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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: o - ti - 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: f V\ eC V\ck- A \ cc"- \ PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID N: 5b' FSO �J - C�C�S o �' i�� - Lot No. Site Plan Name: n 1 Block No. Project Name:e- I DETAILED DESCRIPTION OF WORK: I Vane - FW>4Cyo30A40oDA, =1 Yy\%W15 R>o&�nrnzis4 IS Seer - n2 %G A-nn - 5 kw New Electrical Meter Second Electrical CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: X Mechanical Electric Gas Tank Plumbing Gas Piping _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 141J 36 - OD (Affidavit required) _ Shutters —Windows/Doors _ Pond _Generator _Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name t( kc � Name: T 1 u �22 Addr s: I &I -b -) .ly�N--Q n U ( company: lA S 41 CYc, n f- City: Ae•i1S e (bfm�c-h State: Zip Code: 34:TJJ / Fax: Phone No530 Y's-p _C2togy E- C �1I<rC. Address: Y 1D Ll SE Dl )C e LL u) � City: <L-Lua K4-- Stater Zip Code: 3�( Fax: Phone No Z 1-- 41 - I dJL-1 Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail CkAw-i V-%aKCICLC ."tr State or County License caUB tk'la� 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 INFO MATION: DESIGNER/ENGINEER: Not Applicable M TGAGE COMPANY: Not Applicable Name: Na e: Address: Add ss: City: State: City: State: Zip: Pho Zip: Phone: FEE SIMPLE TITLE HOLDE : _Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Applicable 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 Branting a permit will authorize the permit holder to build the subject structure which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult 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 commencing work or recording vour Notice of Commencement. Signature of Own / Lessee/Cofitractor f Agent for Owner STATE OF FLORIDA �%1 wain COUNTY OF Y I Sworn to (or affirmed) and subscribed before me of ✓ Physical Presence or Online Notarization _ this I - day of JpFAI- . 20aA by Ti rmokhN I W dl G A S 2A K- Name of person making stafement. ✓ Personally Known OR Produced Identification Ty1/p]�pl11f Identification P;:d�u/yJ�/�Q�d (Slg7Iature of Notary Pu l tic ate o FTonda) Commission No. (76319,511r7 (Seal) tateofFlonda n Owens GG 322595 023 REE REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED %ev D/LV/Ll Certificate of Product Ratings AHRI Certified Reference Number: 204792989 Date: 09-10-2021 Model Status: Active AHRI Type! RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: RUNTRU Outdoor Unit Model Number (Condenser or Single Package) : A4AC4030A1 Indoor Unit Brand Name: RUNTRU Indoor Unit Model Number (Evaporator and/or Air Handier): TMM5B0B30M21SAA Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, Ml, 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 RUNTRU 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 : 28000 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 YAclive 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 Slopped' 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 by WAS indicate an involuntary re -rate. The new published ratina is shown alone with the previous (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the products) 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 produet(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; entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the usees Individual, personal and confidential reference. AIRCONDmONING, HEATING, CERTIFICATE VERIFICATION 8 REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified atwww.ahridirectory.org, click on 'Verify Certificate" link „i. ,Hake 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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132757536620985401