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Home My WebLink AboutBuilding permit appRight Side: Left Side: All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date. I"� � f Permit Number. • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1579 Commercial Residential PERMIT APPLICATION FOR: Address: Legal Description: Property Tax €D #: S' - Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WOR CONSTRUCTION INFORMATION: itio wor to a per omed under this permit - check all that apply: — Mechanical _ Gas Tank Gas Piping Shutters Windows/Doors _ Electric T Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: aq Cost of Construction: $ a200o' Utilities: _Sewer _Septic Building Height. Name N I ro 1 cv Addres ' ot/l% City: ✓ Stater Zip Code: Fax: Phone No. -49y 0C E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: /ff— r Company: P1� Addre: 0 S Lvf wi city :/U✓ i1e_ Stater Zip Code3Y9'3 _ Fax: Phone No `7'7)-,N3Y-9 �6 E-Mail ►� (Qw1CAf 2 State or County License C'/1 �� l�iCs90 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION., I DESIGNER/ENGINEER: i 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: _Not 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 inoicatea. 1 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 Horne Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and reviewyour 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, wails, 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 Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA 1 COLINTYOF � �Swor o (or affirmed) and subscribed before me of ysical Prese ce r Online Notarization this day of 206U by Name of persbn making statement. Personalty Known OR Produced Identification Type of Identification Produced (Signature of Notary Public -State of Florida ) n Commission No. (Seal) j�e Y, r]c�h f h ll i. DATE COMPLETED Signature of Contractor/License Holder STATE OF FLORIDA L 1 n , (L' COUNTY OF SworPto (or affirmed) and subscribed before me of hysical Pre�encq or Online Notarization this day of 20,LL by Name of perso makingst`atement. Personally Known ✓ OR Produced Identification Type of Identification Produced (Signature of Notary Commission No.Ll__7 SHELLI LESTER R yglpf Florida -Notary ission M GG IS My Commission ExF PLANS REVIEW I VEGETATIEVIEWON I SEREV EWLE I MREV EWVE Certificate of Product Ratings AHRI Cerlified Reference Number: 8215497 Date. 11-15-2021 Model Status : Active AHRI Type : SP-A (Single -Package Air -Conditioner, Air -Cooled) Series : R410A AC SPP Outdoor Unit Brand Name: BRYANT HEATING AND COOLING SYSTEMS Outdoor Unit Model Number (Condenser or Single Package) : PA4ZNA042000- Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, 1, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, INC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, 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 BRYANT HEATING AND COOLING SYSTEMS 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 . 41000 SEEM : 14.50 EER (A2) - Single or High Stage (95F) . 11.50 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 I produced "Production Stopped' Model Slates are those that an AHRI Codification Program Participant is no longer producing BUT is still selling or offering for sale Ralinns that are accomoanied by WAS indicalo an_Lnvoluntary ro role. The now published ratina is shown JIIQ (Lw (he Ur@viouS li,e. WAS) rahno. DISCLAIMER AHRI does not endorse the prnduct(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no Tesponsibillty for. the product(s) listed on this Cetlficate. AHRI expressly disclaims all liability for dtimages of tiny kind ndsing out of the use or performance of the productlst, or the unauthorized alteration of data listed on this Certificate. Certified ratings Oro valid only for models and configurntlons listed in the directory at www.ahridirectofy.org. TERMS AND CONDITIONS "EDP This Certificate and ifcontents ntents are proprietary products of AHRI, This Certificate shall only be used for Individual, personal and As confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; Copied; disseminated; olu■■ -' entered Into a Computer detabnse; or otherwise utilized, In Ony form or manner or by any means, except for the user's Individual. personal and conlldentlal reference. AIR-CONOMON1141401. NfATINA, CERTIFICATE VERIFICATION A REFRIGERATION INSTITUTE The Information for the model rated on this cortlficate can be verlfled at www.etirldlr*ctory.org. click on -Verify Certificate- link uh m.ais t�aF tx•rtr` and enter the AHRI Certified Reference Number and the date on which the eertlllcete wes issued, which Is listed shove. and the Certificate No.. which is listed at bottom right. -- -- — ----- 02021 Air -Conditioning, Heating, and Refrigeration Institute % CERTIFICATE NO.: