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HomeMy WebLinkAboutBuilding Permitkil APPLICABV INFO LIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Date: Or ®� Building Permit Application Planning and Development Services Residential Building and code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: lot o t Property Tax in #: r r 1 Site Plan name: Protect Name:'q DETAILED DESCRIPTION OF WORK; Y\&R New Electrical Meter__ ..Second Electrical Meter_ CONSTRUCTION INFORMATION: Lot No.. Block No. Additional work to be performed under this permit— check all that ppliY W9ndows/ears .— Pond Mechanical Gas Tank _ cas Piping — --Roof Generator Pitch Electric � Plumbing _,.,.Sprinklers _.. Total Sq. Ft of Construction: . Sq. Ft. of First Floor: Building Cost of Construction: $ ���- +�—� Utilities: Sewer Septic � CONTRACTOR: OWNER/ Sett; -- A-� — Company:. Address: � � " ����✓'1 ,� �, ��6-.--Stata• Address,; � City: _ ----r state:6K, City: bZ 61 Zip Code. ` Fax• Zip code: al -7 _ Fax: Phone No. — Phone No Fill In fee simple Title Holder on next page t ITdifferent state'or County License from tlae pHrner listed above) if iralue of construction 1S 250ma e a iiECO�tDEDNotEce of Commencement is required.'sred. If value of HAVC is $7,5H •r - 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure swhich is in tructure. Pleaslec nisult with pyour Hlome Owners Associa ion andtion rreview bylaws deed for any restrict onswhichmay apply. obit such 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, srroccnru ctrUMireS. 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 R LT IN YOUR PAYING TWICE FOR IMPROVEMENT O YOUR PROPERTY. A NOTICE OF COMMENCEMENT,, US BE RECORDED AND POSTF0. ON THE JOB 9FORE TWE FIRST INSPECTION. IF Y END TO TA FINANCING, CONSULT — VnI10 I FNnFR R A TTORNEY BEFORE RECORDING YOU NOT CE OF COMM C€MENT." Signature o wner/ Lessee/Contractor as Agent for Owner STATE bF FLORI L COUNTY OF R The forgoing instrument was acknowledged before me this day of �_�. 20^ by 1 Name of person makinggsstatement. ` Personally Known °` OR Produced Identification Type of Identifica n Produced-- re of Notary Public - Commission No. REVIEWS I FRONT COUNTER DATE RECEIVI=D DATE COMPLETED ida I AMANDAOUBOIS My COMMISSKIM f GG 174 (SeZfl�PIRES: Apri; 22, 2022 Bonded Thru Notary Public Unden Signature of Holder v STATE OF FLORI ; COUNTY OF The forgoing instrument was acknowledged before me this day of 20_ by Name of perso m king statement, Personally Known 1"O" OR Produced Identification Type of Identification Produced tl re of Notary mission No. ZONING REVIEW S REVIEWER REVIEW VEGETATION AMANDADUBOIS my com # GG 174a04 x`a EXPIV. it 22, 2B22 Bonded TnruNotary PublicUnderwtHers SEA TURTLE MANGROVE REVIEW REVIEW it gnu ■Ei CERTIFIE0' www.ahridirectory.org AHRI Certified Reference Number: 8560592 Date: 03-22-2021 Model Status : Production Stopped AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: LX SERIES Outdoor Unit Brand Name: LUXAIRE Outdoor Unit Model Number (Condenser or Single Package) : PCE4A36+ 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 LUXAIRE 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 (95F), btuh : 35200 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11-00 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 ar offering far sale. R tin s that a e accom anted b WAS indicate an involuntary re -rate. The new ublished ratio is shown ! n i h th revious i.e. WAS ratio . DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibi ity 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,ahvidirectory.org. TERMS AND CONDITIONS jt. 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 oomputer database; or otherwise utilized, In any form or manner or by any means, except €or the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectery.org, click on "Verify Certificate" link wv! make life bater" 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. CERTIFICATE NO.: 132608930281279990 ©2021 Air -Conditioning, Heating, and Refrigeration Institute