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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: �6v L �U :w (�Wo 0 __- „ � I� Q ;} ,-'Z Building Permit Application Planning and Development Services y�', Building and Code Regulation Division Commercial ,r' \ Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR: PRO"PQSEa.IMPROVEMENT'.LOCATION,: K*✓.. �R y' .. r ,x , .. ♦mil`...n+. Address: c,4 0 Luc i C. FL_ -311 5a Property Tax ID i#: ` a —80 l— CC Q t7+ -- Lot No. Q,'3,1t Site Plan Name: Block No. Project Name: DETAILED;DESCRIPT ON OF1 WORK e New Electrical Meter � �ry_p�/�/�Second � Electrical Meter— (Affidavit required) L.QNV T UCTfO ,INI".LJr'►IN ATION: Additional work to be performed under this permit-check all that apply: YMechanical —Gas Tank _Gas Piping ,Shutters Windows/Doors Pond —Electric —Plumbitng —Sprinklers _Generator �Roof Pitch l Total Sq. Ft of Construction: `I O r7q Sq.Ft.of First Floor: Cost of Construction:$ I,L4 Q q•06 Utilities: Sewers -�Septic Building Height: OWNER/LESSEE:; CONTRACTOR:',:': ORS Name e n 0 A SA Name: Address: o L)9 dQ Company: 14VVAC Me_ch-%h-%4:CGS Ser JL c es City: SCo`A-' O'1P. State: Address:--It� <�. FM:t i+&ry 1 Zip Cade: 15a to C Fax: City: e_frsr-',e td g(Ac h State: Phone No. 95 Zip Code: 3_�)4H.. Fax: 954 y otto 370L E-Mall: i RR M-rE iA M, N 10_ Phone No 3 5y y a7 3$!I Fill In fee simple Title Holder on next page(If different E-Mail C c► 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. atf :BM�vl`tn' t'Gt' '5 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: 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 worst and installation as Indicated. I certify that no work or installation has commenced prior to the issuance of a permit. t.Lucie County make no representation that Is granting a permit will authorize the,permit holde to build the subject struc�tture which is in conflict with any applicable Home owners Association rules,bylaws-or and covenants t�►at 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. --r -_ Richard Ingram Signature of Owner/Lessee/Contractor as Agent for Owner Afitame ►rt Fact STATE OF AXWO}A TeX CAS y� COUNTY OF t QLN li.ct S Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization this day of 20 Z II by Richard Ingram Name of person making statement. Personally Known X OR Produced Identification Type of Identification Produced (Signature of Notary Public-State of Florida l Commission No. (Seal) * Nobly Public,Stabs of TSM S' Me"ID 1282111,1304 REVIEWS . . FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE' MANGROVE COUNTER. REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW GATE RECEIVED , DATE COMPLETED ev I CERTIFIED'rou anal r , Certificate of Product Ratings AHRI Certified Reference Number:8236441 Date :07-28-2021 Model Status:Active Brand Name:CARRIER CORPORATION Model Number:50HC"20'(1,2,3)`5""(G,H,J)' Series Name:CARRIER WEATHERMASTER AHRI Type :SP-A Refrigerant Type :R-410A Hertz:60 Sold In?: USA, Canada, Outside USA and Canada Rated as follows in accordance with the latest edition of AHRI 340/360 Performance Rating of Commercial and Industrial Unitary Air-conditioning and Heat Pump Equipment and AHRI 365 and subject to rating accuracy by AHRI-sponsored,independent,third party testing: Cooling Capacity 95F/Cooling Capacity 95F at 230v:202000/202000 EER 95F/EER 95F at 230v:12.20/12.20 IEER/IEER at 230v: 13.8/13.8 The following data is for reference only and is not certified by AHRI Full Load Indoor Coil Air Quantity(scfm) :5700 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 published rating is shown aloha with the previous(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 AM 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 Tnake 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. 132719624672502726 ©2021 Air-Conditioning, Heating, and Refrigeration Institute FC ERTIFICATE NO.: