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HomeMy WebLinkAboutB Saylor PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3' l 1 Z 2 Permit Number: S_�'I� L C111.1 ft l _ v. Building Permit Application Planning and Development Services I 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: HVACtAe6)W1CW PROPOSED IMPROVEMENT LOCATION Ll Y--E FU I ME %X11 ! 1 1 Property Tax ID #: .3 _ T Site Plan Name: Project Name: 1A "1 34[ 'Vb Lot No. 2. t -r11 Block No. 'fir P t t 1 I WE FO V_ Ll It-E DETAILED DESCRIPTION OF WORK: eem w 10 V-w hCCdPr UF02-11KE New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: ✓Mechanical _ Gas Tank Gas Piping _ Shutters _ Windows/Doors Pond Electric ^ Plumbing _ Sprinklers —... Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 6, Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: YAddress: mwe—Company: Y Ai Emn AC City: r Zip Code: $ Fax. Phone No. _ State: FL -�1 17 I E- Address: 13141- W iri r m- City: po k ST , 11.Cf _ Zip Code; $� Fax: Phone No 77Z W 0 State: Mail: n ��nn � �Wm Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail ( a State or County License +Gam 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. Name: _ Address: City: Zip: ER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Phone State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Add ress: City: Zip: Phone. Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name; _ Address: City: Zip; Phone: OWNER CONTRACTOR AFFIDVIT: 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 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 your Notice of Commencement. Signature of Ci6ritractorar - Owner Builder as applicable STATE OF FLORIDA COUNTY OF SJ. W Ci L Sworn to (or affir d and s bscribed before me of Physical Presence or Online Notarization this I day of 20-Uby C-Cf t m0 Name of pers n making statement. Personally Known ( OR Produced Identification Type of Identification Produced (Signature of Notary Public- tate of Florida Commission No. L eal S_! i ) r� OryPudicStanofFlorkia �� wanns V Lorenz My Commission HH 042089 Expires 09114/2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 10112-12:L Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number: 201294083 Date : 02-28-2022 Model Status : Active Old AHRI Reference Number: 7943535 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) : RA1648AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T4821 STAN Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, i ME, MI, MN, MO, MS, MT, NC, ND, NE, Ni NJ, Ni 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 Capacity (A2) - Single or High Stage (951 bl : 44500 SEER: 16.00 EER (A2) - Single or High Stage (95113.00 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 ar offering for sale. Ratings that are accompanied by WAS indicate an involuntary re rate. The new published ratin is s shgwn_alo. n.g with the previous fi.e. WAS) ratno. DISCLAIMER AHRI does not endorse the products) 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 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.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 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 user's individual, personal and confidential reference. MR -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 we make life betterl' 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. ©2022AIT-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132905552566293974