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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST'BE COMPLETED FOR APPLFWAVON TO SE ACCEPTED Date: jf '� JUL 2 0 Permit Number: ��'" t�Jl j,5 9110 LL02 St,Pu mltCO nt' Building Permit Application Planning and Development Services / Building and Code Regulation Division Commercial Residential y 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: 1 1 Address: C2-30 j GJ A,roSO fS4 R/ 3Y9 Y3 Property Tax ID#:_ J4 :T— — (YP 5-06CI-11 Lot No. Site Plan Name: Block No. Project Name: 3V41 eel- s r - Cva S - (viff 6=1 lA jFULO 9^4 . New Electrical Meter Second Electrical Meter (Affidavit required) Sa.M - _- _ - _fix,' -��^' - �. - �-�-➢ �� 5..^F. - -�.->� tik. - Additional work to be performed under this permit—check all that apply: /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:$ �—(q UU Utilities: Sewer —Septic Building Height: ame Name: (Address: C�t 9 S - Fpyi, 1/ Company:ity: D> v State:_ Address: C Zip Code: 3 q 515 Fax: City: State:_ Phone No. �_ - GAG Zip Code: Fax: � ,� ky� 9lZv E-Mail: 1 �o�h of t Phone No 6/ jr 6 • A Fill in fee simple Title Holder on next prif different E-Mail rom tte Owner listed above) State or County License C C 6 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. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name:" Nam- 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 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 obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. nature 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-2—Day of ` ( 03 O by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary P `olP /% ELL N VA U G H N Pu Commission No. =_ �'SComrh R��bind ry# GGa2700b9c /jfE OF FAO\�` My Commission Expires October 22, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2 21 Eligible for Federal Tax Credit Alon ma'am CERTIFIED Certificate- ®f Product Rating-S AHRI Certified Reference Number:201170999 Date:07-20-2021 Model Status:Active Old AHRI Reference Number:7491808 AHRI Type:RCU-A-CB(Split System:Air-Cooled Condensing Unit,Coil with Blower) Outdoor Unit Brand Name:RUUD Outdoor Unit Model Number (Condenser or Single Package):RA1436AJ1 Indoor Unit Model Number(Evaporator and/or Air Handler):RH1T3621MTAN 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,ND,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 the RUUD`product is responsibletforthe rating of the system combmat,on � PF fi r Rated asfollows in accordance wioe lat st ed,6on of AHRI 2iO/24Q with Addendum 1 Performance Rating of Urntary A,r Cond,tlonmg' &Air SoufceHeat.Pump Equipment and subfect to rating=accuracy by AHRI spotlsored Independent third party testing t ; COOIIn C8 aCl� -� 1.� 3 � �r 9 y P tY(�) Single or High Stage(95F),btuh:360Q0� r T , W � x, 'b a s 2 Zk SEER EER(A2). S,ngte or H,gh Stage(95Fj 13 00 °��' z; u w t'` tj 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. Ratings that are accompanied by WAS indicate an involuntary re-rate. The new Dublished rating is shown alono with the orevious(i.e.WAS)rating. 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; 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.ahrldirectory.ofg,click on"Verify Certificate"link we 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 132712604120625978 y ©2021 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: M F y4s