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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ZUZ Permit Number: J4o Ll'-! OUL� ° ` L Building 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: N e PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID #: 4S I% - 5-0(9 - C)Q 5 / - OOO - p Lot No. Os - Site Plan Name: Block No. Project Name: : W uc-e 2e Y' � �e "A rL I DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter 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: p Cost of Construction: $ (ObO ll • 00 (Affidavit required) _ Generator Sq. Ft. of First Floor: Windows/Doors _Pond Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name RVULQ (s-ee�'-l-,SP_yja Name. 0 6 Z.6�K Addr ss: LCtS Company: K.VGt tl S WC�r\e. _ City: me(\ 2 Stater Zip Code: 5 -7 Fax: Phone No.--? Address:gtoy S'g i�r w e kwy City: AG 1/4- Zip Code: �q Q C'I 4 Fax: Phone No77 J- JA?7 - /cL3L 1 Stat E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail O AA I n@)KL'(QC . Cfoa State or County License CA-(-18 1 S 7a(c 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 ORTGAGE COMPANY: Not Applicable Nam N e: Addre :— Add City: State: City: State: Zip: Phone Zip: Pho e: FEE SIMPLE TITLE HOLDER: _ pp' able 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 work and installation as indicate . 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 commencin work or recordin our Notice of Commencement. Signature of OwnerfjLessee/Cchtractor a Agent for Owner STATE OF FLORIDA, COUNTY OF NI/dV{ I(i Sworn to (or affirmed) ands bscribed before me of Physical Presence or Online Notarization this (2L day of204�1­ ( by TmM-u tNiDtC.lesz1qIL Name of person ma state ent. _ing Personally Known OR Produced Identification Typ ,Identification d 2'� (Signature of Notary Pu c- State of Florida ) Commission No. .✓' Notary Public Stateof Flonda 1% 3oZ7s� (Seal) +� Cameron Lynn Owens �Tj Mims 0411112 23 322595 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev Eligible for Federal Tax Credit Certificate of Product Ratin AHRI Certified Reference Number: 10093780 Date: 08-03-2021 Model Status: Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series : XR14 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR4025L1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TAM9AOA24V21 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 2101240 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 : 24000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 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 ralina is shown along with the orevious (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.ahridirectory.org. AN D ND CONDITIONS on This MSCertificate 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; AM= OWN 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. AIRCONOITIONING. HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verlfy Certificate" link „ 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.: 132724B517e7564469