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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:_t r 246 22, Permit Number: ° TM3 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: Cb 0qs=' p - Z PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID #: ---6- —7 ` i Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION. Additional work to be performed under this permit— check all that apply: ✓Mechanical _ Gas Tank —Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: '� Cost of Construction: $ 71 t SO, W OWNERAESSEE: (Affidavit required) _ Generator Sq. Ft. of First Floor: Windows/Doors _ Pond _ Roof Pitch Utilities: —Sewer —Septic Name U U I 1 211 f i l Y .J S Address: Y-_ City: �df i st t I J c f' tate: Zip Code: R ! Fax: Phone Na. 3�,` �[$ s ��r� E- Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) CONTRACTOR: Name Building Height: 'ct Company: N i S g i V_ ft l t✓ Address:37DD S. U S dVyI City: M p__+ Pi rzr e State: Zip Code: ax: Phone No 1 E-Mail i'1 tin, n lsae. corn State or County License C A C 0 J+ 119 01 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: — Not Applicable BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: Name: _ Address: City: Zip: 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 aunty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with a er or an attorney before commencing work or recording your Notice of Commencement. Signature of Contract6r - or - Owner Builder as applicable STATE OF FLORIDA s+. COUNTY OF W Swo n to (or afFir ed) and subscribed bef re me of Physical Presence or Online Notarization this-'lilay ofnLlGl 20Liby Vh' ' 1110 N1<6( - �C Name of person making statement. Personally Kno n O oduced Identificati Type of I nti cation roduc d fN i Ott (Signatur4 of Notary Public- State of Floridai 27�(Seal) °RYP�' KRISTIN BAITSHOLTS Commission No. : o`" e�-- ;e ;State of Florida -Notary Public _� *c Commission # GG 278527 - e� FIFtj- My Commission Expires ` February 19, 2023 REVIEWS 1 FRONT ZONING COUNTER REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED Rev Eligible for Federal Tax Credit Certificate of Product Ratinas AHRI Certified Reference Number: 10259419 Date: 01-24-2022 Model Status: Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: MERIT ML14XC1 SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : ML14XC1-024-230A** Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA27UHE-024-230*+TDR Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, 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 LENNOX product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 - 2017 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 : 24000 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. in th A in ' t n r t. T now i h tin h th th i.. WA 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 Ilablltty 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.shridirectory.org. TERMS AND CONDITIONS As "no, 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; `■ r' 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 A REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at click on "vorHy Cep WIC a t.�' link we make Iife 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 - 02022AIr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132875021312242721 Certificate of Product Ratinas AHRI Certified Reference Number: 10259431 Date: 01-24-2022 Model Status: Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: MERIT ML14XC1 SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : ML14XC1-059-230A** Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA27UHE-060-230*+TDR Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, 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 LENNOX product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 2101240 - 2017 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 : 56000 SEER :15.10 EER (A2) - Single or High Stage (95F) : 12.50 i"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. Rat inas that are accompanied by WAS indicate an involuntary re -rate. The new published_ratina is shown slona with the orevious (i.e. WAS1 ratino. 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) 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.othridirectory.org. TERMS AND CONDITIONS it ups This Certificate and Its contents are proprietary products of AHRI. This CertHtcete 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; �� `. IL Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the usees Individual, personal and confidential reference. AIR-CaeromoNINQ, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahrldlrectory.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 Certficate No., which Is listed at bottom right. 02022AIr-Condltloning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132875020837754539