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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: x� Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 rr=r-%ivll I AVVLI(.A I IUN FOR: _ i Commercial Residential CBDG Funding PROPOSED IMPROVEMENT LOCATION ---------- Address: Property Tax ID #: q 5 11 - I -:3. - j T L 6n Lot No. Site Plan Name: S 3 r CA, �1�� I-e Block No. Project Name: T-1`{nr)5 ,A� New Electrical Meter Second Electrical Meter (Affidavit reauiredl Additiojonal work to be performed under this permit - check all that apply: 1Mlechanical _Gas Tank _ Gas Piping Shutters Electric _ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ NERAESSEE: Windows/Doors Pond Sprinklers _ Generator Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _ Septic Building Height: Name,.. �� ,-R .:� 1�11,C r',cr U'3bee-1e-y- Address: �p r City:r State: Zip Code: 59 `('$'/- Fax: Phone No. -]a-] - '► 1 U ; 100 E Mail: Myl j9QQ Al�4�� lC7 f►1 Fill in fee simple Title Holder on next page (if different from the Owner listed above) iT value or 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. nu ■■� CERTIFIED0 www.ahri(Iirectory.org • • • AHRI Certified Reference Number: 202055127 Date : 03-16-2022 Model Status :Active AHRI Type: SCP-RCU-A-CB (Space Constrained Air Conditioner, Condensing Unit, Coil and Blower, Air Cooled) Outdoor Unit Brand Name: NATIONAL Outdoor Unit Model Number (Condenser or Single Package) : NCPE-430-1010 Indoor Unit Model Number (Evaporator and/or Air Handler) : NCPAH-36-M1 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 NATIONAL 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 ; 27200 SEER: 12.00 EER (A2) - Single or High Stage (95F) : 10.50 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 prod uced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratin s that are accom anied by WAS indicate an involuntaa re -rate. The new published rating is shown along with the previous i.e. WAS ratin 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.ahridlrectory.o►g. 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. AM CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING, The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link & REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued, Ive make life better - which is listed above, and the Certificate No., which is listed at bottom right. ©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFIrATF tin • 132919267138599895 I I - - � 1111nencea prior to the issuance of a permit. ' 14 Uu "le worK and installation as indicated. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the s which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants structure. Please consult with your Home Owners Association and review your deed for any restrictions which may subject structure In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, at may restrict or prohibit such in accordance with the a Y apply. approved plans, the Florida Building Codes and St. Lucie County Amendments.perform the work The following building permit applications are exempt from undergoing a full concurrency review: room add' accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residents WARNING TO OWNER: Your failure to Record a Notice of Commencement may resultin additions, improvements to your property. A Notice of Commencement must be recorded in al use Lucie County and posted on the jobsite before the first inspection. If you intend to obtain tetwice for with lender or an attorne before commencingwork or recordin our Notice of to public records of St. financing, consult Commencement. 51 ISKu1 a or uwyl1r/ Lessee/Contractor as Agent for Owner STATE� OF ORIQ COUNTY ( L Sworn to (or affirmed) and subscribed before me of this � day of AAq �� (, Physical Presence or 20� by Name of person m king statem Personally Known _ Type of Iden is do (Signature 7,1'ar, OR Produced Identification ICPr'l lic- State of F—Inrrice I Commission No. {� 12�{ 'ry1 1 (Seal) �M" ft" Notary Public State of Florida Samantha L Jones .r My Commission HH 124114 Expires OW5=25 REVIEWS FRONT ZONING COUNTER SUPERVISOR PLANS REVIEW VEGETATION DATE REVIEW REVIEW REVIEW RECEIVED DATE COMPLETED Online Notarization SEA TURTLE I MANGROVE REVIEW REVIEW