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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLIC BLErIINNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: � u, Permit Number: ti LLC-I.1L 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 PERMIT APPLICATION FOR: NM hA„ a�l A PROPOSED IMPROVEMENT LOCATION: CAVTION: Address: -1 % S 9`N Property Tax ID#:3_ �-S�U_ 0001- 000- U Lot No. Site Plan Name: Project Name: V \(V, \ Ja Block No. DETAILED DESCRIPTION OF WORK: ' I C Y1 �Yl n(- N�wa1�►6�-i New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: _Mechanical _ 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: $ �o) n. 00 Utilities: — Sewer — Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name V Name: Ow r1 Address: ' 1 1/ Company: Q City: 1� State: %I Zip Code: -! Fax: 2 Phone No.a_ J E-Mail:' p Address:`1 X : CityW. Stater Zip Code: Fax: Fax:��(`j� r Phone No 4� ; Ig Fill in fee simple Title older on next page ( if different from the owner Listed above) E-Mail State or County License �1 If value of construction is 2500 or more, a RECORDED Notice of Commencement If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNE Name: Address: City: Zip: Phone — Not Applica State: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: — Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: ,Not 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 granting a permit will authorize the permit holder to build the subject structure which is in contlict 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, 1 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 O failure o Record a Notice of Commencement may result in paying twice for improve is your pr erty. A Notice of Commencement must be recorded in the public records of St. Lucie Co nt d o the obsite before the first inspection. If you intend to obtain financing, consult with le der o atto efo e commencin work or recording your Notice of Commencement. Signature of Own as Agent for Owner STATE OF FLORIDA Ip COUNTY OF `JV � 4 4 Sworn to (or affir ed and sub1n A ;riibed befor me of Physical Presence or this � day of zo "hi by Online Notarization Name of person making statement. Pers _ ajtKn�rn OR produced Identification s r _ (Sign -LC LC VI rwr wd ) Commission No." 1 X9)?11% (Seal) REVIEWS FRONT I ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED ev OgA13g �MON 106png rutU popuog °1� dp� ZZOZ'SZ lady sandxg �N r Z891L100#uolsslwwo0 OaV110011113N31Ny1N J'eod ��av°2 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 Contract Billing Address Document Number 51007510350 Unico Air Conditioning Company 9/21/2021 1711 Sunset Isle Rd Ft Pierce,Fl 34949 Shipping Address: Terms of payment: Term of delivery: Equipment ready for pick up at HD Sup Caroline Johnson Pine Lakes Preserve 7592 Pinelakes Bluvd 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 ton Tempstar 14 seer R410 Subtotal: n� 1�A1 + r ,n Tax: Ull`V1t!w2C �Uo! 1 Shipping Signature: Grand ` nd Totald $2,200.00 $0 $2,200. riu.:�� CEI�TIF�ED- srw w.ahrFdirectery.ory Certificate 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, ]A, 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 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 Ratina of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, Cooling Capacity (A2) - Single or High Stage (951Z), btuh SEER : 14.00 i t EER (A2) - Single or High Stage (95F) 11.50 third party testing: ma tined bu del are Status tbet e[ hose that an AHRI Certification Program Participant is currently producing AND selling or offering for sale: OR new models that are being y g produced:'Praduction Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing CUT is still selling or offering for sale. Ratings ttLat a[e accompanied by WAS indpaLe an involun a re-r to The new�ublis e ra I is shown along with the previous (i.e V4AS) rating DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibilityfor, 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.ahridifectory,org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate $hall 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, r� personal and confidential reference. CER'rtt`lenrE vErzrF,corron, 6c ftEERFGERRTFON INSTIrItrE The information for the model cited on this certificate can be verified at wlvw.ahridifectory.org, click on `Verlfy Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we maize ltrE better" which Is listed above, and the Certificate No., which is listed at bottom right. ©2018Air-Conditioning, Heating, and Refrigeration Institute j CERTIFICATE NO.: 1318662oo863162522