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HomeMy WebLinkAbout1602_001.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: St, L cliL L i Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial X Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: N� C_ �\A(LL��I�ca_` PROPOSED IMPROVEMENT LOCATION: _ Address: ScS2- S Property Tax ID #: Lot No. [ Site Plan Name: rVA--01- L A_ Block No. Project Name:�� DETAILED DESCRIPTION OF WORK: 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: $ Ca Q I Utilities: —Sewer —Septic Building Height: OWNEr LESSEE: CONTRACTOR: Name Y 1 c_s Name: Address: -t -b V i� fDo si� Company: c- A1 cL1A_ tLc- City: ' ' Q� S State: CC- Addresjj�--- � G _F�> i-)+vvL- -U_ Zip Code: v Fax: City: #�J Ct�� State: Phone No. E- Zip Code: Fax: �1 -2-33fo�� Mail: Phone No —l-1Z- Fill in fee simple Title Holder on next page (if different E-Mai! L' sV- C"_' CL-_- —A �/Q -�[ L L fr✓1 from the Owner listed above) State or County License e_ RUC 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: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: l I 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 an applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such Please structure. 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. nature of Contractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF � LA-A—C-L-'- i Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this Z day of IV�abC f.Z 20227,by Name of person making statement. r Personally Known _\ OR Produced Identification Type of IdentificationProdu e (Sig t7❑ Notary Publi 'State of Florida) Jamie Perna Commission No�%���-� (Seal) NOTARY PUBLIC STATE OF FLORIDAom *41 Cm# GG267323 Expires 10/28/2022 - i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev Eligible for Federal Tax Credit Certificate of Product Ratinas AHRI Certified Reference Number : 201481996 Date . 01-12-2022 Model Status : Active Old AHRI Reference Number: 9857663 AHRI Type : SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: PRECEDENT Outdoor Unit Brand Name : TRANE Outdoor Unit Model Number (Condenser or Single Package) : TSC060G3*OA 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 TRANE 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 : 58500 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.00 The AHRI 210/240 certified EER ratings in Btulhr'W are calculated under the same methodology as the EER ratings at T1 conditions of ISO 5151:2017 and ISO 13253:2017 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 accomoanied by WAS indicate an involuntary re -rate. The new oublished ratina is shown alona with the previous (i.e. WAS) ratina. DISCLAIMER AHRI'does not'endorse'the-product(s)-listed-on this'Certiflcat6'and-makes rip representations-warranties'or'guarantees'asto7and'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; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, WOW 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 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. — - - ©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132864907419792356