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HomeMy WebLinkAboutBuilding permit app- UPDATED PERMIT PER COUNTY, 01.04.2022All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:. -o o I amr) Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE: 0() PROPOSED IMPROVEMENT LOCATION: Address: _ 66 1 c ( , � ai P L 't Property Tax ID #: t /0 �(/) q 4Q, -- (Up A - 000 -- 9 Lot No. Site Plan Name: fQ117i� Ad - IQ JD4-9) 1 /- z_r_ Block No. Project Name:77/Y ll/e�le I 2f2fC_ Q 3 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: Sq. Ft. of First Floor: Cost of Construction: $ LAQO o0 Utilities: —Sewer —Septic _ Windows/Doors _ Roof Pitch Building Height: OWNER/LESSEE:, ' CONTRACTOR: Name A AOA �-e N.Ao ppuap(1 L_ LC Name: SamneS L. Address: 344 C0 U.S RU) Y �1_ S�-_?S Company:A&w JUt 14,r a? 4t>CDDI_., LLCI City:1�--o`p-k %Le('C.2_ State: FL Zip Code: 34c `i Co Fax: Phone No.—j-)a -- cj7q -- as `l S Address:Qa!�_AJFMA V1 5 1g. A/1//t City: _pha S-f-Lv6e, State: F: -- Zip Code: 3 !V9'43 Fax: Phone No-77o- G,'%D,5-Q E-Mai1:04cte,_ Q z--QA,CbM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail s O !Rj \.n;j- Q_, C 0 rn State or County License C.Al?, CA 12 S u vaaiuc w cunszrurnvw IS acauv OF more, a KtLUKUtU Notice OT LOmmencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTI LIEN LAW INFORMATION: DESIGNERjENGINEER: � Not Applicable Name: MORTC,AGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: _ of Applicable Name: Address:. Address: City: City: Zip: €hone: Zip: _ Phone: Uuv Ir-Ki 4.014 A RAC.I OR AI-i1-IUVIT: 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. Lucile 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 # 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 OW46r. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITFI YOUR LENDER OR AN ATTORNEY REFORF REMRIMMr. Yni it@ iqn-•iris tier? R-nlwae�as�rerne�er s !�57 O / L /Contractor as Agent for Owner Signatur�_VIFL"_A i ature of or/ia s er STATE _ STATE OF FLORI®A COUI\ITYOF ,"� LQt 0LY\ COUNTY OF S` L_t,�C-L The forgoing instrument was a knowledged before me The forgoing instrument Was acknowledged before me this _�day of20z":)b by this I_ day of `je 2� by c� u t i 4L 6-vo- s Name of on making statement. Personally Know n. fg i?ed�"f l i�t' m Type of identifir i i . ;;r+.:.: public-Sta fit �'€ Name of p kin statement. Personail YAFt G�� fj ; i _ yt� to cis on safe of Florida Type of l «.', Pfi3 Produced '-`''�r',mission ` ion ices Produce 4c"'rrifestan 4 fi3fi2 '4�yFebrua'V 09. 202 res � ,_ brusay R9. 2G24OF (Signature of Notary Public to ee of Florida) (Signature of Notary Public- Stat o Flar#da j Commission No.0 6 g5(13 _ (Seal) ,�.. Commission No,GG rim �, (Seal) i I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED - �o Db4AJ ' r�■:'��CE�TIF�ED'"' e.�w4v.attr itlirectos'y.or9 Certificate of Product Ratings i . AHRI Certified Reference Number: 204030767 Date: 09-01-2020 Model Status: Active AHRI Type.: SPY -A (Year -Round Single -Package Air -Conditioner, Air -Cooled) Outdoor Unit Brand Name: ALLIED Outdoor Unit Model Number (Condenser or Single Package) : PRAC1460EP Region : All (AK, Ai_, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, Ml, MN, MO, MS, MT, NC, 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 ALLIED product is responsible for the rating of this system combination Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air Souree Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 57000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.00 1"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. R tin c that are arr_�n'nani.� fAS ipdicate an 'nvQl fary r rat Th new ublished tatiaa is sh_�a(onnQ wdh ttre 2myin„a r venal rating DISCLAIMER '�"'� AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and issumes no responsibility for, the product(s)'Iisted 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 referettae 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. A-M CERTIFICATE VERIFICATION - AiR-CONDiTfONING, HEATING. The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link A REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued, %%v m.lke Ide hct.wo which is listed above, and the Certificate No., which is listed at bottom right. ©2020Air-Conditioning, Heating, and Refrigeration institute i CERTIFICATF Nn • 132434405789516967