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HomeMy WebLinkAboutBUIDING PERMIT APPLICATIONPlanning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Residential — �V_ Commercial CBDG Funding PERMIT APPLICATION FOR: V p n j f- P 14V At Address: ^^ //�� ' //'�� Property Tax ID #: 1`t2��5U�— oo �"1� ll�l] � �p Lot No.—�-- Block No. Site Plan Name: Proiect Name: Total Sq. Ft of Construction: Cost of Construction: $ 00 Sq. Ft. of First Floor: Utilities Namef�P� Address: 33�J2. Ca(-W 8A City: 1}j bj0SOr IS tar -)(A State: _EL Zip Code: ?�4 C AFax: Phone No. 4 1 Z' q a E- Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Sewer _ Septic Building Height: 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. lliflm DESIGNER/ENGINEER: _ Not Applicable Name: _ Address: City: _ Zip: Pho State: FEE SIMPLE TITLE HOLDER: — Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: rite• Zip: Phone: Not Applicable State: Not Applicable OWNER/ CONTRACTOR A : Application is hereny m 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 your Notice of Commencement. Signature of Contractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF \ V-1 Ca rl V eC Sworn to (or affirmed) and subscribed before me of 1�0'_ Physical Presence or Online Notarization this \S day of F e. D 20 22by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary PublikJState o� Florida) Beam FO&NU on Commission No. -}11LAbLo (Seal) NotVYPubllc state of Florida C=" NH116860 Wms 4/13/2025 REVIEWS I CFRONT OUNTER I ZNINGROEVIEW I S REVIEW UPERVISOR I R :VIEW I PLANSVREVI WON �S REV EWLE I MREGETATIEA REVIEW RECEIVED J_ DATE COMPLETED Oil AHRI Certified Reference Number: 8858457 Date : 02-15-2022 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) : 4TTR40481_1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM6AOC48H41+TDR+UFIHRZ 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 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. Ratinas that are accompanied by WAS indicate an involuntary re rate The new published rating is shown along with the previous (i.e WAS) 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 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 confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; AM entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, AIR -CO personal and confidential reference. REFRIGERATION HEATING, & REFRIGERATN INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org. click on "Verify Certificate" link 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. ' " 132894088314455130 ©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO..