HomeMy WebLinkAboutscanemailsharp@gmail.com_20211018_114010All APPLICAB E` INFq MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \0 1 CL \ 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
PERMIT APPLICATION FO
I PROPOSED IMPROVEMENT LOCATION: 1 I
Property Tax ID
Site Plan Name:
Project Name:
Mzlwzvxw�
DETAILED DESCRIPTION OF WORK:
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
_ Electric _ Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $Ca��h
Generator
Sq. Ft. of First Floor:
Lot No. < Z
Block No. I`+ Z_
Windows/Doors _ Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name @ C
Name. ei a(C-e Ae
Addres,� (�A
City: \ l7C (din L� \ State: z C�
Zip Code:. Fax-
Phone No. G� V� E-
Company: C r
Address:y
`vE'
city. V o 77 State:
:,' �_% i
Zip Code'� _? . 11/T�� %
Phone No � 1
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
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Mau an
State or County elcense UK lb 1993T
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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
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 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 your Notice of Commencement.
Signature of w er/ Lessee/Contractor as Agent for Owner
STATE OF L RIDAR� �� COUNTY OF k 1 ,
Swo n o (or affir nd subsc 'bed before me of _
Physical Presence or Online Notarization
this&day of ,20-4by
1
—ter=1� moo -6
Name of person making statement.
Personally Known OR roduced I entifiCiccaa�nn
Type of Identificatigp Produced
(Signature of Notary Public- State of Florida)
Commission No. Z '1 I5
y.;.,�.;-,, CATHERINE MILLER
4,- state of Florida -Notary Public
1 (Seal)
E commission N GG 273315
414.
;'+ 0 My commission Expires
' °i`••� November 01, 2022
REVIEWS
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DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21
Eligible for Federal Tax Credit
Certificate of Product Ratings
AHRI Certified Reference Number: 201664043 Date: 10-18-2021 Model Status : Active
Old AHRI Reference Number: 8224170
AHRI Type: HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source)
Outdoor Unit Brand Name: RHEEM
Outdoor Unit Model Number (Condenser or Single Package) : RP1530BJ1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1 T3617STAN
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 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 : 28600
F9q�:71fF�3r7
EER (A2) - Single or High Stage (95F) : 13.00
Heating Capacity (H12) - Single or High Stage (47F) : 27000
HSPF (Region N) : 9.00
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.
Ratlnas that are accompanied by WAS indicate an involuntary re -rate. The new published ratina is shown alono with the previous (i.e. WAS) 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 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®
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 forlhe model cited on this certificate can be verified 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.
020211 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.- 132791331049738344
NOTICE OF COMMENCEMENT
Permit No.
State of Florida County of St. Lucie
Tax Folio No
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement.
Legal Description of Property: (and street address if available):
ST LUCIE GARDENS 26 36 40 THAT PART OF BLKS 1 AND 2 LYG ELY OF US #1 A
General description of improvement: Replace ABC System
Owner information or Lessee information if the Lessee contracted for the Improvement:
Name
Address
Interest in property: Owner
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name:
Contractor Address:
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $
Name and address:
Lender Name: _
Lender's address:
Number:
Phone Number:
number:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1) (a)7., Florida Statutes:
Name: Phone Number:
Address:
In addition to himself or herself, Owner designates
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
Phone number of person or entity designated by owner:
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to receive a copy of the
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowledge and belief.
(Si nature of Owne o Lessee, or Owners or Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title Office)
STATE OF FL Ig{t Dq . ,
COUNTY OF �C_ `1 j�n1
Th2 oregoJ.�g .�n�s��trument,w@$ acknowledged before me by means of O physical presence 17,onlme'n tarizat�gn his v day of l l.il
20 by lShc'hL'M1'1�Q. j�-LI��'�4r who is ersonall kno n to or h +(��iY13� as identification.
CATHERINE MILLER ��'' A�IDD
State of Florida -Notary Public �4LAEN�MAF�w�M/V`�U
+= Commission N GG 273315
[NOTARIAL SEAL] My Commission Expires
November 01, 2022
NOTARY PUBLIC, State of Florida