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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICA13LEI F/OO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: A / 1 Permit Number: ° 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 k u„ ay, M` PROPOSED IMPROVEMENT LOCATION: Address: RM ML I atA \1 A � � W I� wh Property Tax ID#:liwh-;0iU- 0001' n00- tX Lot No. Site Plan Name: c(oo Block No. Project Name:m ya S rm►`'�e DETAILED DESCRIPTION OF WORK: VA1O 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 Total Sq. Ft of Construction: Cost of Construction. $'4-11 01 o® Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name V Name: Y Address: 1 ® Company: Wt(, fi m City: Zip Code: Phone State: Fax: AddressAll, �Vn� iSu City:1- n • ` a(1, Zip Code: Ili l Phone No ° 4M GIN Yr� State: Fax:11% . �``�'t�_�n,a �No. E-Mail _'f � d�Q \U� ��, AY Fill in fee simple Title older on next page ( if different the Owner listed above) If valnP of rnnctr v+inn it 9CAA ., E-Mail�olVh �yense \Orrfrom State or CouJ��,���`1 -- -_ _--- _. ..._. °., „ °,�,.�,,,�"� ,wu�. v� �.v1nl7� IlLerneni is requlrea. 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: 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 indicated. I certify that no work or installation has commenced prior to the issuance of a permit. 5t. 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 post n t obsite before the first inspection. If you intend to obtain financing, consult with lender or an att or commencingwork or recordingour Notice of Commencement. FSignaturef Owner/ Lessee/contractor as Agent for Owner FLORIDA �a COUNTY OF CA • Sworn to (or affirmed) ark subscribed before me of Physical Presence or Online Notarization this day of 20 by Name of person making statement_ Personally wn V/OR Produced Identification Type of en 'f' ti roduced (Signature o y Public- State of Florida ) =O� Y P°eli� MARLENE Liu COLL00 Commission No. � (Seal) * * Commission # GG 171582 Expires mAr22 �or FL�¢o� Bonded Ttyu g April NotaryO ervixs REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED DATE COMPLETED ev 5 20 21 Unico Air Conditioning Company 1711 Sunset Isle Rd Ft Pierce, FI 34949 Phone: (772) 678-6676 Fax: (772)647-7525 Contract Billing Address Document Number 51007510350 Unico Air Conditioning Company 8/9/2021 1711 Sunset Isle Rd Ft Pierce,Fl 34949 Shipping Address: Terms of payment: Term of delivery: for pick up at HD Supply Caroline Johnson Pine Lakes Preserve 7223 Pine Lakes Blvd Apt 7223 Port Saint Lucie 772-245-4530 Net 15 Days ZOR(FOB Origin) Item Material/Description Quantity Unit Price Amount 1 Install Indoor/Outdoor AC Unit 1 $2,200.00 $2,200.00 Int. Article No. 25937855 2 ton Tempstar 14 seer R410 Subtotal: Tax: Shipping Signature: Grand Total: $2,200.00 $0. $2,200 �u::�i DERTiFIED`- www.ahridireCiory.orgCertificate of Product Ratin AHRI Certified Reference Number: 201852667 Date .11-13-2018 Model Status : Active AHRI Type : RCU-A-CB Series: 14 SEER N SERIES R410A AC Outdoor Unit Brand Name: TEMPSTAR Outdoor Unit Model Number (Condenser or Single Package) . NXA424(A,G)KC" Indoor Unit Model Number (Evaporator and/or Air Handler) : FMA4P24**AL* Region: North (AK, CO, CT, ID, IL, lA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 TEMPSTAR product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2. 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 : 22800mi r,1 1 1 2 1F 1 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. 92LQaaghat are accompanied by WAS indicate an involuntanr re-rale Then published rating is shown alone with the previous fie NJAS) 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 (ndlvidual, personal ana wimp, 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 users individual, personal and confidential reference. CERTIFICATE VERIFICATION REFRIGERATION INSTRUTE 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. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE N0.: 1318662ODd63162522