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HomeMy WebLinkAboutpermit• ALL APPLICABLE INFO MUST BE COMPLETED Date: � 20 ", Planning and Developmet Services Building and Code RegulWon qfv1sion Build* �%luu virgrnia Avenue, Fort pierce FL 34982 Phone,* (772) 462-J!;53 Faxogoo -(772) 462-1578 PERMIT APPLICATION FOR: r„ c„fort, ,.+ PR OPOS'ED Addressi.a.. I V VG1C(( OVEMI.ENT LOCATION Legal Description: ;�,,(C- � r, C, Property Tax I D #** Site Plan Name; APPLICATION TO BE AWCEPTEp Permit Number: Permit Application Commercial Residential fdom- dropbox, click arrow at the end of line Project Name: Setbacks Front � flack: R DETAILED IESCRiPT1ON--.--..0'F.'W0RK',.• J✓I ] Y , ht Side. COMMON Left Side, �( Lot No. Block No. CONSTRUCTfON:INFORMEli ATI.ON. tiona .Worktobemw e orm un erthis perm c ec a appy, HVAC Gas Tank [:]Gas P ing _Shutters Q Windows/Doors Electric � Plumbing 1:1Sorfn ins � r .,,......__ n Totat 5q. Ft of ConstructionCost of Con�ru�ion: $ OWNE IIName, (0000) a/LESSEE: uuresso f!774 Q-4 City Zip 4;2 R � ����c�awr [oOf I Raof nitnh 5 of Fdoor: tilities*12imt Sewer aseptic Building Height: CQ;41 TRACTOR: _ Name: /2. s,—j-r- Company: LAw, State: Address: 4 -141-4 S S .✓ ..r, „ _ „ _ .. Phone No._ 0 E-Mail: Fill In fee situp{e Title Holder on next page (ff d1fl from the Owner listed above) If value of rnnstruchan is $2500 or more, a REGARDED z 0 cnrlpe 2 =—! Q. r- a State.0/CC. ax Phone No. - . � EqmMalfi t o�.6--el�3,.---,- State or COUnty License,, of Commencement is mquired. V16P14e-- (.., C. 4^^ SUPPLEMENTAL CONSTRUCTION LIE LAW INFORMATION: DESIGNER/ENGINEER: _Not App ,cable MORTGAGE COMPANY,• Name: _ rvame: Address: A aA......_. City: zip: Ph .. one FEE SIMPLE TITLE HOLDER: Name: Address: City: Z �p: Phone: _ Not Applicable State: ..City: State: Zip: Phone: _ Not Applicable Not Applicable Name: —' Address: City: Zi P: Phone: BONDING COMPANY, OWNER/ CQNTRACTQR kFFIDVIT; Application s hereby made to obtain a permit to do the work and installation as indicated. certify that no work or installation has commenced for to the issuance of a permit. St. Lucie County makes no representation that is gran ng a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners ssouation rules, bylaws or and covenants that may structure. Please consult with your Home Owners Ass. ciation and reviewyour deed'Fvr an restrictions which ma �a phibit such - y Y Pply, ire consideration of the granting of this requested per. it, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Bu ding Codes and St. Lucie County Amendments. The following building permit applications are exempt accessary structures, swimming pools, fences, wails, s WARNING TO OWNERSOYour failure to Record.. improvements to your properly. A NoticE Lucie County and posted on the jobsite N with lender or an attorney before comme rom undergoing a full eoncurrency review: room additions, L ns, screen rooms and accessory uses to another non-residential use f notice of Commencement may result in paling twice for i of Commencement must be recorded in the public records of St. ir ore the first inspection. If you intend to obtain financing, consult cing work or record* ing,your Notice of Commencement. j ignature of Owner/ Lessee/Contractor as Agent for"nwl STATE OF FLORIDA COUNTY OF Sworn to (or affirmed j and subscribed before me of hysical Presence or Online Notarizatio this t �"` day of I.... S:.�W:Cwm 2024[ by Name of person making statement,, - Personally Known tow�OR Produced Identificatic. Type of identification Produced (signature -of Notary Public- State of Florida � commissi TAYLOR GAG(5&1) � �-State f Florida =. Commission # GG 293167 i' Janu ry 21 22 EVI EW'.J COU N R REVIEW DATE RECEIVED DATE COMP ev. LETED r VPf�tVISOR REj/�EW Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF .S r Sworn to scar affirmed) and subscribed before me of Physical Presence or Online Notarization thiskw. "day of 2020 by Name of person making statement. Personally Known �OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida -')-- Commission PLANS REVIEW REVIEW TAYLORGA-___ 81) r Public -State Florida CoMmission # GG 293167 IVI lsl xi les WGROVE REVIEW REVIEW AHRI Certified Reference Number : 202865475 Date: o -1 -2021 AHRI Type : RCU-A-CB (Split System: Air -Cooled Conde; sing Unit, Coil with Blower) Outdoor Unit Brand Name : RHEEM Outdoor Unit Model Number (Condenser or Single Pack4ge) : RA1424BJ1 Indoor Unit Model Number (Evaporator and/orAir Hand[ef) : RH1T2417STAN Reg ion Region Node Southeast and North AL, A, DC1 tAfIN, KS, IVIA,ME, MI, MIS,M ,I Territories) Eligible for Federal Tax Credit Model Status :Active , FL, GA, HI, KY, LA, IVI I IIIS, IBC, OK, SC, TN, TX, VA, AK, Co, CT, ID, ILI 4, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA,1 , WI, VVY, U.S. Central air conditioners man ufactu d prior to January 1, 2015 are eligible to be installed in all regions until June 30, 2016. Beginning Jul 1, 2016 central air conditioners can only be installed in region(s) for which they meet the regional effici ncy requirement. The manufacturer f this RHEEM product is responsible fir the rating of this system combination. Rated as follows in accordance with the latest edition of 12 o 2 o with Addendum 1, Perf rr n :e Rating of Unitary Air -Conditioning Air -Bounce Heat Pump Equipment and subject t rating ccurarc r by AHRI-sponsored,, independent, third park testing; Cooling Capacity (A2) - Single or High Stage (9517), btuh :122800 SEER : 16.00 EER (A2) -Single or High Stage (95F) : 13.00 t"Active" Model Status are those that an AHRI Certification Prograrl Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced."Produrcticn Stopped" Modal Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. R tin s that are accomDanied bv WAS indicat en inv lunte re-rai e. The new published ratina is shown n lon r ith the revi u i.e.1 1A� . DISCLAIMER AHRI does not endorse theproduct(s) fisted 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 a I liability for damages of any kind arising out of the use or performance of the pr du t 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 rww. h rid!rect ry.org. TERMS AND CONDITIONS This certificate and its contents are proprietary products of AHRI, :iris certificate skull only b used for individual, personal and confidential reference purposes. The contents of this Certificate n'� not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any fori n or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONING,, HEATING, G, CERTIFICATE VERIFICATION TI c REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verifi d t ww. hrid!rectory.or , olio on "Verify Certificate" lint we make life b tt r1' and enter the AHRI Certified Reference lumber and the date on v i h the certificate was issued, Reffigerat!nse CERTIFICATE NO.: @2021Air-Conditioning,Heating,