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HomeMy WebLinkAboutBUILDINGPERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: gl % q (Z I 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 CBDG Funding PERMIT APPLICATION FOR: 8V14C �t AeGik"` Ca4 C Ld PROPOSED IMPROVEMENT LOCATION: / 1,-r (I i2 I l Address: _gqu2 SCL ndstot Ct Y913 fort St- Luce F/ ,-34/ C19lo Property Tax ID #: 32-7 — 502, - O ZS 1 - OCZU - $ Lot No. Site Plan Name: �- -'e P/�i/',1�e9 COvId0n11'0 f`(� rY1 UfUf 44q13 Block No. Project Name: r/ V�G MPrfJS.�Ia�Zf � AlC� C-ho-it'?arf7 DETAILED DESCRIPTION OF WORK: 1" L rv"c c_tf-4 &t ,eou_'4- INSTAU RHEEMZ i� 1U ! � 9 EEP- w Irl-I �S l«V M - T-E2 STg4 lCst H ro GI 4E FOP- L.l !C-E 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: Cost of Construction: $ _ Ye 56z) , Q OWNER/LESSEE: (Affidavit required) _ Windows/Doors _ Generator Roof Sq. Ft. of First Floor: Utilities: , Sewer T Septic Name_L lMISC t5otu I Address: $Gl (4 Z K axld SH Of City: PDYf.sf, ("Cie State: -R, Zip Code:,Fax: Phone,,Np/o. -^ g E- Mail: C.l Uou f'1'1_i 2.3 wu"On . Com Fill in fee simple Title Holder on next page (if different from the Owner listed above) CONTRACTOR: Name: grfielm cer Company: ANY Tf-M Building Height: Pond Pitch Address:Kq�f,7 5 Acf hot Ct• ggl3— City: Po r P L u U °L State: Ff Zip Code: 3qC?Vo Fax: Phone No 0 77-1 QC! 0 — 0 7140 E-Mail a,, State or County License C C2XLY ff 3 ' 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. j SUPPLEMENTAL CONSTRUCTION LIEN LAW 4C40f��" DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: dame: Address: Address: City: State: Zip: Phone City:: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: ^ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: I 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. 1 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, wails, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Rgcord 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 attorne before commencing work or recording.your Notice of Commencement. i rr1 Signature of Owner/ Lessee/C tractor as Agent for Owner STATE OF FLORIDA COUNTY OF t. Sworn to (or scribed before me of Physical Presence or C Online Notarization � this day20 21by &T1,u rfoSirvAo Name of person making statement. Personally Known K OR Produced Identification i Type of Identification Produced (Signature ci Notary Public- State of Florida ) Commission No. � 14.Z5C1 (Seal) �#v "C% Notary Public State of Florida V Lorenz Brianna My Commission HH 042089 Expires 09/14/2024 an i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED i HATE COMPLETED ev anal CERTIFIED° www.ahridirectory.org Certificate Ratin AHRI Certified Reference Number: 201278739 Date : 08-19-2021 Old AHRI Reference Number: 7940891 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) : RA1624AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T2417STAN Eligible for Federal Tax Credit S Model Status : Active 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 : 22800 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 f"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. s "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.aliridirectory.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 and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we mare 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 NC) - 132738714946441242