HomeMy WebLinkAboutOliver permit app.PDFAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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
Address:
Property Tax ID #: Crti '!S7' -766o C)ba - G -j Lot No. ! ��
Site Plan Name: °[ / )n4 Block No.
Project Name:,h /& �YJ Uke
> -.-vv r I K-C. °-; CY Lf IC.-O__
New Electrical Meter Second Electrical Meter
(Affidavit required)
Additional work to be performed under this permit- check all that apply:
Mechanical _ Gas Tank _ Gas Piping Shutters
— Electric — Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ � }aciZ
NE ESSE;
Name
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: _ Sewer ` Septic Building Height:
Address:F��1/� �...L✓�y
City: State:
Zip Code: _2AP!D_,;k Fax:
Phone No. - E-
MailuLh kt4,3 . 61',✓e_r arr�c�r J ��rn
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
WNTRACTQR
Name: (, ImL
Company: ILAT /+ (✓
Address: A;l1) ff ,4L
City:Y�State:
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Zip Code: Fax:
Phone No —7-7�
E-Mail Y-�elri ' (� ('D.0400 )
State or County License J ( P)l
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.
DESIGNER/ENGINEER: Not Applicable
Name: _
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
J
State:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable I BONDING COMPANY: —Not Applicable
Name: _
Address:
City:
Zip:
Phone:
-/ %.vrr r l At —I UK Hrriuvi t : 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 fallowing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessary 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 your Notice of Commencement.
Signature of owner%Lesseef Contractor as Agent for Owner
STATE OF FLORIDA FPresence
Notary Fubho State of Honda
Catherine Donna Mahan
COUNTY OF My commission; GG 176881
Expires 0111812022
Sw n o (or ofdj nd s bs ribed befor me of Physior Online Notarization
this day a Zp�by ,
Name of persai
Perso II Knor
Type f ld ntifi.
0 1
(Signature of N
Commission No
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
maki statement.
1 OR Produced Identification
Ton Produced
blic-
FRONT I ZONING SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
Eligible for Federal Tax Credit
Certificate of Product Ratinas
AHRI Certified Reference Number: 201295245 Date : 10-04-2021 Model Status: Active
Old AHRI Reference Number: 7943714
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Outdoor Unit Brand Name: RHEEM
Outdoor Unit Model Number (Condenser or Single Package) : RA1660AJ1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RHIIT6024STAN
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, SO, 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 instalied in region(s) for
which they meet the regional efficiency requirement.
The manufacturer of this RHEEM 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:
Coaling Capacity (A2) - Single or High Stage (95F), btuh : 57000
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 accom anted b WAS indicate an involuntary, re rate. The new published raiin is shown alonq with the reviaus i.e. WAS ratin .
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warrantles or guarantees as to, and assumes no responsibility for,
the product(s) listed on this Certificate. AHRI expressly disclaims all llabi€€ty 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 configuratlons 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, person; and.
confidential referrence purposes, The contents of this Certificate may not, in whole or in part, be reproduced; copied; d€ssem€noted;
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Ind€v€dual,
personal and confidential reference.
CAIR-CONDITIONING, HEATING,CERTIFICATE VERIFICATION REFRIGERATION INSTITUTE
information far the model cited on this cert€ficate can be verified at www.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, We: "lak ,1ife 3x�trevl
which is listed above, and the Certificate NO., which Is listed at bottom right.
@2021 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE Nn. • 132778397919829660