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HomeMy WebLinkAboutFaith Giavaras Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _1 1q 2_I Permit Number: P EL C M E ® i% Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Commercial Residential PROPOSED IMPROVEMENT LOCATION: Address: 0(--III Property Tax ID #:nLA= "-I --I Lot No. — Site Plan Name: Block No. 10 - Project Name: DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: (Affidavit required) 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: $ Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name { 1I Name:._ _ Address: Company I City: State(� �' Address- S • � i(C) +' -PS,Ne Zip Cocle: qu 114 Fax: �4_ City: Ty Qk(:Ioc State:.T-L— Phone No. F. Zip Code: _ .1QFYL Fax' -1 Lk�s� E-Mail: Phone No Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License ' 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 Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name;_ Address: City: Zip: Phone: Not Applicable State: ,Not Applicable 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. Signa ure of owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA 1 COUNTY OF Sworn to (or affirmed) and subscribed before me of this I—qL day of , 20-2j by Name of person making statement. Personally Known _)� OR Produced Identification Type of Identification Prof'i ced of Notary Public- State of Florida j -L Physical Presence or Online Notarization Commission No. "14 ILAt (Seal) Nary PublicState of Florida Jeanne L+ndt+ds lnfm My Commission HH 141082 ja Expires 08J11/2025 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED MANGROVE REVIEW •+i�.�1 CERTIFfED° tvww.ahritlirectory.orgCertificate of Product Ratings AHRI Certified Reference Number: 206020369 Date : 07-28-2021 Model Status: Active AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : PCE4A3624 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: Centfat 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 CHAMPION HEATING AND COOLING 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 : 35800 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.80 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 stifl selling or offering for sale. Ratin s that are accompanied b WAS indicate an involuntary re -rate. The new -Published ratin is shown alonq with the previous i.e. WAS retina. 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.anddireotory.ovg. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personas 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,MOVE 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.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better" which is listed above, and the Certificate No., which is listed at bottom right. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132719744429087839