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HomeMy WebLinkAboutDwyer.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ��� �� �� '� ", ' Permit Number: 7`� Lul LLL :... _ � in ` 11 Planning and Development Services Building Permit Application plication 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 L PROPOSED IMPROVEMENT LOCATION: Address:i Property Tax ID #: '-A6y � - Sd ` k /� Lot No. Site Plan Name: A\-h 4 /w 11, \, Project Name: FINnn{�l�p,�CeS %% -► �'C L� 1 -V h n ZS X vJ New Electrical Meter Second Electrical Meter (Affidavit required) Block No. Additio work to be performed under this permit - check all that apply: echanical _ Gas Tank — Gas Piping _ Shutters _ Windows/Doors Pond _ Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ G 1 ­11� Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: Name q)'eAA -' • Address:; City: )0> N LlCAl State: Zip Code: Ci Fax: Phone No. I E- Mail: Uinn -V t ® Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: Company: EA',,LrdY1-S RC Ser Address: j �.v iwI a ,Cimm Sy - City: P'Z\m State: Zip Code: qq-0 Fax:1Ia--7 1301 Phone N -1-1 '-� ag3 y I I y E-Mail , a f Irr�V K11 �Owicq,4-1- ,z 1x State or County License_ l�l 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. .. .,.. 3 iw«:y✓Cal DESIGNER/ENGINEER: W/l,�'.. �'il .:Fnidv�«,jr,': '« ,, ..: , Not A licable / i£' ' 3,a' ..,;3 :�-,n Name: pp' MORTGAGE COMPANY, X Not Applicable Address: Name: City: Address: Zip: Phone State: City: FEE SIMPLE TITLE HOLDER: State: Zip. -. Phone: Name: Address: _Not Applicable BONDING COMPANY: Applicable Name: ,Not City: Address: Zip: Phone: City: Zip: Ph OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain t 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 sub' 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 a sect 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 pply' 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 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 improvements to your property. A Notice of Commencement must be recorded in the u e Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, for with lender or an attorne before commencing work or inspection. our Notice of oommen ina records of St. financing, consult �/�/cement. '17, SignO6re of Ow r/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF Mkl kih Sworn to (or affirmed) and subscribed before me of this I day of 20 ZL by Name of person m king s Personally Know/n_ OR Produced Identification Type Of I er tifiQation Prnrli tome 4 ry Public- State of Commission No. H 2 fit✓ (Seal) REVIEWS FRONT ZONING DATE COUNTER REVIEW RECEIVED DATE COMPLETED Physical Presence or Online Notarization "OtBrY Public state oe r Sa'"tha L Jonea r • s MY C"r'6S W HH 124114 p �dR Explres OWS/2025 SUPERVISOR PLANS VEGETATION SEA REVIEW TURTLE REVIEW REVIEW REVIEW MANGROVE REVIEW � u:�1 CERTIFIED° www.ahridirectory.org Certificate Ratil P_ AHRI Certified Reference Number: 7615276 Date : 03-16-2022 Model Status : Active AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: FRIGIDAIRE P71RE SERIES Outdoor Unit Brand Name : FRIGIDAIRE Outdoor Unit Model Number (Condenser or Single Package) : P7RE-030K 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 FRIGIDAIRE 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 : 28400 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.00 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. Ratinas that are accompanied by WAS indicate an involuntary re -rate The new published rating is shown alono with the Drevious (i.e. WAS) ratino 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; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AM 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, we make life better° which is listed above, and the Certificate No., which is listed at bottom right. ©2022Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO_: 132919237365262417