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HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4 • �� • �� -- Permit Number: Planning and Development Services Building Permit Application Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1SS3 Fax: (772) 462-JS78 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSEQ tM�'RU1/EMENT LOC�1Tt0�; ; . Address: c1Z �"j. (� G , ! . —i /? , Legal Description: �r `-i 117pll� Property Tax iD #: S"� r} ffi S , Site Plan Name: Lot No. Project Name: Block No. Setbacks Front Back: --� Right Side: Left Side: QE;TESCRfPTION QF WOK. ff VAC lectric L_„( Gas Tank UGas Piping U Plumbing ❑Sprinklers Total Sq. Ft of Construction: G S . Ft, of First Floor• Cost of Construction: $ �-�oc'� Utilities:Sewer 0Septic Build; ng Height: OWN, ER/LESSEE; Name Address City: — "��'-' State: l=� Zip Code: Fax: Phone No.�3&- E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) If value of construction is Shutters Q Windows/Doors Generator ORoof Roof pitch Name:_ Company. 0 Address: _/—(S s ue, t \, L `/g city: _Z01- State: %cl— Zip C de•3 L/ 9 Fax: Phone No. E-Mail: C o,C< C State or County License: or more, a RECORDED Notice of Commencemtls required... Name: Address: City. State: Zip; Phone FEE SIMPLE TITLE HOLDER: Name: Not Applicable Address: City: Zip: Phone: COMPANY: ._ Not Applicable Phone: -----State: I[?ING COMPANY: —Not Applicable 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 Coun�r makes no representation that is granting a permit will authorize the rmit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or anScovenants that may restrict or prohibit such structure. Please consult unth 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 cancurrency 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 improvements to your property. A Notice of Commence before the first inspection, if you intend to obtain finans ignature of owner] Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF The forpoing instrument was acknowledged before me this I day of _� ,r9e - 20 a Il by Name of person making statement Personally Known e—' OR Produced identification Type of identification Produced i (SEgnature of Notary Public -State of Florida } Commission No. REVIEWS Rev. 8/2/17 TAYLOGNE " otary Public -State of Floric Commission # GG 293167 MV Commie.;.,., COUNTER I REVIEW mencement may result in your paying twice for t must be recorded and posted on the jobsite consult with lender or an attorney before ant Sign; ure of Contractor/License Holder STATE OF FLORIDA COUNTY OF �,� CC Ce '_ The fo ing instrument was acknowledged before me this 9 day of � f— , 20 � J by Name of person making statement Personally Known /-- OR Produced Identification Type; of Identification - Produced (Signature of Notary Public- State of Florida ) Commission "BY P4 TAYL O R d public -State of Florida *= Commission # GG 293167 Commission Exoire_Q 7PENSOR PLANS VEGETATI REVIEW REVIEW REVIEW REVIEW I REVIEW Eligible for Federal Tax Credit �Mm` • • • Ij AHRI Certified Reference Number: 202865075 Date: 04-22-2021 Model Status: Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1424BJ1 Indoor Unit Model Number (Evaporator and/or Air Handier) : RH1T2417STAN Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 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 : 22800 SEER: 16.00 EER (A2) Single or High Stage (95F) :13.00 1 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 going or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new Dublished rating is shown alono with the Previous (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 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 computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AM 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 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. ©2021 Air-Conditioning,Heating, and Refrigeration Institute '32s3""642083422s78 g, g CERTIFICATE NO.: