The URL can be used to link to this page

Home My WebLink AboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED !FOR APPLICATION TO BE ACCEPTED Date: - i -, Permit Number.• s Building Permit APPlication Planning and Developmentsemces Building and Cade Regulat/on Division OWNER/LESSEE: l c -- Name Name: Address: =/ �-! f i -�� C Company. / �'se C;P` �, C. �:^„-�r�.-•o c— '0�7 City: 175 L '---_ State: e • Zip Code• `� ��`-2 Fax: Address: / ' Phone No. �2 f `4 9z �: C �-- Zip Code• S J-9 Fax state: A:7L E-Mail: Phone No.�'��— Fill In fee simple Title Holder on next page ( if dif osM E-Mail: _e-,-Ac, L. , C--b 11 from the Owner listed above) State or County Ucense: n je wcant* wflnn ie QfeM SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: BONDING COMPANY: Not Applicable Name: Address: 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 Ipndpr nr an attnrnpv hpfnrp rnmmpnrina work or recordine vour Notice of Commencement. ignatu ner/ Lessee/Contractor as Agent for Owner Sig ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S 1 L c-- c, c COUNTY OF S i c-�`t-- Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of _&,--Physical Presence or Online Notarization ri'PFiysical Presence or Online Notarization this /O day of 2020 by this .6�i day of �.cc-- 2020 by Name ofperson making statement. Name of person making statement. Personally Known 4---'OR Produced Identification Personally Known 4----"OR Produced Identification Type of Identification Type of Identification Produced Q (— Produced ` (Signature Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Commission 'TAYLOR QE Commission �� ;, r AY10R GA(R@gl) _* .' datatyru lic-Stale of Florida �o' ;% Notary ?Public -State of Florida Commission # GG 293767 ;. *; Commission # GG 293167 fill " ` January 21, 202 '% aF�b"ram. commission 23 J at REVIEWS VISOR PLANS -- _ GROVE — COUNTER _ REVIEW REVIEW REVIEW VIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. b/b/LU 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 Ratings AHRI Certified Reference Number: 201340980 Date: 03-10-2021 Model Status: Active Old AHRI Reference Number: 1076059 AHRI Type: SPY -A (Year -Round Single -Package Air -Conditioner, Air -Cooled) Series: RHEEM RSPM SERIES Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RSPM-AO36CK 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 RHEEM 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 party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 34200 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.20 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 Dublished rating is shown alono with the orevious (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 n This Certificate and its contents are proprietary products of AHRI. This Certificate shalt 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, row WWI 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.ahridirectery.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. 13259$512931197102 @2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: