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HomeMy WebLinkAboutAnthony Waters Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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 PROPOSED IMPROVEMENT LOCATION: Address: L A--V7T'N �t )ri I. l r-� A Y . At Property Tax ID #: Site Plan Name: 3 j (` �,�ESIAS 23MP 140 Project Name: 1-Kli 1 DETAILED DESCRIPTION OF WORK: Residential Ilk New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: Lot No. Block No. Mechanical `Gas Tank _ Gas Piping `Shutters Windows/Doors _ Pond — Electric , Plumbing — Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ OWNER/LESSEE: Name Address. City: Sq. Ft. of First Floor: Utilities: —Sewer —Septic State: Zip Code: 6'�L_ Fax:_ Phone No. - E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Building Height: Name: 1von Compan =a Address: t�],��c���;� &�( City: o fccState: V t- Zip Code: F r lc°� 1� Phone No- .r. ` 0Lp2--JL0CLQ1 E-Mai � i 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:_ Add ress: City: — Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: State: Not Applicable 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. —5— 104rs"/7 119. — Signa re 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') (I day of q 7a� b , y Name of person making statement. Personally Known _k OR produced Identification Type o�l dentifi cation Produce (SignatLVe of Notary Public- State of Florida ) Commission No.1- • �`, , (Seal) REVIEWS RECEIVED DATE COMPLETED FRONT ZONING COUNTER REVIEW Notary Public State of FWWa Jeanne Undumm Nt' y Commission HH 141062 �} Expires W1112026 SUPERVISOR PLANS VEGETATION SEA TURTLE REVIEW REVIEW REVIEW REVIEW MANGROVE REVIEW v�■nai CERTIFIED" w AYMNritlireetory.arg Certificate of Product Ratinqs AHRI Certified Reference Number : 202326606 Date: 07-29-2021 Model Status : Production Stopped AHRI Type: HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Series: LX SERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TH4134222 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE42CX21+TXV 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 (9517), btuh : 40000 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.25 Heating Capacity (1-I12) - Single or High Stage (47F) : 40000 HSPF (Region IV) : 8.20 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. a tin s hat are accom ant d b W S indi to an volun re -rate. The new mblished ratina is own al n with the rev. us 111e. WASI ratin . 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,ahridlrectory.org. TERMS AND CONDITIONS This Certificateand its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidentiallrereference purposes. The contents of this Certificate may not, to 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 users 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 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 I CERTIFICATE NO.- 132720328742589508