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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPUCA LE I�FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED IQate: to J-i o�I Permit Number: 1 17 is C, r c r - Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Y e CG\'UVI IC,Uj PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID #: 44(i - 6-03 ^ oo-5 i — cxoo_ / Lot No..%_ Site Plan Name: -Y-PlOVVICL_-" ib ytx-o I Block No. Project Name-T�Ak�4AgtiS ro%-o l DETAILED DESCRIPTION OF WORK: T✓Ct, n e -- 4 r" kp 31 A4 atx) / 7 E-*l 7Aw L_ zI,v a le Sret' Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: gyiditional work to be performed under this permit -check all that apply: XMechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction:: / Cost of Construction: $' % `7 0 7 (Affidavit required) _ Generator Sq. Ft. of First Floor: Windows/Doors _ Pond _ Roof Pitch Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: ame Name: o - w C f GS 2CLV— ddress: k 44 Vtepfr It) Company: KYCA 4 LOCL Y,.Q �ity nl ey) 8, e_hc h State: FL Zip Code-3 \4 cis '-I Fax: Phone No.-7%a ^% -cl of as Address: '4OI-k St.a Kf P P W - City: 4,- tu Q ✓i" C Zip Code: 3'4? / I/ Phone No 7 e1- State: Fax: -7 702 o;2f3--ZX1 7'/da % E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail ba. (701 l State or County License tnl-^ I If value of construction is 2500 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: —Not Applicable Na e: ame: Ad ess: oldress: City: State: State: iip: Phon Zip: Ph e: FEE SIMPLE TITLE HOLD _ Not Applicable BONDING COMPANY _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and i tallation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in co 17ict with any applicable Home Owners Association rules, bylaws that or and covenants 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 obtain financing, consult with lender or an attorney before commencing work or recordingour Notice of Commencement. Signature of Owne essee/Con actor as"Pent for Owner STATE OF FLORIDA COUNTY OF Sli Sworn to (oraffirand subscribed before me of ✓ Physical Presence or Online Notarization rr�ed)dayof this�n-r_ .2024 by -1 Irpoi W,o t6 -es zgLk Name of person tnaking stateYnent. 6rsonally con ✓ OR Produced Identification pe of en ication Produced (Si t e of Notary Public- Stat6 of Flor a) . JENNIE KNIGHT MY COMMISSION # GG135511 (Seal) Commission No. ao) EXPIRES August 17.2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev 5/20/21 Certificate of Product Ratin AHRI Certified Reference Number: 10149797 Date: 06-30-2021 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: XV181 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTV8036A1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM8AOC36V31+TDR Region: Region Note : Eligible for Federal Tax Credit s Model Status: Active 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) Central air conditioners manufactured pdor 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. manufacturer of this TRANE 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 : 34800 SEER: 18.00 EER (A2) - Single or High Stage (95F) : 13.00 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 still selling or offering for sale. Ralinas that are a=moanied by WAS indicate an involuntary re -rate. The new published rating is shown alono with the previous (i.e. WAS) ratino. 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; Ar� OWN entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the users individual, personal and confidential reference. AIR-0ONDITIONING. HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectery.org, click on 'Verity Certificate" link carmike life beuer- 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 I CERTIFICATE NO.: