Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _J It C) l ZI Permit Number: 4L�aLL � � j� 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 Commercial Residential X PERMIT APPLICATION FOR: Hy AC tgechanic_a_ . l A I C C,hQcow PROPOSED IMPROVEMENT LOCATION: L11 FOP 11 KE^ Address: "L;5 jH Q it P P(Lf+ P ffSL , FL 3q $ram Property Tax ID #: 3 33q - 501 - 0 f -- non (4 Lot No. 2-0 New Electrical Meter Second Electrical Meter (Affidavit required) I 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: Cost of Construction: $ 4141W iM _ Generator _ Windows/Doors ^ Pond Sq. Ft. of First Floor: Roof Pitch Utilities: —Sewer _ Septic Building Height: OWN!ERAESSEE: CONTRACTOR: Name lCLM n Name: fe—C I I I A CC Address: QI I one Pl. Company: City: P0 r i- ,s+ Lurie State: EU Zip Code: (. Fax: Phone No. ?Z Z5 - 95 E-Mail: 10 u rn e co rn Fill in fee simple Title Holder on next page (if different from the Owner listed above) Address: 13 w t n m rri e rC e Cf City: r � Zip Code: � Fax: Phone No Z ?Z E-Mail _ State: Oo . CO State or County License IVC1 UC u! wnbuucAlun is couu or more, a KtwKuty Notice or commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. by SUPPLEMENTAL -LIEN LAW INFORMAT ON3-. DESIGNE ANGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable I Name; C� � e: a±�ile. .....s Name: Address: address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: — f 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 ertify that no work or installation has commenced prior to the issuance of a permit. fSt. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure hich is in conflict with any applicable Home Owners Association rules, bylaws structure. or and covenants that may restrict or prohlbit such Please consult with your Home Owners Association and review your deed for any restrictions which may apply - In in consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The accessory following building permit applications are exempt from undergoing a full concurrency review: room additions, structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Rpcord 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 fender or an attorney before commencing work or recording our Notice of Commencement. ignaure of Droner/ LesseelC tractor as Agent for Owner UN°O�olDAa�' Sworn to (or affirm d) and subscribed before me of _ Physical Presence or _X Online Notarization his day f20 of 211 by i ame of person making statement. Personally Known X OR Produced Identification ype " identificat"Ion Produced Signature of Notary Public -State of Florida) �( t a '�/� OV Pk. Notary Public State of Floride Commission No. 0142CJ9(�al) Snanna'v Lorenz i .4 My Commission HH 042089 M1� Expires 09/14/2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE � MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW ATE ECEIVED ATE COMPLETED e Eligible for Federal Tax Credit ertificate of Product Ratings Certified Reference Number: 201276478 Date : 08-10-2021 Model Status : Active Old AHRI Reference Number: 7940565 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1618AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T2417STAN 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 RHEEM 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 : 17100 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 rating is shown along 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 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, 0 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, N e make life better"' which is listed above, and the Certificate No., which is listed at bottom right.--------------- ©2021 Air -Conditioning, Heating, and Refrigeration Institute j CERTIFICATE NO.: 132730821665586081 Eligible for Federal Tax Credit ,rtificate of Product Ratings Certified Reference Number: 201294083 Date: 08-10-2021 Model Status : Active Old AHRI Reference Number: 7943535 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1648AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T4821STAN 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 RHEEM 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 : 44500 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 rating is shown along with the previous fl 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 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. AM - 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 1 CERTIFICATE NO.: 132730870671984937