HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 1 I al
Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residentialy
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: lu4''C-kC461tLGI
PROPOSED IMPROVEMENT LOCATION: AL
Address: 313 Cc r �-C—M
SlIi7L � F� ^.Jrv2
Property Tax ID#: 142q- � C�D(R`5 Lot No. G�
Site Plan Name: Block No. S 0
Project Name: ffi ASS I C ((-
DETAILED DESCRIPTION OF WORK:
Traki e- NT X Z
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION: 4--:;;
AddI work to be performed under this permit -check all that apply:
Zchanical
_Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 14JL410.00 Utilities: _Sewer _Septic Building Height:
OWNER/_LESSEE:
CONTRACTOR:
Name
Vi-_- -ecsi
p
Name I-rLol t-GI sJUt'SZc--K
Addr ss: QC A•e�- CA 'C
Company: 't
r'
City:VL)f-I- 5+ IiJGt2 State:FI
Address: 04 DL+
Zip Code:3y4'SC9- Fax:
City: �{Cr State:
_
Phone No.'7�- Y 7/- C)i o S E-
Zip Code:3 Fax:
Mail:
Phone No%7a awl-raa7
Fill in fee simple Title Holder on next page (if different
E-Mail CtCL M 1 N (3) KC LCte. Lo/Y)
State or County License C F)-C-
from the Owner listed above)
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:
DES GNER/ENGINEER: _ Not Applicable
Nam
RTGAGE COMPANY: _ Not Applicable
N me:
Addres
A ress:
City: State:
Zip: Phone
City. State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 ins ation 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 rantinB a permit will authorize the permit holder to build the subject structu e
which conflicts with an ,y applicable HomeownersgAssociation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu t with your Homeowners 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
with lender or an attorney before commencina work or recording your Notice of Commencement.
�AJ
i !)C e,..re--*—
Signature of Owner/ ssee/Contrac or as Ag nt for Owner
STATE OF FLORIDA
ma
COUNTY OF
Sworn to (or affirmed) ad-subscribed before me of Physical Presence or Online Notarization
_
this D& day of 200-q by
►yI A-j' ? i, f 1p.5Z�11L
Name of person m king statkment.
Personally Known OR Produced Identification
TnIdentification Prouced
dwcb� L iti„/r
(Signature of Notary P2 ct- State of Florida)
Commission No.bb-39254, (Seal) , V PW Notary Public State of Florida
4P&AV6 Cameron Lynn Owens
+�My Commission GG 322595
TV 9jExpires 0911112023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
bcev 5170171
Certificate of Product Ratin
AHRI Certified Reference Number: 202373740 Date: 09-03-2021 Model Status: Active
AHRI Type: HRCU-A-CB-O (Mini -Split Heat Pump, with Remote Outdoor Unit Air -Source, Free Delivery)
Outdoor Unit Brand Name : Trane y Mitsubishi Electric
Outdoor Unit Model Number: NTXSMT18A112A•
Indoor Type: Mini -Splits (Non -Ducted)
Indoor Model Number(s) : NTXWMT18A112A'
Rated as follows in accordance with the latest edition of AHRI 2101240 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 (95F) : 17200
EER (95F) : 10.50
SEER: 18.00
High Heat (47F) : 18000
Low Heat(17F): 11500
HSPF : 10.00
Sold in?: USA
}'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 r sale.
Ratings that are aToaaomoanled by WAS Indicate an involuntary re -rate. The new published ratino is shown alona with the Drevious (i.e. WAS) ratina.
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 wv,mahrldirectory.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 forthe model cited on this certificate can be verified at www.ahridltectery.org, click on 'Verify Certificate' link k.�. life better.
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.
02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132751729705730639