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HomeMy WebLinkAbout001162.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: J - /61 d- Permit Number: 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: (�� �C � G .v �ti 6� f 21— 3 L' L_4,j4rzz61 Property Tax ID #: L/ % - F7 / ' CAD �9 ,im Lot No. Site Plan Name: 1 / l ia� Block No. Project Name: l1,44 ' 47,4,42 ,, 4 - I DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: (Affidavit required) Additional work work to be performed under this permit- check all that apply: VonMechanical Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch Total Sq. Ft of Construction: L- Sq. Ft. of First Floor: — - Cost of Construction: $ �5 0 i Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name L Name: Company: c Address �CP�� 1� < la �(� -�� `� �p�,!!\ State: LL City: ���'� Address: s'J 3 `7 �` � �� State: State: Zip Code: -3 / - "--7 Fax: City %-S Phone No. �S �/" S�' %" E- Zip Code. �/i" N Fax: Mail: Phone No E-Mail / CC I a r a / - / -- �� at Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License - -2 5 if value of construction is zhuu or more, a KtI-u iru ivuLux ui W.unu[lag g ncll " .... y­.-.-. I If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. CI Innl rn w Name: — Applicable Address: City: _ 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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN ANCING, CONSULT WITH YOUR NDR O .LAN AT �N 'Y BEFORE RECORDING YOUR NOTICE COMM Signature of Own ntractor as Agent foAwner STATE OF FLORIDA _ COUNTY OF /%7 �Wr t Lt,,y,ely IHL LUNSTRUCTIO,�krN LAW INFORMATION: DESIGNER/ENGINEER ;Not Applicable , Iva me: _ MORT Address: City: State: Zip: Phone — FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: _____ _ Phone: Marne: GAGE COMPANY: Not Applicable Address: City: State: Zip: Phone:_ Applicable I BONDING COMPANY: Signature of Contractor/license Holder STATE OF FLORIDA _ COUNTY OF f %Ii`I:�%i✓ The foroing instrum nt was acknowledged before me I The forgoing instr�,m n was acl;nowledgec�( before me this day Of �iC �� �p 1 20 by this day of (� ;ice 20 _ S � by Name of person making sta ment. 3, Name of person making stt ement. Personally Known _ �� OR produced Identification Personal! Type of Identification y Known OR Produced Identification Pr duced Type of Identification i _� PxG� uced 151g ature of Nota y Public- State of Florida ) Com issio 5 W ,—_�1 s ?� w. r Sea _�' �o:a�y �L•'JiC Std EC' of Florida Commi55ior c'GG 315466 P.'` Mp i.Grrrr, a7'rP5 t`%-•Z023 REVIEW o sh ASSn, COUNTER I REVIEW CO M ture of Notary SUPERVISOR PLANS REVIEW REVIEW blic- State of Florida ) KELLIE J. SwEt-T tiotary 20fic Statt• of F!Grida IANGROVE REVIEW Certificate of Product Ratings AHRI Certified Reference Number: 202717824 Date : 02-14-2022 Model Status: Active AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Outdoor Unit Brand Name: ARCOAIRE Outdoor Unit Model Number (Condenser or Single Package) : PAJ430***K***B* 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 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 : 28600 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 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 accompanied by WAS indicate an involuntary re rate The new published rating is shown along with the previous (i.e. WAS) retina. 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 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 In 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 users Individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahrldlrectory.org, click on "Verify Certificate" link 111,11w life bencr'° 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. CERTIFICATE NO.: 132893297791190200 ©2022Air-Conditioning, Heating, and Refrigeration Institute