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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: - 1 � A z1 Permit Number: 91r° a��o� L; ° !J - Do LT -� 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 LOCAT Address : lke IitWc� - - PropertyTaxlD #: ) `IO(o I2 `( — O� � Oho Lot No, Site Plan Name: Block No. Project Name : DETAILED DESCRIPTION OF WORK : U\l A C, CPZV.e,a nc� t CCU ev , env^ �i - t U'Aoceo ' sUv , ly, Ses .,f (OD6oc)o �V �S k� 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 _ 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 CcL� L (<> , c � vv Name: lti � cV k I'��GJc� lC0. aF �S _ Address: 3 �S pavtesiS C Company: bcrkc- V96v co�C' %i. tvvl City: State:TL Address: t913 (to (2aret # to Zip Code: $ 37_c) ( ° k Fax: City: v ti State: Phone No, Zip Code: Fax: 27 1 S6 L S3yv E-Mail : Phone No 21 2 S to 2 - 9> LI03 Fill in fee simple Title Holder on next page ( if different E-Mail 0 c_, 0) C�- from the Owner listed above) State or County License b4c ® Sl b'tS a 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 : City: State : Zip : Phone Zip : Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: NotApplicable 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 TONwttorney ur failure to Record a Notice of Commencement may result in paying twice for improveto prop rty. A Notice of Commencement must be recorded in the public records of St. Lucie Coued of jobsite before the first inspection . If you intend to obtain financing, consult with lendefore com `encin work or record our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF aA l y Sworn tl(or affirme ) and subscribed before me of .� Physical Presence or _ Online Notarization this s� day of 20�tL by Name of person making statement. Personally Known . -- OR Produced Identification Type of Identification Produced (Signat re o Notary Public- State of Florida ) Commission No. E'; o � n k ' (Seal) Euivx�� FSCWSdCOhQv1ISSiONq HH3174 EXPIRES: May 25, 2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev F Qficate of Product Ratings AS Reference Number : 7501873 Date : 07-27-2021 Model Status : Active -A (Single-Package Air-Conditioner, Air-Cooled) rand Name : AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4TCC406OAl 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 AMERICAN STANDARD 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 : 56000 SEER : 14,00 - - - -- - EER (A2) - Single or High Stage (95F) : 11 ,50 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. Ratlnos that are accomoanied by WAS indicate an involuntary re-rate. The new oublished ratino is shown alone with the previous (i.e. WASI ratina. 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 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.ahridirectory.org, 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. ©2021 Air-Conditloning, Heating, and Refrigeration Institute CERTIFICATE NO . : 13zT1asa16TTasa7se FMINE L pficate of Product Ratings eference Number : 7501861 Date : 07-27-2021 Model Status : Active -A (Single-Package Air-Conditioner, Air-Cooled) nd Name : TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TCC406OAl 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 210/240 with Addendum 1 , Performance Rating of Unitary Air-Conditioning & Air-Source Heal Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 58000 SEER : 14.00 EER (A2) - Single or High Stage (95F) : 11 .50 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 or sop' anied by WAS indicate an Involunlary re-rate. The new published rating is shown along with the previous li.e. WAS7 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 responsibllity 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.ahridlrectory.urg. TERMS AND CONDITIONS "IMF 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; A. .■ ` ' 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. Ala-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 wn 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 . : 13z71 a842162T476sS