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
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