HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: perrni' Nun r.'er
•
- Building Permit Application /
Planning and �DevefopmentServices /
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 0725 5. Qc
1b„f • n.
Property Tax ID #: J 1l - raI — 0130" ooO' Lot No-�—
Site Plan Name: 8fock Ne•
Project Name:
DETAILED DESCRIPTION OF WORK:
i!t
Af u°f t,rr' �i�l•✓ %e fvw%` Moa[a/ f1flrf�5--C,30
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: ;.
Adal work to be performed under this permit —check all that apply:
7Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _Plumbing Sprinklers _Generator
Windows/Doors _ Pond
Roof P-rtch
Totai Sq. Ft of Constructionq Sq. Ft. of First floor.
Cost of Construction: $ / �: Utilities. _Sewer _Septic Building Height:
OWNER/LESSEE: I CONTRACTOR:
r� n ouo R ►rs�� . Name: ,+/at er—
Address:
City: f=Z State:
Zip Code:Fax:
Phone No.qlr\ 9
E-Mail:
Fill In fee simple Title Holder on next page (if different
from the Owner listed above)
City. r / J rate:
Zip Code: 3y?5U Fax
Phone No
E-Mail it as z
State or 6unty License_ C/ / ' 3 AD
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.
I SUPPLEMENTAL EMENTAL CONSTRUCTION LIEN LAW INFORMATION:
5E5IGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANNY: Not Applicable
Name:
Address:
City: state:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: —Not Applicable
Name:
Address:
City:
City:
Zip: Phone: _ .
Zip: Phone:
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 wilt authorize the permit holder to build the subject structure
which is in conflict 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: 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 attornev before commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDAQ STATE OF FLORIDA
COUNTY OF�— I LC,IC Iz COUNTY OF
�Swor o (or affirmed) and subscribed before me of
ysicaI Prese r _. Online N�rization
this�dayof J 20by
Lu�n �LLL
Name of person making statement. st
Personally Known V OR Produced Identification
Type of Identification
Pr aced
(Signature of Notary Public- State of Florida )
r7
Commission No. (Seal)
REVIEWS I _. st �4: lrfilfiYTf`SS�brd x�ut�E
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11
COM
/PSwo to (or affirmed) and subscribed before me of
hysical Presencg r Online Notarization
,� thisdaof ( {1 1 20�L by
Name of person'making statement.
Personally Known �OR Produced Identification
Type of Identification
(Signature of Notary Public- St
SHELLI LESTER R
Commission NO. .. =�i gg''ppf Florida -Notary
e`LblSifnission N GG 19
MY Commission Ex[
REVIEW V EVl WON I SEREV EWLE I MRE EWVE
Certificate of Product Ratin s
AHRI Certified Reference Number . 7615276 Date : 09-29-2021 Model Status : Active
AHRI Type : SP-A (Single -Package Air -Conditioner, Air -Cooled)
Series: FRIGIDAIRE P7RE SERIES
Outdoor Unit Brand Name: FRIGIDAIRE
Outdoor Unit Model Number (Condenser or Single Package) : P7RE-030K
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, 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 eligibSe to be Installed in all regions
until June 30, 2015. 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 FRIGIDAIRE 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 beat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh . 28400
SEER: 14.00
EER (A2) - Single or High Stage (95F) . 11,00
YAchW Model Status are those that an AHRI Certification Program Participant is currently producing AND selling Or offering for sale. On new models that are being
marketed but Are not yet hakg produced -Production Slopped' Model Sfalus aro those that an AHRI Certification Program Participant is no longer producing BUT is still
selik or oRainq for ade.
f3aiatoa that W. acco aflled by l %/VS LF1SfIGa1C an irlyolyntary re rato The now Dubiishosi ra-1-nQ * shown along wilh the crovious f i e, WASI ratinu
DISCLAIMER
AHRI does not endom the product(s) listed on this Certificate and makes no representations, warranties or gunrnnlees as to. and assumes
no responsibility for.
the proiduct(sl listed an this CeAt"Im AHRI expressly disclaims all Ilnhitrty, for dnmages of any kind arising out of the use or performance
of the product(s), or the
unauthorized alteration of data listed on this CeillfFcate. Certified ratings ere valid only for models and cenflgurations lsled in the
dlradory et wow ahrid lreCtory erg
TERMS AND TI
"Oil
Tfiy CNrlCaf tIa and end itsCONDITIONS
are proQrlMnry products of AHRI This Grrtlltcata shall only he used for individual, personet and
eonfldentrel referrrnoe purposes Tha contents of this CartlAcate may not, In whole or In part, be reproduced: copied; disseminated:
An
oms �.
entered into a computer datebese: a otherwise utilized, in arty form or manner or by any means- except for the user's Individual,
-'
personet and confldentat reference
AIRCONOITIONINp, NEAn Np,
CERTIFICATE VERIFICATION
A RCFRIYCRATION INSTTTM
Tice Infon aloon tar the model erred an this co l0kete can be wrMed at www shrldltectoty.ors, click on'VerRy CertMlcate' link
„v maim hfr birtirr-
and enter the AHRI CertMed R~ence Number and the date on which the certificate was Issued.
+dNeh is listed above, and the CartlRrate No. which Is listed el bottom right. -
-- - -
02021 Air -Conditioning, Heisting, and Refrigeration Institute CERTIFICATE NO.:
7327742407574779n