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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Lucia 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: PROPOSED IMPROVEMENT LOCATION: Address: FA Property Tax ID #: Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional to be performed under this permit —check all that apply: (Affidavit required) Lot No. Block No. _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: $ jZ�, �� Utilities: — Sewer. —Septic Building Height: OWNER/LESSEE: I CONTRACTOR: Name Address/: City: % State:( Zip Code: S ,`t' Fax: Phone No.E- Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name:& e / %� Company: p Y:/� Address: G . City: Zip Code:' y S 7 q/ Fax: Phone No 57& L 2 2 L- -3'�2 E-Mail &t State or County License 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. SUPPLEMENTALCONST U CTIC ��[_EN LAW INFORMATION• DES IGNER%E GN 1NEER Name: ___ Not Applicable IAddress: City: Ztp. --- Phone State: t:EE $IMPLE TITL p ER: —'--=-- Name:—L' Not Applicable Address: City: Zip: ---- - Phone: OWNER/ CONTR CTA OR AFFIDVIT: A ! I certify that no work or installation Application is hereby ma MORTGAGE COMPANY:-�~ de ob Name: !' NotApp►icab e Address;`—""' City: Zip; Phone: State: BOND_G COMPANY; Name: _NotAppficab►e Address: City: Zip: —_ Phone: to St. Lucie Count s commenced troy tarn a permit to do the work and installation as indicated. y p to the issuance of a which is in con With no representation that is granting a permit. structure. Please consult witny h Your applicable W g permit will authorize the permit holder to build the subject structure Home Owners Association rules, bylaws or and In consideration of the Your Home Owners Association and review your deed for any restrictions whichtrria oa prohibit such e granting of this requested permit, I do hereby itt accordance with the approved tans, th e he Florida Building Codes and St. Lucie Count to all respects,Y work The following buildin pp perform the work 8 permit a ircations are exempt from undergoing Y Amendment. accessory structures swimtttin g g a full concurrency review: room additions, "�/ARINING TO g pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT another R TWICE FOR IMPROVEMENTS TQ YQUR PROPERTY POSTED ON THE JOB A NOTICE OF COMMENCER9ENT MUST BIEIESULT IRECORDED PAYING yyl-- -- rR YOUR LENDER p SITE BEFORE THE FIRST INSPECTION, tF YOU INTEND AWN AT' f Y BEFORE RECC?RDING YOUR RtQTICE�OF COIWN�Ew IN.,�. AND r. _ �NCING� CONSULS! Signature of Owner Lessee/Contractor as Agent �wner / Signature of Contractor i STATE OF FLORIDA l /License Holder COUNTY OF STATE OF FLORIDA l he for in i COUNTY OF g g rostrum nt was acknowledged before me OF— The day of 01 (� Y`,.,;, �, b I The forgoingins— r, 20_c1 y n 'PuIr nt was acl,')Owledgec before me by �' � this day of . C�NJ� u 201ci Name of person C making sta ment. , � entific Name of person making st eme�nt�� Personally Known OR Produced Id Type of Identification ation Personally Known t� Produced— — OR Produced roduced Identification TYpe of Identificatrort (1 t poiuced i (Sig. ature of Nota1r J` Public -state of Florida) f '' �-�•-�•' ""' Com issio A : •1 (Sign lure of Notary ublic- State of Florida ) r•�srr_=r (Sea! �. "- �`C G W + Flu +ca Comm ssion ►.r.�..,,� y. • . St r 66 H. i �• 3T7s kay KF7C .J. sw-EREVIEW, --'p��%G sratcJ F!Gr1dd VD•55�. SUPERVISOR � `'•n - + mstrC,><'='t;C3'T•r6b_.. COUfVTER REVIEW PLANS EGET�T,Ir�"A,C m r. tip„ S ,.. 023 DATE - - - ..__ REVIEW sP7Yhrp q� . t_ ssn. MANGROVE REVIEW I a�l -RECEIVED i _REVIEW COMPLETFn A unp Certificate of Product Rahn s AHRI Certified Reference Number: 10197403 Date: 01-26-2022 Model Status :Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: 14 SEER R SERIES R410A AC Outdoor Unit Brand Name: ARCOAIRE Outdoor Unit Model Number (Condenser or Single Package) : R4A436(A,G)KB* Indoor Unit Model Number (Evaporator and/or Air Handler) : FEM4P36**AL 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, NO, NE, NH, NJ, NY, OH, OR, PA, RI, SO, 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 ARCOAIRE 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 : 33000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.00 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. _- _.-_ __.. ..._ ._........ ....... DISCLAIMER r.v ,aun AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the no responsibility for, 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; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the Individual, N-Mom personal and confidential reference. user's CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING, The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date & REFRIGERATION INSTITUTE on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. we make life better'° ©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE Nn - 132876797942955429