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HomeMy WebLinkAboutSCHNEIDER PERMIT APP AND AHRIAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: � I i 11 -'�A 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 FOR: �� e -��,� �.-� / TIC C hanc -pCK-� PROPOSED IMPROVEMENT LOCATION: Address: ';mC C-3 C c cjprty 0K PSL-1 F-(- 2>H ; 3 Property Tax ID #: 3H I Cl­ 5S C) " oo Go o0c) Lot No. Site Plan Name: Block No. tou Project Name: DETAILED DESCRIPTION OF WORK: U / - fay- U Y-e-- AC 0--�arl"-e ckj- Alit M dd 4' Q�N3 L�'1 &_1-k1911- #' 9C 1) 11r1 099�`( C-4 tiMcade 1 �A 1 13 � kMIf � 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 _ Generator Total Sq. Ft of Construction: Cost of Construction: $ Yti 39Q — Windows/Doors _ Pond Sq. Ft. of First Floor: Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name `Mfri Name: v1CL �� Address: (310 tZCur+L-, C .. Company: 11N\W0_q Cc')D� J City: PSL- State: E�_ Address: ��� S'� R_1110--1 D(— Zip Code• 3 L1 Q 9 _3 Fax: City: (Z�s State: 1'- Phone No. l S °- 39 3 E- Zip Code: 3`lcf 8 3 Fax:'-1 Mail: Phone No `�� �: %U% —N �� Fill in fee simple Title Holder on next page (if different E-Mail i (�-il w l ti!2 us' CC ZA from the Owner listed above) State or County License f'fC: 1 `b oiC�(DC) If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW IN MATT N: DESIGNER INEER: _ Not Applica MORTGA COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone. FEE SIMPLE TITLE HO R: _ t Applicable BONDING COMPAN Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip:Z 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 Coyaty and p ted on the jobsite before the first inspection. If you intend to obtain financing, consult with IP da�r nr an otnrnev hefnre cnmmencing work nr recording vnur Notice of Cnmmpncpment_ Signature of Owner/ Lesseegontractor as Agent for Owner STATE OF FLORIDA COUNTY OF GA-LA cl Sworn tq (or affirmed) and sub'criibed before me of V Physical Presence or Online Notarization this A_day of pJQ' 1eN))C C 1 by (2�0 Name of person making st tement. Personally Known. \_/ OR Produced Identification Ty of Identification Produced (Signature of Notzo Pu icy-i'S�tatl�eo�ff Florida) i�t "(Seal) �Xy• ASHLEYKENNEDY Commission No. V 7 Notary Public • State of Florida Commission a HH 107965 My Comm. Expires Mar 23, 2025 Bonded through National Notary Ass'. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED nev :)//-U//-1 Eligible for Federal Tax Credit Certificate of Product Ratin AHRI Certified Reference Number: 201170999 Date : 11-01-2021 Model Status : Active Old AHRI Reference Number: 7491808 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: RUUD Outdoor Unit Model Number (Condenser or Single Package) : RA1436AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T3621 MTAN Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 RUUD 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 : 36000 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. Ratings that are accompanied by WAS indicate _aninvoluntary 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 responsibillty 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; A. �■ -� 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 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. 132802461288857652 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: