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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-------------------------- All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: swh—h-- 1 Permit Number: u Luu -.'cz 0s • Building Permit Application Planning and Development Services Bt ildino and rode R2gtrlaf an Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Residential Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: N\t�a„ ay�l PROPOSED IMPROVEMENT LOCATION: V h Address: Ic� Property Tax ID SI Ly ® 00 0 Site Plan Name: � Project Name:VX,r1�, k-Avok V K0 U%1%1* DETAILED DESCRIPTION OF WORK: New Electrical Meter _.Second Electrical Meter CONSTRUCTION INFORMATION: Lot No. Block No. (Affidavit required) Additional work to be performed under this permit— check all that apply; —Mechanical — Gas Tank _ Gas Piping Shutters — Windows/D Electric _Plumbing —Sprinklers Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of construction: $ Utilities: _ Sewer `Septic OWNER/LESSEE: Name Address: City.. State: Zip Code: t Fax: Phone Nol 3 E-Mail: n Y Fill in fee simple Title older on next page (if different from the owner ustecl above) CONTRACTOR: Name: MINY oors _ Generator — Roof Pitch — Pond Building Height: City: t'l; • Y aStater Zip Code: �j"[�y°� Fax: A N �• .�� • �G��Gy PhoneNo •��ny E-Mail State or Coun y LicensJ (jj 'ih� If value of construction is 2SOe or more, a RECORDED Notice of Commencement is required. =i If value of HAVC is $7,500 or more, a RECORDED NOtiCe Of COMMencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAUD! INFORMAT{QN, DESIGNERJENGINEER: Ni nnnii,- q. Name: — Address: city: State: Zip: Phone FEE SIMPLE TITLE HOLDER; — Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: state: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Address: City. - 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 o roperty. A Notice of Commencement must be recorded in the public records of St. Lucie. Cou oste n the jobsite before the first inspection. If you intend to obtain financing, consult with le er o an a me before commencin work or recording our Notice of Commencement. Signature of as Agent for Owner STATE OF FLORIDA COUNTY OF _ V Sworn nto (or affir �etd a subscribed before me of "/i3� this ,2�L day of 2by Physical Presence or online Notarization � �u_ Name of person making statement. OR Produced Identification Produced Puhlir- Statn ..F Ce :.J_ Commission No.�(7 q1 (sea)) REVIEWS FRONT ZONING COUNTER REVIEW DATE � 5Y POP,, MARLENE L1LI COLLADO � ',.•'•' ° Commission # GG 171582 r ne EVIres April 25,2022 oQw 9rFarf s0lhtv$udgetNWaslp !REVIEW PERVISOR PLANS VEGETATION REVIEW REVIEW SEA TURTLE I MANGROVE REVIEW REVIEW Unico Air Conditioning Company 1711 Sunset Isle Rd Ft Pierce, FI 34949 Phone: (772) 678-6676 Fax: (772)647-7525 Billing Address Unico Air Conditioning Company 1711 Sunset Isle Rd Ft Pierce,FI 34949 Shipping Address: Terms of payment: Term of delivery: Equipment ready for ick up at HD Supply Contract Document Number 51007510350 8/30/2021 Caroline Johnson Pine Lakes Preserve 7441 Pine Lakes Blvd Apt 7441 Port Saint Lucie 772-245-4530 Net 15 Days ZOR(FOB Origin) Ifiem Material/Description Quantity it 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: Signature: �l aWq A"m Grand rand Total: 1 $2,200.00 $0 $2,2 .pp emma ,Certificate 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, IA, IN, KS, MA, ME, MI, MN; MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WAh 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 (95F), btuh : 22800 J" im ■ Is 0 i = a I a SEER 14.00 EER (A2) - Single or High Stage psF) 11.50 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 b.mn marketed but are not yet being Produced ."Production Stooped- Model starts are thoao that an AHRI Cortification Program Participant is no longer producing BUT is still selling or offering for sale. ji ias that 0moanied by VYAS Intl; ate an l t rt �"c,� new nublishPd rating is�h�wn alopy with the prev�u�s (i_e._WAS) rating... - - olsct.Alml:R 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 vtnvw.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, pERTIFI ant! confidential TION neta- rwcow,amea wnw, CERTIFICATE VERIFICATION The model cited on this certificate can be verified at www_ahvidirectory.org, click on `Verify Certificate" link e` R�toerianan INSTITUTE and enter the AHRI Certified Reference Number and the date on which the Certificate was issued, the make life better — which is listed above, and the Certificate No., which is listed at bottom right. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131866200863162522�