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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _� f Z O � 1 Z Gr Permit Number: G ro Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone; (772)462-1553 Fax: (772)462-1578 CBDG Funding PERMIT APPLICATION FOR: MAC Me }�, � r+ � � �U [ 1 CW (w .PROPOSED OIL SED IMPROVEMENT LOCATION: 14- .. F 11 eE _ Address: 2 Z V + 1 Ii I r I . to?_ PO t LUCt e, FL. 3 g q 5 Z Property Tax ID#: 3Y ZZ (o - o07) - 1 Lot No. Site Plan Name; ( CRldn0 Z Block No. Project Name: n Q6 U �- ✓QR- tC DETAILED DESCRIPTION OF WORK: Ins fall a CCM 2- ton 5 eer w [cw rc,4iCd &,LCcol L 116E FORZ 0 CE New Electrical Meter Second Electrical Meter (Affidavit required) 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: 52_0 - ( _ Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name LA E' e Name: eQQ I(M t {rYlAddress: 2 a V i str r 1 . 10 2- Company: n i T-e YrAC City: rt- � - Luci e- State: FL Address: 1 S q N rnrnercc Care Zip Code:ftclJr Fax: City:_POrrrf SP, Lu Cte State: FL Phone No. �a - ggqLl E- Zip Code: Nq K Fax: Mail;in U 1'1')1 Gihe rlrl t .CO. rY) Phone No 7 Z 4Q ._ 07� (� Fill in fee simple Title Holder on next page (if different E-Mail f n a,hoo , comYl from the Owner listed above) State or County License � �L1 S3� Lvalue of construction is 2500 or more,a RECORDED Notice of Commencement is required. of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTL'ON LIEN LAW INFOftMATI�N, DESIGNER/ENGINEER: _ 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 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 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 our Notice of Commencement. Signature wner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA r �I COUNTY OF . Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization this 21 day of .1Q h LJ Q ram_ Z02by Ce,r rn Name of person making statement. Personally Known`X OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida) ) Commission No. i '-t'2 O( al) ME Public State of Florida V Lorenz00/14/2024 on HH 042089 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED DATE COMPLETED ev 1 r 1 1 Certificate of Product Ratings AHRI Certified Reference Number:202865072 Date:01-27-2022 Model Status:Active AHRI Type:RCU-A-CB(Split System:Air-Cooled Condensing Unit,Coil with Blower) Outdoor Unit Brand Name:RHEEM Outdoor Unit Model Number (Condenser or Single Package):RA1424BJ1 Indoor Unit Model Number(Evaporator and/or Air Handler):RBHP-17 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 RHEEM 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:22800 SEER:15.00 EER(A2)-Single or High Stage(95F):12.50 t"Active"Modei Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale;CR 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 stilt selling or offering for sal.. Ratio s that are accompanied by WAS indicate an involuntary re-rate. The now oublirhod retina is shown alona with the revious i.e.WAS ratio . DISCLAIMER AHRI does not endorse the products)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 alterat€on of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahr€d€rectory.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; s, 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 confldent€al reference, Alit-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.al)rldlrectory.org,click on"Verify Cortificate"link we male lilt beller" 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. 132877841625707315 ©2022Air Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: