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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: i (d 1151 Permit Number: _ h 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: �•` , 2�Q ►� C C,t,1C, L (��,ne� t a 1., �-� � I ilk PROPOSED IMPROVEMENT LOCATION: w Address: 12)1 Ocy MGM 00C b, 17D a ?I LCC F(, 3Lf Cj b� Property Tax ID#:� Lot No. Site Plan Name: 1/ (° rrA-V h r)L),S'-1 n lS itQnnn i Block No. ' Project Name: DETAILED DESCRIPTION OF WORK: ��� l.(�`I C-f)ls, .-i` J ft r Kto'. l wy New Electrical Meter Second Electrical Meter GL,Id,1, W 1 o 6-1 v�YlGsac 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 Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 1) 12, C D 00 Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: NamebUMI 11 I M Address: 1001 A/1tIC°'n one J), Name:, IZ L f i be-r'Scr) Company: Pi I CA'Ir CO (16 City: a?l r (cif State: Zip Code: Fax: f)'IGA Phone No. CT11b, . I 10 - 51 H I-) E- Mail: iri nc4 C v) w fi1 hC o c LI 1 Fill in fee simple Title Holder on next page (if different Address: ( S b ( SP_ ' ,�_t C &\,f ,, j 2A City:'Sk-u(' Zip Code: S(-PgL-( Phone No rn e_6_ 54�)l 5- E-MAM. b na(-a) Stater Fax: n 01, 1"� i �iv�� � ,• tl (; from the Owner listed above) State or County License a I ci iq C_C IIt value of construction is 2500 or more, a RECORDED Notice of Commencement is required. I) If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION. DESIGNER/ENGINEER: Na _ Not Applicable MOR AGE COMPANY: _ Not Applicable Nam Addr s: Addre s: City: Zip: Pho a State: City: State: Zip: Phone: FEE SIMPLE TITLE HOLD Name: Add Tess: _ Not Applicable BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: City: Zip: Phone: UWNtR/ CUNTRACTOR 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 consu t 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 attnrnev hPfnro rnmmonrinc lAirni-h nr orni-Aing „­ ni„+;, .f S' nat of Contractor - or - Owner Builder as applicable STATE COUNTOYOFORIDA M ev/_b Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this �21ay of Of, Q 1k — , 20Q_J_ by Name of person making statement. Personall Known I OR Pr Identification e of Iden 'fication Produc (Sig ature o otary Public- State of Flo a) o�µr Notaq Public Stale of Ronda Sabtm� AAichelle Gilmour Commission No. (Seal) My Gtommission GG 227017 'riap ExPf_ 03"" 022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED .cv tv) i<J G1 ql!11111 1 11 ; I i *��Jmj AHRI Certified Reference Number: 202025205 Date : 12-14-2021 Model Status : Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: 16 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA16NA042*0**B* Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNP042L 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 CARRIER 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 (9517), btuh : 41000 SEER : 15.00 EER (A2) -Single or High Stage (95F) : 12.50 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 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 ac oompanied W WAS -indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) ratina. 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 uaww.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary of AHRI. This Certificate be for individual, products shall only used personal and confidential reference The Certificate :-, purposes. contents of this may not, in whole or in part, be reproduced; copied; disseminated; OEM 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 wwtv.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. -- ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132839745188901301