HomeMy WebLinkAboutM Murtha PERMIT APP.PDFAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: % Permit Number:
S5V. LL CI(
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
Address:
Property Tax ID4: 33Z7 --`503 — -70
Site Plan Name:
! LI L KE
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit- check all that apply:
_✓Mechanical ....... Gas Tank — Gas Piping Shutters
Electric _ Plumbing — Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 51 5
Name
Address:
Lot No. i 14S
(Affidavit required)
_ Windows/Doors Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities
City: r�.'r'1'�t, t.s..iC.. _ State:
3
Zip Code: (A�_ Fax:
Phone No. $ Z, E-
Mail: rnGyIQ J_, Qo Ct)mcnr,-- _ nP+
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Sewer —Septic Building Height:
Name: vy1Q
Company:
Address: W rnerCC fMy� 3
City: 2-0-At s;i L,UCi C State:
Zip Code: 2qG % Fax:
Phone4No( 07E-Mail m 01. C'State oLicense
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.
DESIGNER/ENGINEER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
VVVINtK/ LUN I KAL I UR Ali-FIIJVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a hermit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with an� applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu t 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 wnrk nr rPrnrrf inu %,nj it nlnrirn of ! nmr„onromon-
Signature of Contractor - - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF S+ ` LU Cl-
Sworn to (or affirmed) and subscribed before me of
K Physical Presence or Online Notarization
this 7 day of Eeb1u0LT SS_, zo 7.2,by
Via 4 Certosk MG
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced
}
YR sa'& L�
(Signature of Notary Public- State of Florida)
L 114 &29"
Commission No. 1711 eal)
a4 Notary Public olFioriCs
Brianna V Lorenx
My Commission NH Na2089
Expires 09/1412024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
2V
Eligible for Federal Tax Credit
AHRI Certified Reference Number: 201285991 Date : 02-04-2022 Model Status : Active
Old AHRI Reference Number: 7942207
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) : RA1636AJ1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T3617STAN
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,
POT, 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 RHEEM 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 CapacAy (A2) - Single or High Stage (9517), btuh : 34200
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.
Ratings
that are accom anied b WA5 indicate an involunta re -rate. The new ublished rat€n is shown alon wish Ehe rev€ous i.e. WAS ratin .
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 liability for damages of any kind arising out of the use or performance of the praduct(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 AHRL 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; dlsseminated;201
entered Into a computer database; or otherwise utillzedr 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.alrr€directory.org, click on 'Verify Certificate" link we make lire 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.: 132884794407024007