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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Property Tax ID q: 130�( a - D 0(4C4 - 0 00 " Co Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Residential SI Lot No. Block No. IYana <iTTYc �03 �° 3iavl 1c4 S� 3(o,bc90 /�>� �L/F�al�a193G New Electrical Meter Second Electrical CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: uMechanical _Gas Tank _Gas Piping _Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: (Affidavit required) _Shutters _Windows/Doors _Pond Generator Roof Pitch Sq. Ft. of First Floor: Cost of Construction: $ �I Gov Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: Name M.R.UsS &X -. Address(nLno1 S!2Ae'✓0LL0 p .� City: PL1- 0(tvQR, Stater Zip Code: 3 y 4 Lt i Fax: Phone No, E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: fi/LG.vIL li Company: � �>r CD Ci bnr Address: io13 (o om on -v C_e_ City: liQ� State:-F—C Zip Code: 3 ?,9 b o Fax: 77, •f 5G2- - 5'3 qO Phone No.? 7 d• 51e I-'2f o 3 E-MaiIJCvIr�� ✓ISa (r, 0.� �� 9�u 1 J4141_ State or County License CA C.6 7 2S� 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: C_ Not Applicable Name: 7 Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: 4Not 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 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. Countya po ted on he jobsite before the first inspection. If you intend to obtain financing, consult en an orne fore commencing work or recordingour Notice of Commencement. i Signature of Owner/ Lessee/Con c or as Agent for Owner STATE OF FLORIDA COUNTY OF r���Llla� (2t`&> Sworn to (or affirmed) and subscribed before me ofPhysical Presence or Online Notarization this � dayof J0(t..p 20Zt by AEt-AIL 4Vx k S `cA' cn.C+C' Name of person making statement. Personally Known _4k — OR Produced Identification Type of Identification Produced (Sign atu e o Notary Pu lic- tate of Florida ) I � I� Ii Com fission No. (Seal) s'®' IERITEROINADOLORESCRISAME MY COMMISSION H NH3174 a EXPIRES: Mey25,2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev Certificate of Product Ratin AHRI Cenified Reference Number : 7482034 Date : 07-07-2021 Model Status :Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: XR14 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR4036L1 Indoor Unit Model Number (Evaporator andlor Air Handler) : GAF2AOA36M31+TDR 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, NO, 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 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, Pedormance 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 : 33000 SEER: 14.50 EER (A2) - Single or High Stage (95F) : 11,70 t°Active" Model Sta[us are those that an AHRI Cedificadon Program Panicipan[ Is currently producing AND selling or offedng for sale; OR new models that are being marketed but are not yet being produced'Production Stopped' Model Status are (hose that an AHRI Cedifcalion Program Padidpant is no longer producing BUT is still selling or offering for sale. Rating That are ac om an'ed by WAS' d' ate an involunt r -role The new Dublished ralin0 is shown along with the ore "ous (i a WAS) ral'no 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.ahrldirectory.org. TERMS AND CONDITIONS This Certificate and Itsscontents 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, 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.anddirectory.org, click on "Verify Certificate" link %v 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. ©2021Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1az7o1aso4asssaaes