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HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I L-I )Z'l ( 2.( Permit Number: 0 ° 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: �ti�-RyZu'(_,Z„� PROPOSED IMPROVEMENT LOCATION: Address: Property Project Name: DETAILED DESCRIPTION OF WORK: �e-rv�.ee.�d t3 �� � ice• New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: ,�!:}vlechanical —Gas Tank _ Gas Piping —Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ _Shutters _Generator Sq. Ft. of First Floor: Lot No. �39 Block No. Windows/Doors _Pond Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name r q Name: Mari (yLAa k 4 tS Address: qq (l )" L Company: LLNr f v P&C N'4 City: ii�k State: g( Zip Code: 9401gg, Fax: Phone No. E- Address: _ �4� L NA4,AtW City: \AA Zip Code: 324;4_.e5 Phone No _%) I gl� S6 L -1X0 ,2 PlA� State: PL Fax: Z S3,go 3 Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail Al.v b0k , a f, (`) 9dY R,� .Lo✓✓� 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: Not Applicable Name: ir Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: of 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 ur p perty. A Notice of Commencement must be recorded in the public records of St. Lucie County oste on the jobs' a before the first inspection. If you intend to obtain financing, consult with lender attor befcife cj*nmhcing work or recording our Notice of Commencement. Signat + of rttric6or - or - O ner B ilder as applicable STATE OF FLORIDA /n�- COUNTY OF�QJ Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this N Adayof D-y� 20ZLby Name of person making statement. Personally Known OR Produced Identification Type of Identificati n Produced (Sign tune f Notary Public- State of Florida) Commi n No. 11VR 3 (�7 (Seal) NOERGINADOLORESCRISANIE Y COMMISSION 0HH3174 y 25, 2024 wvv= REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev 10/12/21 Eligible for Federal Tax Credit Certificate of Product Ratincls AHRI Certified Reference Number : 7567539 Dale : 12-23-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: XR14 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR40180 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM6AOB24H21+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 regions) for which they meet the regional efficiency requirement. The manufacturer of this TRANE 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 : 18800 SEER : 16.00 EER (A2) -Single or High Stage (95F) : 13.00 1"Active" Model Status are those that an AHRI CeNficafion Program Participant Is currently producing AND selling or offering for sale; OR new motlels that are being marketed but are not yet heing protluced.'Production Stopped' Model Status are those Ihal an AHRI Certifcation Program Participant is no longer producing BUT is still selling ar offering for sale. Retinas that are accomoanietl by WAS indicate an involuntary re -rate. The new published retina is shown along with the orevious (i.e. WASI 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) Ilstetl on this Certlficete. AHRI expressly tlisclDlms all Ilabilily for tlamages of any k(nd 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 Ilsted 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; A. 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 & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link r'y 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 Certificate No., which Is listed at bottom right. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: t3zaaTasaosszataso