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HomeMy WebLinkAboutOpaleski PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: IO a Permit Number: Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: � PROPOSED IMPROVEMENT LOCATION: Address: Building Permit Application Residential Property Tax ID #: 1Pt--1®8A— ®0'®� l.Jd1lJ — 2 Lot No. Site Plan Name: ®Po.le�i'�1 Block No. Project Name: DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION 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 5q. Ft of Construction: Cost of Construction: S j 1 Sq. Ft. of First Floor: Utilities: !Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Ec, lCxc\ 0p"1esk, Name: Dn;jrA F-r-:irlc:i? Address:lOg80 J` . 00arN dr. 313 Company: No j z.--cim Cooi /fi r City: Tien5 _n iGLCh State: R Zip Code: 3qq�? Fax: Phone No , S�c�T"I ' +�q� E-Mail: orAkeski LzAmo ►1 • WM Address: L 7 d Ni i= City: ;`�CLe�v, i��}:r State:!_ Zip Code: 7SLAQE5 Phone No �'1 a7y:'� W19-5- LA&4 i Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-mail A sC3et'1a� I State or County License 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 Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to clothe 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 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 attorney before commencing work or recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST. LUGe STATE OF FLORIDA COUNTY OF ST. WC te. Swy rn to (or affirmed) and subscribed before me of %( Physical Presence or Online Notarization this 21 day of 2021 by Sworn to (or affirmed) and subscribed before me of V Physical Presence or Online Notarization this 22 day of 0C.+Qb{t.K"' 202t by t .J►G\QS �C1C.SL iD \C�,S � `I.13C Q Name of person akin/g statement. Name of per n making statement. Personally Known -J OR Produced Identification Personally Known V OR Produced Identification Type of Identification Produced Ili r5un NAIT Type of Identification Produced t,(N5QY1 VIA (Signature of Notary Public- St to of Florida) (Signature of Notary Pub ' - Commission No.UR. RNANDEZ WC�N # HH 171598 EXPIRES: August 31, 2025 Commission No. ;i �':, MAXINEHERNANDEZ h11fd�IfilfA%�,SION#HH171598 EXPIRES:August31,2025 REVIEWS SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number: 8881390 Date: 10-22-2021 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: LX SERIES Outdoor Unit Brand Name: LUXAIRE Outdoor Unit Model Number (Condenser or Single Package) : TC7B2421 Indoor Unit Model Number (Evaporator and/or Air Handier): AVC24BX21+TXV 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, Rl, 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 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 : 23600 SEER: 17.50 EER (A2) - Single or High Stage (95F) : 14.25 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. Ratings that are accomDanied by WAS indicate an involuntary re -rate. The new Dublished ratina is shown alonq 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; 9%m 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 "Verify Certificate" link we make life hetrer- 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. -- --- ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132793952202246508