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HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: L, Lu cLLJ _ r 'D JMAW `� Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential Xi 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: QQ p lQCC. a IC• gL��pn tent I I K 2 1Z ( I k X� PROPOSED IMPROVEMENT LOCATION: 1 Address: U'10 ChC1 i- 111? FO(T PiCI Property Tax ID #: 1 I Lot No. 'l Site Plan Name: t% IA IAh I "- Black Project Name: ( I+err-k-(-& r Thav-1 I DETAILED DESCRIPTION OF WORK: if* U-0 I0.2 CQ Qu&I min LLIiiz fLr I 1 K.-!', c bahq, o ofi m" ahh�l New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: n I IUSY(- 4 I() : V6 90 clu max p it OLI Wl :1110 (Affidavit required) Additiodtal work to be performed under this permit -check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $-I Li 0elf'' Utilities: _Sewer _Septic C SS ckumlr' IN �(00 umo-w 25 co ciit 1,do•. V 10 Building Height: Pond Pitch OWNER/LESSEE: CONTRACTOR: Name I 11Y)LJl Name: JL'Do Address:'-lLP�a C' h6tijilfrS fQA W L( Company: PSI IIfiSVl QIY' Co ILt. City: ri pl erre- Stater Zip Code: 3� 19� (O c7Fax. Phone No.�) J r q E- Addres�s+:. ISfbI Se, beex-cr n 0(\Je fIt1 O i City:�t �/Y 1 Zip Code:,'' HOPLi Fax: Phone No QS State: F MaiI:SQ WACL bl I I fiLSha(' COO , Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail Y I I I State or County License C PC I 1 a ShCLC•CcxY O IIn vague or consirucnon is ebuu or more, a necUnutu notice of commencement is required. II If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPP%NEERN STRUCTION LIEN LAW INFORMATION: DE_ Not Applicable M RTGAGE COMPANY: Not Applicable NameNa e:AddreAd ress:City:State: City: State: Zip Zip: hone: FEE SIR: Not Applicable BONDING COMP NY: Not Applicable Name:Name: AddreAddress: City:City: Zip: 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 attornev before commencing work or recording our Notice of Commencement. mencemen . S atu f Contractor - or -Owner Builder as applicable ATE OF FLORIDA COUNTY OF �nF31f(i Sworto (or affirmed) and subscribed before me of � this mday n Physical Presence or— Online Notarization of f l 20Mby ('n i L"_or(1 Name of person making statement. $IBI¢OfFlaritldPersolyKnoProduedIdentificationhMleGilmourTypofIdetificaonProdcdonGG2Z7017 MSabmna R!� 12022 (Sign tune o ot=PubliS Florida) ComisnNoeal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number : 8676053 Date : OB-20.2021 Model Status : Active AHRI Type: RCU•A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: SILVER 16 Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4A7A6036J1 Indoor Una Model Number (Evaporator andlor Air Handler) : GAW6B0B30M21 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, Or, OR, PA, RI, SC, SO, TN, TX, UT, VA, VT, WA, WV, wit, 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 regions) for which they meet the regional efficiency requirement. The manufacturer of this AMERICAN STANDARD product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210240 with Addendum 1, Performance Rating of Unitary Air -Conditioning 8 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 : 35000 SEER: 16.00 EER (A2) -Single or High Stage (95F) : 13.50 }'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 prodUoed.'Productlon Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing sLrr is still selling or offednq for sale. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or livarantees as to, and assumes no responsibility tor. the product(s) listed on this Certificate. AHRI expressly disclaims all I[ability for damages of any kind arising out of the use or performance of the product(s), or the unouthodaed alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahrldirectory.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 refea coo ce purposes. The contents of this Certificate may not, In whole or in part, bereproduced; except for heeled; disseminated; individual, entered into a rnmputer database; or otherwise utillzeQ In any Corm or manner or by any means. except for Me user's intliwtlual, personal and confidential reference. AIRCONDMMING, HEMlNq CERTIFICATE VERIFICATION 8 REFRIGERATION INBIt M The Information forthe model cited on this certificate can be verified at www.ahrltllrectory.ag, click on'Verity Certificate' link we make life benta- antl 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. 02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13ZMSIM4349M Eligible for Federal Tax Credit Certificate of Product Rati nos AHRI Certified Reference Number : 8625558 Date : 06-20-2021 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: SILVER 16 Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Una Model Number (Condenser or Single Package) : 4A7A6024J7 Indoor Unit Model Number (Evaporator and/or Air Handler): QAF2AOA36WI+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 AMERICAN STANDARD product is responsible for the rating of this system Combination. Rated as follows in accordance with the latest edition of AHRI 210240 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 IQ) -Single or High Stage (95F) : 13.50 t'Active' Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering far sale. OR new models that are being marketed but are not yet being produced. -Production Stopped- Model Status am those that an AHRI Cer itMation Program Participant is no longer producing BUT is still ellinaa or offering for sale, fltlms that are accompanied IN WAS Indicate an involuntary re -rate. The new nublished ratina is shown alona with the nmvinus (i e. WA31 rating. 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 products) listed on this Certificate. AHRI expre" disclaims all liability for damages of any kind arising out of the use or performance of the products), 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.ahridlrectory.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 pan:, 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, Aim personal and confidential reference. AIR{ONDRIONING, HEATING, CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE The Information forthe model cited on this certificate can be verified at www.ah,IdIrectoiy.org, click on Wailty, Certificate- link we make life be — and enter the AHRI Certified Reference Number and the dam 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.: 1327355152672040D