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Home My WebLink AboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 0Zl .b 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: PROPOSED IMPROVEMENT LOCATION: Address: 16 [ S o r Property Tax ID #: �� 1 ` S1(2 - d 0 Z? UC) Q Site Plan Name: _ j� h 6,-m Project Name: [ kArv1 Lot No.� Block No. DETAILED DESCRIPTION OF WORK: I New Electrical Meter Second Electrical Meter I CONSTRUCTION INFORMATION: I Additional work to be performed under this permit -check all that apply: _Mechanical — Gas Tank _ Gas Piping _ 5hutters _ Windows/Doors Pond _ Electric _ Plumbing Sprinklers — Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ �Utilities: _Sewer _Septic Building Height: OWNER/L SSEE: CONTRACTOR: NameH,n,esC,t Name: G l , dto r Address: I r Company: Address: f* � City: StateAr Zip Code: Fax: City: State:Z—/r Phone No. g.'` - % ' Zip Code: :�q i! •7 Fax: E-Mail: Phone No •-� Fill in fee simple Title Holder on next page ( if different E-Mai- rsr L 'CeT ec P, c4,7a from the Owner listed above) State or County License C7 If value of construction is 2500 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 YOUR PAYING TWICE FOR IMPROVEMENT O YOUR PROPERTY. A NOTICE OF COMMENCEMENT, US BE RECORDED AND POSTE ON THE JOB E FORE THE FIRST INSPECTION. IF YO TEND TO TA FINANCING, CONSULT WI YO R L DER R A ATTORNEY BEFORE RECORDING YOUJrNOTJCE OF CO M CEMENT." Signature a caner/ Lessee/Contractor as Agent for Owner Signature of Cont for/License Holder STATE bF FLORI STATE OF FLORIQA7 COUNTY OF f. "r n, LA e COUNTY OF The forgoing instrument: was acknowledged before me The forgoing instrument was acknowledged before me this day of 20_ 6y this day of 20_ by i�o o i n,,� �rrun� nc-,, Q2 CA Q_ ... Name of person making statement. Name of perso m king statement. ✓ Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Iderltification Produced i nf_rcDn Produced i nX." 1 nature of Notary PMYCOMh:ISlr (Signature of Notary Public- {grida) AMANDADUBOIS ld GG 7748 r4__ 4 '`" AMAr DADUBQIs Commission No. p�=-(SeXYPIRES:ApM22,2422 C mission No. MYCOM� #GG t7d304 �p , Bonded Thru Notary Nublic Underwri ers , _ o EXP1 it 22, 202Z >..... ..W Bonded Thru Notary Public Ukenvriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/3112020. Certificate of Product Ratings AHRI Certified Reference Number: 8882535 Date: 03-18-2021 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: LX SERIES Outdoor Unit Brand Name: LUXAIRE Outdoor Unit Model Number (Condenser or Single Package) : TC7B3621 Indoor Unit Model Number (Evaporator andlorAir Handler) : AVC36BX21+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 priorto 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 LUXAI RE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 2101240 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 (951=), btuh : 34600 SEER: 16.25 EER (A2) - Single or High Stage (95F) : 13.75 t°Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new madals 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. Rat�in _s that are accompanied by WAS indicate an involuntary re -rate. The new published ratino is shown along with the previous (i.e. WAS) ratina. 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.7hls Certificate shall only be used for Individual, persona[ and confidential reference purposes. The contents of this Certificate may not, in whole or In part, be reproduced; copied; disseminated; IL �� 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 .ve 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. —'— - OO 2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132605375905293807