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HomeMy WebLinkAboutBuilding permit appAll APPLIC INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Ip Date: ,Z — Permit Number: L LLLIL L Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential i 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: plbh re � Ic StAsrl 1 PROPOSED IMPROVEMENT LOCATION: `" Address: Cy_2w" � `` \I \ I �o �yy� 34qy��� �1 Property Tax ID #: I ,�✓ " SLy ' U"j`1��yLiCJ Lot No. Site Plan Name: Block No. Project Name: 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 —Windows/Doors _ Pond _Electric _Plumbing _Sprinklers _Generator _ Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Utilities: _Sewer _ Septic Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name , : NameAYWA k rcu Address: � W' V 1 r Company'': Address: ��Y City:'S"��V A \ e—State: Z 'l3c Zip Code: � C1 Fax: 3- Phone N — _ City:" 1 State: _ Fax: Zip Code: < Fax: ,� _. — Phone No. � � - E- Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail y� Cl r)r) State or County Li nse !� 3� 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: I Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: Not Applicable 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. 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 our Notice of Commencement. Signatur of Owner/ Lessee/Contractor as Agent for Owner STATE F FLORIDPS) COUNTY OF �/1Alill� Swo (or affir nd subscribed before me of _ Physical Presence or Online Notarization thday of 20Z—\ by Name of person making statement. Personally Known OR Produced Identification Pof Identification Produced (Signature of Notary Public- State of Florida) CATHERINE MILLER Commission No.r %� �5 �'� P��FState of Florida -Notary Public (Seal) ) ._ Commission S GG 273315 M Commission Expires 'nm�l°� November Oi, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Eligible for Federal Tax Credit Certificate of Product Ratin AHRI Certified Reference Number : 201664043 Date : 10-28-2021 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) : RH1T3617STAN 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: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 28600 SEER: 15.50 EER (A2) - Single or High Stage (95F) : 13.00 Heating. Capacity (1112) - Single or High Stage (47F) : 27000 HSPF (Region IV) : 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 producetl `Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Rallno. that are accompanied bv_WAS. indicate an involuntary re -rate. The new published reline is shown alone with the previous (i.e. WAS) retina. 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.ahrld irectory.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 forthe model cited on this certificate can be verified at www.ah rid I rectory.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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132798999941204943