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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: w% i(Z 312,1 Permit Number: Fro LILAC L' Building pp 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: f'5 Property Tax ID #: Site Plan Name: Project Name: 3� I - le ry UU DETAILED DESCRIPTION OF WORK: Hy � C ��p ,�,��-• New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: -- Cost of Construction: $ t[.�btl _Generator x Lot No.� Block No. is7 _Windows/Doors _Pond Sq. Ft. of First Floor: Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ',/1oc%114 Name: J11 lt"fiS Address: (ps03 2lo0.�b, (41 Company; AO�Di GICErD✓1�1�1 City: ar F &Cfi� State.mj5 Zip Code: 3`g S ( Fax: Phone No. Address: t 0 (r (601i;"CL /Iy, ' City: dQ4/D 6e:tll,. Zip Code: Phone No 't Fax: '7 5�p L - zl State: rL 7 ok S4 Z .S- WO 03 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail o-r C C.Dn1 State or County License Q lq O 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 Name: Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: ANot 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 N tice of Commencement must be recorded in the public records of St. Lucie County a posted on t job I e before the first inspection. If you intend to obtain financing, consult with lender an a orn b ore o mencin work or recordin our Notice of Commencement. Z g F 41r 411* Sigfiatlure lof Owner es Qcontrac s Agent for Owner STATE OF FLORIDA COUNTY OF >al.t)R , Sworn to (or affirmed) and subscribed befgre me of Physical Presence or Online Notarization this day of � �_4.1,�.1 200A by V ` Name ofpersu on m-a�king statement. Personally Known / C OR Produced Identification Type of Identification Produced (Signatur, of N ary Public- State of orida ) Commission NO: A+" 3(lc% (Seal) IENNIFERGINADOLORESCRISANIE MY coMMISSION B HH3174 EXPIRES: May 2%2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev 5/20/21 Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number : 8628154 Date : 07-21-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6042J1 Indoor Unit Model Number (Evaporator and/or Air Handier): TEM6AOC42H41+TDR Region : 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) 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 210I240 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 : 40000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13,50 1'Aclive" Model Status are those the/ an AHRI Certification Program PaAicipanl is currently producing AND selling or offedn9 for sale; OR new models that are heing marketed but are not yet being producetl'Protluction Slopped' Model Status are Ihose that an AHRI Certification Program PaAicipanl is no longer producing BUT is still selling or offering for sale. Ratings That are ace moanied by WAS indicate an involuntary re rate The new Published rating is shown along with the previous (i a WAS1 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.anddirectory.org. TERMS AND CONDITIONS uVV 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. AI R&REFRIFRIGERANINATION ( INSTITUTE GHEATING, CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on'Verify Certificate" link „i 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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132713591og6354611