HomeMy WebLinkAboutWeise Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: "[ l
Permit Number:
LL C L)v.
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 9�R9 IslI�� i �f_ 1 �� _ �Qd �c�i,rv-� c ��4 CL
Property Tax ID #: UL �r�:l- - �� -�� - a Lot No.
Site Plan Name: � 0cli-N SL��' i 1:1�� Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
xn1ram'Q.r-n0n+ La t6 sr�- 5jY-L-10 ...._
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
(Affidavit required)
Mechanical _ Gas Tank _ Gas Piping — Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 5 a` be -) Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 1K�
Name.cnl
l
Address:
Company: z�+
Address:
k
City:) " ' State: �
Zip lCode�-4 CI Fax:
City: Cj�i�j
Stater
Phone No_ 1D_-:1)1�LO
ZipCade:7]L qQ Fax:
E-Mail:
Phone No I2>(0-7L
Fill in fee simple Title Holder on next page (if different
E-Mail
state County License
from the Owner listed above)
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 LAIN INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 installation as indicated.
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
is in Home Owners Association bylaws
which conflict with any applicable rules, 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 appty.
In consideration of the granting of this requested permit, € 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 recording our Notice of Commencement.
7.
S �Ignature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this -14 day of 20:DA by
, r' J�jru 4 A re-7S? ,
Name of person making statement.
Personally OR Produced Identification
Typ of Id ratification oduced
(Si nature of No ry Publi - State of Florida }
iamfnl55ifln No. }cy "i ry Public State of F1#iaa
Kevin D Cook
My Commission GG 34W2
+far s� 1=xpires U61Z712623
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 5/20/21
Eligible for Federal Tax Credit
Certificate of Product Ratinas
AHRI Certified Reference Number: 7567539 Date: 07-0E-2021 Model Status : Active
AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Sodas: XR14
Outdoor Unit Brand Name : TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR4018L1
Indoor Unit Model Plumber (Evaporator and/or Air Handler) : TEWAfl624H21+TDR
Region: All (AK, AL, AR, Air 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, CH, OK, OR, PA, RI, SC, SID, TN, TX, UT, VA, VT, WA, V V, WI, WY, U.S.
Territories)
Region Note : Central air conditioners manufactured prior to January 1, 2015 are eligible to he installed in all regions
until June 30, 2416. 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 TRANS 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
E, 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 _ 19800
SEER : 16.00
EER (A2) - Single or High Stage (95F) : 13.00
-I"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale, CR 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.
Ratirws that are accompanied by WAS indicate an invoiuntary re -rate. The new published rating is shown alonq.with th@..preyous_(i-e=WAS�Cafina.
DISCLAIMER
AHRI does not endorse the products} listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the products) Iisted on this Certificate. AHRI expressly disclaims all liability for damages of any hind 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 v.- twa•. a h r i d i r£ ct ar y, n rg
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: a otherwise utilized, in any form or manner or by any means, except for the user's individna1,
personal and confidential reference.
AIR-CONDITIONING, HKATiNC,
CERTIFICATE VERIFICATION
& REFRIGERATION INSTrFUTE
The information for the model cited on this certificate can be verified at www.ahridirectorv.ore, click on "Verify Certificate' link
we make lfe t crtcr"
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.
Q2621 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.;
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