HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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L T - - 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
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID #: Lot No.
Site Plan Name: V� �- 1 SQL_ Block No.
r'�
Project Name:
DETAILED DESCRIPTION OF WORK:
R . - - S �c� 11- 2 ELP-
(o VLvJ
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: $ 540) Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Yi1C; 1. Cv- v U
Name: - l� VLF VCR
"���
Address: � � 1 je i�V ?jOU
Company:
-Address: WkZ(oa�� l�vv� C�-�
City: `AS Stater
City: U'A-Ck--Q-- State:
Zip Code: l Fax:
Phone No. &
Zip Code: Fax:
Mail:
Phone No
Fill in fee simple Title Holder on next page (if different
E-Mail Csr (72
State or County License l k C-
from the Owner listed above)
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
Name:
Address:
City:
Zip: Phone_
FEE SIMPLE TITLE HOLDER:
Name: _
Address:
City:
Zip:
Phone:
State
MORTGAGE COMPANY: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
State:
Not Applicable I 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.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is ranting a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable HomeownersAssaclation 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 nder or an attorney before commencing work or recording your Notice of Commencement.
Csc��u2-L_.
Sigfiature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of r' Physical Presence or Online Notarization
this � day of VC1-1 201-L-by
VL l It -
Name of person making statement.
Personally known' OR Produced Identification
Type of Identification P/5-Juced
of Notary 12ublic- State of Florida)
Commission No42Z`)52�5 (Seal)
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
ReV i011:212T
,Jamie Perna
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG267323
Expires 10/28/2022
ZONING SUPERVISOR PLANS ` VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW I REVIEW REVIEW REVIEW
3 (-IS3o
Eligible for Federal Tax Credit
Certificate of Product Ratinas
AHRI Certified Reference Number: 201481996 Date : 11-08-2021 Model Status : Active
Old AHRI Reference Number: 9857665
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) : TSC06OG3'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 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
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 involuniary re -rate. The new published ratina is shown alana with the previous ti.e. WAS) ratino.
DISCLAIMER
AHRI'domnat 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 ❑f 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 Certlflcate shall only be used for indlviduat, personal and I log
confidential reference purposes. The contents of this Certificate may not. In whole or in part, be reproduced; cooled; disseminated;
entered Into a computer database; a otherwise utilized. In any form a 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 certlficate 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_
@2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132808649154996535
- -iszsl Jo— t Z
Certificate of Product Ratinas
AHRI Certified Rafe rence Number : 201862966 Date : 11-1)8-2021 Model Status : Active
Brand. Name: TRANE
Model Number: TSC072H(3,4^'(C,G,K,N)A
Series Name : PRECEDENT
AHRI Type: SP-A
Refrigerant Type: R-41 oA
Hertz: 60
Sold In?: USA, Canada
Rated as follows in accordance with the latest edition of AHRI 3401360 Performance Rating of Commercial and Industrial Unitary
Air-conditioning and Heat Pump Equipment and AHRt 365 and subject to rating accuracy by AHRI-sponsored, independent, third party
testing:
Cooling Capacity 95FlCooling Capaclty 95F at 230V : 71000/71 D00
EER 55FIEER 95F at 230v . 11.20111.20
IEER/IEER at 230v : 12.9112.9
The follow[ ng data Is for reference only and Is not certified by AHRI
Full Load Indoor Coil Air Quantity {scfm) : 2100
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 teeing
marketed but are not yet being produced. Production Stopped" Model Slates are those that an AHRI Certification Program Participant is no longer producing BUT is stI1I
selling or offering for sale-
Radngs that are accompanied by WAS indicate an involuntary re -rate- The new published ratino is shown along with the urevIcus Re- WAS) ratino-
DISCLAIMER
AHRI does not andarse the prod'ucttsj listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsib11Ity for,
the products} listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the prod uct{sI, or the
unauthor€xed alteratlon of data listed on this Certificate. Certified ratings are valid only tar 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 utiIlxed. In any form or manner or by any means, except tar the user's Indlvldue 1, MIME
personal and confidential reference. AIR-CONDIT1oNINr, HEATING,
CERTIFICATE VERIFICATION & REFRIGEP,ATION INSTITUTE
The Intormation for the model cited on this certificate can ba verified at www,ahr€directory,orig, click on'Verify Certificate- link
and enter the AHRI Certified Reference Number and the date on which the cart € Bete was Issued,
which is listed above, and the Certificate No., which is listed at bottom right. 1328f]8647360160828
D2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: