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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: LLUC=111 17 Li, , a . " � 0"ff, " I �. 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: Q0 -A Vcu� ��vcA PROPOSED IMPROVEMENT LOCATION: Addres 3c) -7 —SrO I - 01w, Lot No._ Property Tax ID #- Block No. Site Plan Name: Project Name: 77 77 W D LE =DD ESCRI PTIO. u1b VETAI C r ?J / I K-'�� I t K t� &ef�r New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: —Mechanical GasTank — Gas Piping Shutters Windows/Doors Pond Electric Plumbing — Sprinklers — Generator Roof Pitch Total Sq. Ft of Construction: 3 Wo - Sq. Ft. of First Floor: Cost of Construction: $ -7, Utilities: —Sewer _Septic Building Height: CON rRACTOR: N Name r-t Yc Y/� Narne: -Ta"S.. L�t7 C (f — C Company:&L&L101L,�t/1 A(f 4-Rif Address: C/ q0 -1 12 (X4 0(�' Address: ail, ..rYJ( 1 A V-C/ --- State:R— City: ZipCode: Fax: 77 State;. City: if -772 Phone No. -7 2 2 040 ale Zip Code: 34Cf E"/ . . Fax: E-Mail: Phone No '7 W1, - &-7 &- -51 L( 3 Fill in fee simple Title Holder on next page ( if different E-Mail OCri, I hnn (ol 06to if Ificl- r-CM State or County License CAC057C14:'S from the Owner listed above) �f 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. 77 7, xz . . . . . . . ... .... ih Z MIMI I Tt DE j S I " G '.' NER/E . E E'A": Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: State: City: State: City: Zip: Phone Zip: _ Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zi p: Phone: Zip: - Phone: I 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 dproperty. A Notice of Commencement must be recorded in the public records of St. Lucie County and poste on the jobsite before the first inspection * if you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. S _��erl �Leeel�Contractor as Agent for Owner 7ignat f 0 STATE OF 11`11_0111111)t� COUNTY OF L 0 2siphysical Presence or _ Online Notarization Sworn to (or affirmed) and subscribed before me of this _L2 day of QJ by 20. Name of person making statement. Personally Known \/ OR Produced Identification Typq of identificatiop) Produced OWJIA�-'� (Signature of N=Ory Public- State of Florida OUI-1 I (Seal) Commission No. -G(,:,-i "�" REVIEWS FRONT I ZONING I COUNTER REVIEW DATE RECEIVED DATE COMPLETED VTC-KIE JASMER C 5: ta.e Notar� Pu:blic 5tate bf Rtur ' i G �8588 Cor'lmis�lon_- GG "85881 'e, Fe "®RP." Vy com m. E, P�ffes Feb 14, 20 landed tKrOuglh Naticrial Notafy A t AB SUPERVISOR PLANS � VE13ETATION I SEATURTIE I MANGROVE REVIEW I REVIEW REVIEW REVIEW REVIEW_ Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number: 201631143 Date : 08-17-2021 Model Status : Active Old AHRI Reference Number: 7512254 AHRI Type : HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RP1 560AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RHIT6024STAN 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 : 57000 SEER: 15.00 EER (A2) - Single or High Stage (95F): 12.50 Heating Capacity (1-112) - Single or High Stage (47F) : 56000 HSPF (Region IV): 9.00 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 sell b Ratinng rtr=gafccrona,:ein J ed- WAS indicate an involuntary re -rate. T'- DISCLAIMER Ah"I U... 11-1 thi. C—tifi..t. ..d Mkes 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 Ot the use or pertormance OT UIC prqau�t(*), r tr- 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 and This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal,i..t 101 a . a copied; dissery ed; confidential reference purposes. The contents of this Certificate may not, in whole or in p rt be repr duced; 1. entered into a computer database: or otherwise utilized, in any form or manner or by any means, except for the user's individua , AIR-CONDITIONING, HEATING. personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION directory.org, click on "Verify Certificate" link we rnake life bettCT" The Information for the model cited on this certificate ran be verified at www.ahri 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. 132736943468022779 @2021 Air -Conditioning, Heating, and Refrigeration Institute �CERTIFICATE NO.: BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982 772-462-1553 FAX 772-462-1578 AUTHORIZATION FORM FOR CREDIT CARD PAYMENT TO: St Lucie County RE: Permit # Credit Card Users: 1.5010 Surchar qe added per transactiOn. Payments must be received in this department by 4:00 PM for transaction to be processed that day, if not it will be processed the following business day. L,/ VISA — MASTERCARD Credit Card Number 2,r-,;, Expiration Date !i Zip Code 3 digit security code '505 Amount $ + 1.5% surcharge Business Name: Authorized Signal Print Name: (&j hnJ12 - Phone: 'f2f Fax: (-jD 7 Comments: SLCPDSD Revised 4/01/2010 EN