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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: °� Permit Number: 0 „g, Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential V 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: DDro� Rg,A fi' PROPOSED IMPROVEMENT LOCATION: } Address: 10 7a PropertyTaxlD##:�r'11-5ba- iIA-()oO-Q _ Lot No. c "►,� Site Plan Name: ❑t. Block No. Project Name: P 0 � K� n -- DETAILED DESCRIPTION OF WORK: L� -FQ r l k /-\l( Ckan),e. �4J New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: —Mechanical — Gas Tank _ Gas Piping J Shutters _ Windows/Doors _ Pond Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction:: Sq. Ft. of First Floor: Cost of Construction: $ -3 ` I S Q _ _- _ Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: NamE o RO e fj' Address. Li�.r\ �: 10'� City: Cn�Ln �'��� Stater Zip Code: 3 y Fax: Phone No. a03-' "� E-Mail:'h 13+04� (6_)010 ° COM Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name,-60`- j e/' Company: latIZA600% �1 Address: 5A N� B'JCL� e►��i' City: � ��' � -1' Zip Coder Fax: Phone No 7 E-Mail k 50,10'4i'l cno 1AI N Cor,"''lAr-r'1r' 1- W� State L •� 60V'r\ State or County License r7 If value of construction is 2500 or more, a RECURUEo notice of c.ommencemeni is requwreu. 1f value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: =ot Applicable MORTGAGE COMPANY: _• Nat Applicable Name: Name: Address: Address: City- State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: _ of Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ao the worK and +n'JLd1+dL1Urt db [HUI .aLeu. 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the Jobsite before the first inspection. If you intend to qblain financing, consult with lender or an atXff y before commencing work or recor" your Notice of Comte encement. 5ignatur f owner/ Lessee/Contractor as Agent for Owner I Signature Ho STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Mae 41 1 COUNTY OF gaf Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this ._�•uday of n f A 4 _ _ _ 2020 by SworQ to (or affirmed) and subscribed before me of ✓ Physical Presence or Online Notarization this L- day of Apf I i 12020 by Name o arson making statement. Name of person making statement. Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification ✓ Type of Identification ����11r��j, Type of Identification Pr ed F� a ' �•�aE BEI //���� o uced -L U + s�� ,����� BE{�� Q�,,•`jC}TARy, �������©TAAy - I (Sign ture o otary Public- State of Florida j My Cogan' 2W4. (Si ature f Notary Public- State of Florida j� =MY �, m . x may Commission No. GG 'f 5-1 1 3C � (51¢aII 's o•GG�77fl8 � 'ssion No. C--) gF_i7C-f. (5�i1) iya may a. SdCf. REVIEWS FRONT ZONING SL)t llfA PLANS VEGETATION SEA TURTLE M79 it COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Eligible for Federal Tax Credit soILI CERTIFIED certificate of Product Ratings AHRI Certified Reference Number: 8881390 Date : 04-21-2021 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) : TC7132421 Indoor Unit Model Number (Evaporator and/or Air Handier) : AVC24BX21+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 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 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 parry testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 23600 SEER: 17.50 EER (A2) - Single or High Stage (95F) : 14.25 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 stilt seliing or offering for sale. Ratin s that are accom anied b WAS indicate an involuntary re -rate. The new published ratingis shown alon with the previous i. . WA rain . 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 shall only be used for individual, personal and This Certificate and Its contents are proprietary products of AHRI. This Certificate _ confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; r� r! entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for 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.,thridirectory.org, click on "Verify Certificate" link %ye make lire 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. CERTIFICATE NO.: 132635065934828831 ©2021 Air -Conditioning, Heating, and Refrigeration Institute