Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: nt -� Z� Permit Number: nn1 r, lJo ISI:J��LS O ° ° ' 4 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) 4624578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: aJNa. JCA.VN 4j0 a:r Property Tax ID #: ( 0� (( - Ol 33 ' Qo(; 6) Lot No. 7 � Site Plan Name: l)(!)rA-nNC1 iS(A b" S Block No. Project Name: DETAILED DESCRIPTION OF WORK: Ho L( (L. to042 3•S iz)r Ito c LpLey A+t& U"?.wo 1eyn (oAoL41 tf New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: echanical _ 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:$ '74ci 0 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: f Name: a y- kL VI^a-�N0.ILa,� 4 ti1 Name � � ' Address: 15 UVylag .iey.4 Carr I Company:, IJoV �O✓�OL�}v�� City: %oA Pityu State:cPC. Address: i!9,3, Ln Q,Dy"o=!,c UL /4t...t. Zip Code: 34gFax: City: OQ,vt�oak/\� State:.F—L Phone No. Zip Code: '2-R ke O Fax: e7 a .SLe 2 S34 D E-Mail: Phone No 11 d Sto Z at03 Fill in fee simple Title Holder on next page ( if different E-Mail c'e AAv% ,a,Ar v ui4c 6 q wuoA (. (om from the Owner listed above) State or County License 0 C` 2 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: 4Not Applicable Name: Name: Address: 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 Count yy 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: Jf *lure to Record a Notice of Commencement may result in paying twice for improvements t y,r erty. A Notice of Commencement must be recorded in the public records of St. Lucie Coun a d pothe jobsite before the first inspection. If you intend to obtain financing, consult with I an at fore commencingwork or recordingour Notice of Commencement. Sign6tuK offr6fter/ Lessee/ on a Agent for Owner STATE OF FLORIDA COUNTY OF -0,A kPJ,-s kANv Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization thisJq*Pdayofoec 201f by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced (Sioatu o aryPu Ic-State of Florida ) IISAME n NoAk(A 3n4, (Seal) My H3174 MY COnAi15SION q HH3174 EXPIRES: May 252 2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev bIZUILI Eligible for Federal Tax Credit Certificate of Product Ratin AHRI Certified Reference Number : 7563302 Date : 10-15-2021 Model Status :Active AHRI Type : HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Series: XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TWR6042H1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM6AOC42H41+TDR The manufacturer of this TRANE 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: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 41000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 Healing Capacity (1-112) - Single or High Stage (47F) : 39000 HSPF (Region IV) : 9.00 t'Active" Model Stafus are those that an AHRI Certification Progmm Participant Is currently producing AND selling or offedng for sale; OR new models that are being marketetl but are not yet being protlucea.°Production Stoppetl' Motlel Status are those that an AHRI Certification Program Participant is no longer producing BUT Is still selling or offedng for sale. Ratings that are accompanletl by WAS Indicate an involuntary re -rate. The new published rating is shown along 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.ehridlrectory.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 for the model cited on this certificate can be verified at www.ahridirectory.org, click on Warily Certificate" link %v 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. ©2021Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 3zTansaeo4eonnt4