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HomeMy WebLinkAbout1743_001.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number Z LU LLL N L �IJ J1ki9 P -U 7­-L. ' �:-'_ 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: C_ PROPOSED IMPROVEMENT LOCATION: // \\ Address: `- k � \ P-a.'I ,Sr- b V' ,,11 Property Tax ID #: 24'?' 6 - 1 11- cc)Os Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: A01 L12a c n U 2_c,-G e-a 1 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: $ fS 2-� : Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ':5e Name: CC Company: Addr.. :. �(� ALL► ' _ � Address: City: State: Zip Code: �j��� Fax: City: tC_—State: Phone No. E- Zip Code: Fax:1����Cc��o Mail: Phone No -1__1Z Fill in fee simple Title Holder on next page (if different E-Mail 4SV- C State or County License CKAC 1 g(] 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: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip. Phone. - BONDING COMPANY: Not Applicable Name: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address Address: City: City: Zip: Phone: 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 granting a permit will authorize the permit holder to build the subject structure which conflicts with any applicable Homeowners Association 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 our Notice of Commencement_ S' nature of Contractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF�­5- Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this 2��day of �CLK_ 1 , 2022—by Name of person making statement. Personally Known 01�-, OR Produced Identification Type of Identification ro ced 7� rgnat a of Notary' [iblic- State of Florida) Jamie Perna Commission No. %y?(-'I3Z3 (Seal) NOTARY PUBLIC -STATE OF FLORIDA Comm# GG2.67323 Expires 10/28/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED _ DATE COMPLETED MANGROVE REVIEW Certificate of Product Ratinas AHRI Certified Reference Number : 202612791 Date: 03-23-2022 Model Status : Active AHRI Type ; RCU-A-CB {Split System: Alr-Cooled Condensing Unix, Coil with Blower} Outdoor Unit Brand Name : ALLIED 0utdcor Unit Model Number (Condenser or S Ing to Package.) : 4AC16L30P-50 Indoor Unit Model Number (Evaporator and/or Air Handler) : BCE5C30M'4X Region : All (AK, AL, AR, AZ, CA, CG, CT, ❑C, 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, CH, OK, OR. PA, RI, SC, SD, TN, TX, LIT, VA, VT, WA, WV, WI, WY. U.S. Territories) Region Note : Central air corrditloners manufactured prior to January 1, 2015 are eligible to be installed In ali regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in regions) for which they meet the regional efficiency requirement. The manufacturer of this ALLIED product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 2101240 - 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: 14.25 EER (A2) - Single or High Stage (95F) : 12.20. t"Active" Model Status are those that an AHRI Certification Program Participant is currerttly producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced."Prod uction 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 accom anied by WAS indicate an involu Mary re -rate. The new DUblished rating is shown along with the previou I.e. WAS ratan . DISCLAIMER AHRI does not endorse the products) 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, Amu personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited an [his certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we,n„ke life better and enter the AHRI Certlfied 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.: 132925245997475618