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HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPL Date: c�i llo LSI�S�OLS 3 Planning and Development Services D FOR APPLICATION TO BE ACCEPTED Permit Number; ;i Building Permit Application Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34952 Pone: (772) 462-1553 Fax: (772) 462-1575 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: Rrope rty Tax I #: "A'3Q -m- -3t� a r f , C :-1- 4 Lot N o. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORKdP : w New Electrical Meer Second Electrical Meter CONSTRUCTION INFORMATIGN. Additional work to be performed uncle ►Ilechanical `Gas Tank Electric Plumbing Total Sq. Ft of Construction: Cost of Construction: $ this permit -- check all that apply: Gas Piping Sprinklers Shutters Generator Windows/Doors Roof Sq. Ft. of First Floor: Utilities: � Sewer _Septic Building Height: Pond Pitch OWNER/LESSEE. CONTRACTOR: AL Name �� ' '� �"�`� Name: �L�C.��► .� Address: � h .Si Co M P a ray: tL A City: State: Address:P, � '► • dip Code: � �I � �%Fax:— _ � �� --- City: State: Phone Afo. Zip Code: ����r� _ fax: E-Mail: Phone No dill in fee simple Tite Haider on next page (f different E-Mail �e.�� �L� [� �► from the Owner fisted above] State or County License L I If value of construction is 2540 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. lop SUPPLEMENTAL CONSTRUCTION"IfE LAW INFORMATION: f DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Dame: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BANDING COMPANY; Not Applicable Name: Name-, � Address: Address., City:' City: Zip: Phone: , ,._-- .. - Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Alicativn is hereby made to ohtain 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. t* Lucie ou n makes no representation that is grantingpermit will authori the r it holder to gild th `hich i ir� con �t nth - � subject structure any applicable bi e Home Owners. Association. rules, bylaw or and covenants that arestrict r~prohibit such structure. . Please consult with your Home Owners Association and review t your d�� for �n restrictions l� ich may apply. In consideration of the granting of this requested permit, I do hereby agree that E will in all respects,perform the in accordance wi th the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications ar exempt from undergoing a full concurrency review: a ccessor structures, swi mrn in g pools, fences, wa I s, signs, screen rooms and a ccessor uses to a n othe r ra o n-residential use WA improve Lucie Co with lens 0 OWNER: Your failure to Record a Notice of Comment ent may result in paying twice for eats to your property,, A Notre of Commencem t mu be recorded in the public records of St. my and posted o the jobsitte before the first in ectian. f you intend to obtain financing, consult e'er or an �atrn efore cvmmencin work or r ording ur Notice &Comiffiencement. 5ignatufe 6T_0w__neF. SOF FLORID CTrNUTY OF Lessee/Contractor ams" �F 'F S rLJ - gent ror uwner Sworn to (or affirmed) and subscribed before me of f � Physical Presence or Online Notarization this day of znohmooy Narne of person making statement, Personally Known Type of Id ntifl ati n Pro ced (Si ature of Nota PW * oMf F r, Commission No. + � .•0 . %. fr2 (�Wtj e =JUi ITry N, Hai � Y7„�r: ' �•a• f+ ,`� OR Produced Idrrtiffiati on la i natur of retract Li nldlr STATE OF FLORIDA COUNTYOF Lu:,lk Sworn to (or affirmed) and subscribed before me of ')( Physical Prese�,r�ar Oniine��a�rvzation this dayof Name of person making statement, Personally Knows J< R Produced I l e iitif i ati o n Type of Identification Produced tore of c�tg�- 000JM ri - commission • = (Se!a 1 �. ` /�BGrAed r`r J { ` 'l -SIX) REVIEWS FRONT 2ONIN SUPERVISOR PLANS VEGETATION SEA TURTLE COUNTER REVEE REVIEW REVIEW REVIEW REVIEW DATA RECEIVED SATE -- - i COMPLETED ev. 5/6/20 MANGROVE Certificate of Pjroduct Ratings FB I Ca tfi d Reference Number., 204595125 Date : 4-1 -1 H R1 Type : U- .-B �3 piit System: ir- oii oI d Cond n in Unit, Coif with Bio rOutdoor I. nit Br -and Name -. MEFU T F Outdoor Unit Model Dumber (Condenser or Single Package) : A4AC4036A1 Indoor Unit Mrade� Number (Evaporator and/or Air Handler) : A4AN4P36A1 B3 Model Status. Producti n Stopped Region: All K, AL, Aria AZ, CA, CO, CT, DC, DE, FL: GA, H1, ID, IL, 1AJ IN, KS, KYLA., MTNC, ND, NE, NHI NJ, NM, NV, NY, OH, OKI OR, PA, ill, SCr SD, TN, TX, UT, VA, VT. WA, VVV�Wll' VVY Territories) Region Dote : Central a€r+ conditioner manufactured prior to Ja n ua ry 1,2015 are eligible to be in talled In all reg ion until June 30, 2016. Beginning July 1 a 2016 central air conditioners can only be installed in region for which they meet the regional efficiency requirement. The manufacturer of this E I I T F product is responsible for the rating of this systern combination Ltd as follows in accordance with the latest edition of AHll 1Performance / 4 with Addend u m 1 Rating of Unitary ►i r- Cold ltiorlin Xr-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party Cooling Capacitor A2) - Single or High Stage (95F), btuh : 33200 SEER: 14.00 EER A2- Single or High Stage (95F) : 12. I t"Active" Model Status are those that an AHRi Certification Program Participant is currentlyproducing ND selling or off mari�eted b�t are nit t beina prod nced_OProd �J#ion to p pe d{a Mod G I tatus are the that a r i �+HI! Corti tinrug r�n far-ti �nr� for i sale;nt i OR �� r IrJT gill m�d� rod �nthat �r� being seIlin.or offed ng for sale. Rati n that are ac m a n i bWAS indicate an i nvolu n to Fe -rat e. T h n e Ubl i h ed rating. is shown along with t h " revious (i.e. WAS) ratina. DISCLAIMER AHR1 does not endorse the prod uct(s) listed on. this Certificate a nd makes no representations, rarrantie o r ua ra races as t� � - . the pr�d��t�s� irstd �n this �rtifl��t�. ��1F�! expressly disclaims all Iia billtfor damagesOrd a��ur��� n� r���r�����l�t� for, �f ��� I�i�� �ral1'r ��t �f the �� �r performance of the prod ut(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for rnDdels and configurations d�rectory at ww ahridirec a .or listed in t�� TERMS AND CONDITIONS This Certificate and its contents are Proprietary Products of AID FEE, This Certificate shall only be u-sed for individual, personal and GOnfiden-Val reference purposes. The contents of this Certificate may not, in wholeor in art he reproduced; � � � trd it ar-rprtr database; rthrr�rieI�d. i I r�if; �Ii#� n a n form or manner or b any means, except for the usurps ind ivid ua I, personal ��� confidential reference.AIRD1Tt0�l1i� HEAT ING,, CERTIFICATE VERIFICATION REF IGE RATION I N TMITE The information for the model cited on this certificate can be verified at www.ahridire tory.or r click on "Verify Dertifiate" I.r� and enter the AID RI Certified Reference umber and the date on which the certificate was issued�a ma ia life bent rm F which is listed above, and the Certificate No., which is fisted at bottom right, @2021 Ai -ir� ir,#irx fd Ref r�� 132630772212411693 #i