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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �- 2- L Permit Number: Building Permit Application Planning and Development Services 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: rL Address: 1070 1 Property Tax ID #: 9511 - pj Or.,_- " - - ( V - V Lot No. Site Plan Name: Project Name: a C New Electrical Meter Second Electrical Meter Add nal work to be performed under this permit -check all that apply: /_Mechanical _ Gas Tank _ Gas Piping _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ G500 Name I J0.V ► Address: ID-7 r Block No. (Affidavit required) _ Shutters — Windows/Doors Pond _ Generator — Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: City: '3 State: Lk - Zip Code: 3H5--4" Fax: Phone No. 1 1 X 3I a,3 E- Mail:I LtY1"Se)�-J -7iG 0, (-rew,:t _cam Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: L-7OSf ' h T=1,,i ►n Company: rkNy n 'A( s, i .Ce S Address: 15�-3 Th,pJyv1q 5) City`Qo-.. M C9.6 State: FI Zip Code: 3`990 Fax: '1 13.- �1 '6 1' Phone N. . Ji o_1"1 � a•$ 3 �i//i-1 E-MailAh t o�rlu n�`1 A(- C-6W(lc3}V, -7- r State or County LicenseCQ`3S 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. i - v-1 r, ur msranation has commenced prior to the issuance of a permitrnlr to CIO the work and installation as indicated. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict structure. Please consult with your Home Owners Association and review our deed for an restrictions which may apply. y Y Y ct or prohibit such 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 Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, co with lender or an attorne before comm work or recordin our Notice of Commencement. St. . consult ­&f 11reur a or uw,K-r/ Lessee/Contractor as Agent for Owner STATE OF FLORI A COUNTY OF Yl��fhr` Sworn to (or affirmed) and subscribed before me of this ZZ day of ArC4 Physical Presence or j/1l1`_ 20� by Online Notarization Name of person m king statem Personally Known , OR Produced Identification Type of Identif' at n ro�jrced (Signature o ary P)Ali State of Flnririn i ICommission No. >•1 Z t{ ( Li REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED (Seal) ow Au. Notary Public StateolF ---- Sa-I L Joria. kuida My Commission NH 124114 or n Expires 0512y2025 SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW AHRI Certified Reference Number: 206020369 Date : 03-22-2022 Model Status : Active AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : PCE4A3624 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 CHAMPION HEATING AND COOLING 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 : 35800 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.80 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 acc_o_miaanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the orevious (i.e. WAS) ratina. 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.ahridlrecto►y.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 we make life better'" 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.: 132924262388092149