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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED date: 2-1 Permit Number: O. D k 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: mec�nmcnil PROPOSED IMPROVEMENT LOCATION: Address: LLx ire Property Tax ID #: i . , Lot No. � Site Plan Name: Block No. ProjectName:C-hf-'%g41nP. WhvC1F'r DETAILED DESCRIPTION OF WORK: 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 Generator Total Sq. Ft of Construction: Cost of Construction: $ OWNER/LESSEE: Name Address: (Affidavit required) Sq. Ft. of First Floor: Windows/Doors Pond Roof Pitch Utilities: —Sewer —Septic Building Height: CONTRACTOR: City: l Stater Zip Code: ;�LQL� Q Fax: N Phone No. E- Mail: kit& Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: Companyf ' ' Address:(,nN f e+AU e _ City: i State: Zip Code: Fax: ,y Phone No`Tli -LAC off- i(rPl n E-M a*.-U\(Q(lt�i State or County Licen 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. -- • -••,� --"' 1%r %,, Vn P%rr•u Vl 1. 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 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 our Notice of Commencement. 'ZZA-;n'� Y-A'4, Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) anq subscribed before me of this day of 2021 by Name of person making statement. Personally Known �_ OR Produced Identification Type of Identification Prokced re of Notary Public- State of Florida) Commission No. Seal) REVIEWS FRONT COUNTER DATE RECEIVED DATE COMPLETED ZONING REVIEW Physical Presence or Online Notarization Notary Pubw Stag of Florida My Co Lindstrom My Commission 26 147082 �� Explr6a (181t1120'!i 8AAA SUPERVISOR I PLANS VEGETATION SEATURTLE I MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW r 0AN"WoRki CERTIFIEDg'�� Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number: 201170999 Date: 09-22-2021 Model Status: Active Old AHRI Reference Number: 7491808 AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: RUUD Outdoor Unit Model Number (Condenser or Single Package) : RA1436AJ1 Indoor Unit Model Number (Evaporator andlorAir Handler) : RHIT3621MTAN 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, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, 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 RUUD 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 Heal Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 36000 SEER : 16.00 EER (A2) - Single or High Stage (95F) : 13.00 t"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. Ratin s that are accwm anied bv WAS indicate an involunta re -rate. The new oublished ratino is shown alona with the Dravious i.e. WASI ratin . 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 far, 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.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 Alm 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 "Verity Certificate" link we make life better° and enterthe 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 FC RTIFICATE NO.: 132768102124579681