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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLI BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Q � 1 Permit Number: t L&M�3. 9 � _ -- Building Permit Application Planning and Development Services &fidrna and Code Regulnfion Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Residential Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION. - Address; Property Tax ID Site Plan Name: ,r� e Project name: � i� 1R. k-slilf9,C V KO C?liafe DETAILED DESCRIPTION OF WORK: � 1►,11 0 DO Inti E :.K New Electrical Meter .Second Electrical Meter CONSTRUCTION INFORMATION: (Affidavit required) Lot No. Block No. Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank T Gas Piping Shutters _ — Windows/Doors Pond _ Electric Plumbin — -- 0 _ Sprinklers _ Generator Total sq. Ft of Construction; _ Sq. Ft. of First Floor: Cost of Construction: a Utilities: _ _sewer Septic OWN ER/LESSEE: CONTRACTOR: Name Address! ® Name: City: Company: State. Zip Code: 4 ° Address'•11 Fax: Phone No .1^h• City: � - f i E-Mail: ZIP code: Fill � Phone No • °1 �4 in fee simple Title older on next page (if different from the owner listed E-Mail , above) If value of eenstru'-t; n is 2500 11 State or Ca un v License 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. Roof _____`_ Piteh Building height: State: 0 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: Address: City State: Zip: Phone — FEE SIMPLE TITLE HOLDER; — Not Applicable Name: Address: City: Zip' Phone: OWNER/ CONT MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY! _Not Applicable Name: Address; City: Zip_ ___. Phone: RAC TOR 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 con list 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; yMope to Reeord a Notice ®f commencement may result in paying twice for improvemen �;A Notice of commencement must be recorded in the public records of St. Lucie Coun a postsitebefore the first inspection. If you intend to obtain financing, consult with lend r or an orommencin work or recording our Notice of Commencement. Signature of as Agent for Owner STATE OF FLORIDA y^ COUNTY OF 'wl orn o (door afflof ai?, surm ) bscribed before me of y V _ 2C� by fir' r _ ... _ Name of person making statement. Perso Ily Know V OR Produced Identification Type tificati n Produced `,llwiatur Nota Public- State of —Florida o— ri— da ) Commission No. Qmmrh (seal) REVIEWS ;FRONT ZONING UNTER REVIEW Physical Presence or ____ Online Notarization 6t�`; p���, I�LEfifE€PLrCf3[€1tQQE * Commission#GGM502 l4irasAprit20,2022 r'Oorr%'v 1x4wTtneucipttwary30[fto SUPERVISOR PLANS VEGETATION REVIEW REVIEW REVIEW SEA TURTLE � 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,Fl 34949 Shipping Address: Terms of payment: Term of delivery: Equipment ready for up at HD Supply Contract Document Number 51007510350 8/30/2021 Caroline Johnson Pine Lakes Preserve 7564 Pine Lakes Blvd Apt 7564 Port Saint Lucie 772-245-4530 Net 15 Days ZOR(FOB Origin) Item Material/Description Quantity Unit Price Amount 1 Install Indoor/Outdoor AC Unit 1 $2,200.00 $2,200.00 Int. Article No. 25937855 2.5 ton Tempstar 14 seer R410 Signature: �U�� Uo�� Subtotal: $2,200.00 Tax: Shipping 0.00 Grand Total: $ 00. ■�� CERTIFIED` tR+:ytr.ahridirectcry.orq Certificate of Product Ratinqs AHRI Certified Reference Number: 201858645 Date: 12-11-2015 Model Status :Active AHRI Type: RCU-A-CB Series: 14 SEER N SERIES R410A AG Outdoor Unit Brand Name : TEMPSTAR Outdoor Unit Model Number (Condenser or Single Package) : NXA430(A,(3)KC** Indoor Unit Model Number (Evaporator and/or Air Handier) FMA4P30—AL" 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, NO, NE, NH, NJ, NY, OH, OR, PA, RI, SO, 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 TEMPSTAR product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 240/240 with Addenda 1 and 2, Air -Conditioning & Air -Source Performance Rating of Unitary Heat Pump Equipment and Subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) -Single or High Stage (gSF), btuh ; 28800 �� Aft �� SEER: 14.50 EER (A2) - Single or High Stage (95F) : 12,50 w T i 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."product on Stopped" sModel Status are those that an AHRI Certification Program Participant is no longer producing BUT is still elling or offering for sale. a t are ac o Hied b wqs i 'c to an i vo u re rate. The new ublished rat i is sho n I w' the vi s Le As ti DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warrantiesior guarantees as to, and assumes no responsibility for, the produet(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arisng 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,ahrldirectory.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; Elm 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. CERTIFICATE VERIFICATION A{R-CONDMONINO, HEATING, The information for the model cited on this certificate can be verified at www.atirldirectory.org, click on "Verify Certificate, link & REFRIGERATION INSTdrUTE 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. we make life better- ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131890355598046904