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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE C MPLETED FOR APPLICATION TO BE ACCEPTED .c1 Date: u � ) Permit Number: RECEIVED AUG 18 202 Building Permit Application Planning and Development Services St. county Permitting 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: Q012.G.1r: GJr�crxs PROPOSED IMPROVEMENT LOCATION: Address: 7 C A"on Avg Property Tax ID#: 3q/T—S01_&oo7T'0 7 Lot No. Site Plan Name: Rddrue Block No. Project Name: DETAILED DESCRIPTION OF W.. ORK: . ., . ��x� �e�r2 L�xl� ��c���r of 3•S Tom T2ai�� 6bC),1- 9^W aSWOO907 l-�E.4r 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 p� _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 3K—O 0• d 0 Utilities: —Sewer —Septic Building Height: OWNER/L SSEE: CONTRACTOR: Name - !G Name: er Address:,J= .X,9 4A ze /2. Company: apt C'*Vr City: Sr too 1.4 State: Address: 1057/tl0— ?Op- M rNor- R Zip Code: Fax: City 1224LWA) AfAWW ___State:_.C—L Phone No. ?7o?-- 447 Z111,92 Zip Code:,706-7 Fax: E-Mail: Phone No eC962- 6-75 6 Fill in fee simple Title Holder on next page(if different E-Mail /, e belis prin..4•�e� from the Owner listed above) State or County License 64COS5 �(o 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 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. 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 wit r or an ttorne efore commencing work or recording our Notice of Commencement. gnature of Ow / ssee/Contractor asAgent for Owner STATE OF FLORIDA COUNTY OF Swor ,g(or affirmed)and subscribed before me of `/Physical Presence or Online Notarization this day of 2� by Name of person making statement. L� YPI AUDREY B.HUMPHREY Personally Known OR li ro c Identif cation =_° Type of Identification Produced *; :.: MY COMMISSION#GG 300817 . o? EXPIRES:March 6,2023 ,r o; Bonded Thru Nota y Public Underwriters FpF( (Signature of Notary P ic-State of Florida) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev Certificate ®f Product Ratings AHRI Certified Reference Number:202445773 Date:08-16-2021 Model Status:Active 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):RA1442CJ1 Indoor Unit Model Number(Evaporator and/or Air Handier):RH1T4821 STAN Region: Southeast and North(AL,AR,DC,DE,FL,GA,HI,KY,LA,MD,MS,NC,OK,SC,TN,TX,VA,AK,CO,CT,ID,IL, IA,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 RHEEM product is responsible for the rating of this system combination. Rated as follows in accordance with the-latest edition Of AHRI 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:40500 SEER,:15.0 ; - - EER(A2) Single or,High Stage(95F) 12.00 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 bX WAS indicate an involuntary re rate The new published rating is shown along with the previous fie 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. 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 make life better- and enter the AHRI Certified Reference Number and the date on which the certificate was issued, whlch Is listed above,and the Certificate No.,which Is listed at bottom right. 132736001488486529 ©2021 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: