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HomeMy WebLinkAboutcascario permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: � ° 5 ` � Permit Number: S iQ WC R__ Q00 Lj_'&- N- c� cv I c Suliding Permit Application Planning and Development Services r Building and Code Regulation Division Commercial Residential �1 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: I PROPOSED IMPROVEMENT LOCATION: I Address: I _—)CJN `"t�U U:.) D l \iU Qn acJ) p v � t r' - Lot No, ® (M . Pro ert Tax I D #: �� �. Site Plan Name: - t C Block No. Project Name:_ L DETAILED DESCRIPTION OF WORK: I New Electrical Meter Second Electrical Meter CONSTRICTION 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: Cost of Construction: $ iau iv, Cd Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Scdcas'cox-Name: Address:l-�, -e,5 lv City: J inseoi5t-,c Aj StateAz__- 1- Zip Code: E51 Fax: Phone No. , m �� [ /& aj c noPhone Fill in fee simple Tide bolder on next page (if different from 01e Owner listed above) Do Q. 2r2,n(_:c 4� , Company: /-�ir'� r�Eia�Eai Caoi Air Address: 2, 'm ; 1s City:�rrse,vn rfara , State: 1::L.. Zip Code: 'SiF',Qi;, - Fax: (1 2_)-405 -c?), No C1 i'2_", i4IES- �4g 6 E-Mail Alr'ab w Eof'Di (jar- a ncA' i � CO M State or County License Y5"7Q If value of construction is 2500 or more, a RECORDED Notice of commencement is required. If value of fiAVC is $7,500 or more, a RECORDED Notice of commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable I MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: Citv: Zip: Phone:_ Name: Address: City: Zip: Phone:. Not Applicable I BONDING COMPANY: Name:_ Address: City:_ Zip: Phone: State: Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as inaicatea. 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 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 lbe-i9bsite before the first inspection. you intend to A aI financing, consult ..:,I- rnmmcnrina Wnrk nr rPrnrdingiour)Notice of Commkrncement. WIL111C11 vI Cl" --- - -- Cr Signature of ner/ Lessee/Contractor as Agent for Owner Signature of Con tr ctor/License Holder STATE OF FLORIDA 317 i--L Ll't STATE OF FLORIDA COUNTY OF IS I BC t E' COUNTY OF Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization b �'sf_'i"' 202t by this (0 day of ()0-+0EEt 202t by thhiss day of (_ C , n Name of person making statement. Name of personMaking statement. Personally Known OR Pro Personally Known V OR Produced Identification Type of Identification AMANDADUBO Type of Identification Produce>� r = MY COMMISSION # Produced -Si'1 :*= EXPIRES: Apri 122 BMW Thru Notary Pubrio is(Signat a of Notary Public- State of Fllorida ) 174804 f C L (Signature of Notary Public- State if' -pi i`•AMANDA DUBC MYCOMMISSION# Commission No +.F.. ,.°,` I) EXPIRES:ApdI22, =mmi on N 1� '"l (Seal) of F ,, Bonded Thru Notary Public ndel xritets REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/6/ZU Certificate of Product Ratings AHRI Certified Reference Number: 8560592 Date: 10-06-2021 Model Status : Discontinued AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: LX SERIES Outdoor Unit Brand Name: LUXAIRE Outdoor Unit Model Number (Condenser or Single Package) : PCE4A36* 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 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 LUXAIRE product is responsible for the rating of this system combination. 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 (A2) - Single or High Stage (95F), btuh : 35200 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.00 tModels with "Discontinued' Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) 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 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 www.ahridirectory.org. TERMS AND CONDITIONS u®, 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 for the model cited on this certificate can be veri-fled at www.ahridirectory.org, click on "Verify Certificate" link we make 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. 132780026749484184 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: