hoy NOTARY p mission i sion �� MRY PUBLic TATE F FLU I DA ..on,.� STATE of FLORIDA _ ZONING REVIEW SUExelreRimSORi REVIEW "FLANS REVIEW VEGETATION REVIEW mac[ 1e1- Ex SEA TURTLE REVIEW iMANGRQV? Certificate of Product Ratinas AHRI Certified Reference Number: 201170992 Date., 02-02-2021 Old AHRI Reference Number: 7491807 H i Type: R U- - B (SPlit y to-m -. Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name ; RUUD Outdoor Unit Mode! Number (Condenser or 5ing#e Package) : RA1436AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) ; RH'i T3617STAN Model Status. Active Region Southeast and North (AL, } LAG, DE, FL, GA, H I I' L � T , MS, NC, OK, SC, Tex TX, VA, AK, COo CT FD4 ILa Al IN, : MA, M E, ICI 11 MN, , r MT. N D f NE, NH, NJ, NY, 1--1a OR, PA, F l , DT T � SDI � r x a la , U.S. Terdtor�es) Region Note : Central air conditioners manufactured prior to January 1 2015 are eligible until June 30, 2016. Beginning ,..July 1, 2016 central air c;onditioners can only be installed in region(s) for which they meet the regional efficiency requirement. The manufacturer of fts RUUD product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHEM 2101240 with Addendum PerkAir-Conditioning, �rrr�� rti r�� Air -Source Heat Pump Equipment and subject to rating accuracy bH i-s on orstesting: p � � ��d�� r�d��tr tb�r� �� Cooling Capacity (A2) _ Single or High Stage (E), btb : 35600 SEER ; 15.00 EER (A2) - Single or High Stagy 1= : 1 . 0 tllActie" Model 9tatus are those that an AHRI Certificati011 Program Participant icurrently r�d�r�lr� M areted hit ire nit et beir� � � � � Yellin �r �f�r�� pia �R n� r��d�l that �r� being prod toppe M o d e I Status are these that an H R I Certification Progr rn Panic nt 1 rya ler� selling or offering for sale. � ��r �r�du ink � �` I ��! F ati n that art a i WAS indicate an i nvul unt re -rate. The new Published a_ ten i shown n with the Lrevigus (ite. 1 rating., DISCLAIMER A HRI does not endorse the Product(s) listed on this Certificate and makes no representations, warranties or u the pro�luct(s) lasted on this Certificate. AH Ri expressly dis�Iai s all liability for damages of nkindguarantees �� t�, �n� a�su rr�� no responsibility for, unauthorized alteration of data listed on this ertifite. er�iti arising out �f t� ►�� rf�rr��e �� tl�� p��uet�� the �� r�tin �r� �� or~I for Adel and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are ,proprietary} products of AHRL This Certificate shall only be used for in dividual, personal andcerfidential reference 11urposes. The contents of this Certificate may not, is whole or in part, � reproduced;copied; disseminated; entered into a computer database: or otherwise utifized, in anyform or A _ . - rinarrr��r' �r �� and r��arti�, ��ee�t for the ��err� indi�rid�raf personal and confidential reference. 1 IR ONDITIONING, HEATING? ��T�FiATE VERIFICATION REFRIGERATION INSTITUTE The information fior the model cited on thiscertificate can be verified at www.abrldtre for .or click �Certificate" - nd enter the AHRI Certified Reference Number and the date an which the certificate +� issued, a err I��r�#�Irt�f� we make life- bettev�, which II� is listed above, and the Certificate orright. � � 17�G1f`� GI� 1�7�kr�T which i 11st ri at bottom ri f t. F-...... --.- -- .. -- 9�2021 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132%5s7ss25711ssozs