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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: O? -/k 3 -1 n Permit Number: 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 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: N 1A kA Ay) i # # 903 EA Il Esc.9 FL 3L4q y e I Legal Description: Spo-b -f 2-e V Ri` +i �.o W �v1ok �O� A�na� Property Tax ID #: i LAH - 1 - 0 0 i?�,- boo ® Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Addrtiona work to fl orme under this permit - c ec a appy: ®HVAC Gas Tank ❑Gas Piping_ Shutters a Windows/Doors 11 Electric 0 Plumbing Sprinklers [ Generator a Roof Roof pitch Total Sq. Ft of Construction:S Ft. of First Floor: Cost of Construction: $ �� �� Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name PNY-0/1tA.V 9a�V Y� Address: 2. 2_ Cou y -k -y- , C1uh DYE J e Name: klawcs F. &r>�rvy Company: � OACS tAo�iIJa QYA Aad Address: 3®5i1 t,! _A l-IWA 1 City: 1 m° State: _EA Zip Code: 1 Sol U A Fax: Phone No. 2-15 - -12_2D_- cq % Yo City: f V ..F i PY" C State: T- L - Zip Code: 34 q 4 la Fax: ,-in2' 29 Lg \ - 9-1 Z2_ Phone No. _--1 7- - y Lv 1- c�-i I I E -Mail: Fill in fee simple Title Holder on nett page ( if different from the Owner listed above) ---- E -Mail: V4\110,q y*101P-aC ([I . C.jVy` a State or County L'icense: g L) • -�•�� �• ��••�•• wd��•� ����� V1 muiC, d nc%.vfcucu imonce or 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: FEE SIMPLE TITLE HOLDER: — Not Applicable Name: Address: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: City: Zip: Phone: 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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. Si ature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF Contractor/License STATE OF FLORIDA - COUNTY OF ST L The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this��day of EEtS I? U N �� . 20 .nby this `'day of 20 kZ by (Name of person acknowledging) (Name of person acknowledging) (Si ature of Notary Public- State of Florida) ( gnature of Notary Public- State of Florida ) Personally Known "Y4�ProducAt WmAdfka7NotaryAssn. Personally Know rjiC OR Produced Identification Type of Identifica o iia Notary Public - State Type of Identification • . : --=My Comm. Expir.s M ; O1PNV Poa?,,� SANDRA HOHMANN PJ;' Comm )# FF Commission No. �•2. ;° Notary Puft llgtate of Florida Commission No. ;fF o `f' 7 onded firough National -N c My Comm. xpirtes !.lar 14, 2018 %� P`�J Commission # FF 071680 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR . PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratings AHRI Certified Reference Number: 7849644 pate: 2/10/2017 tStatus= Active Product: Water/Brine to Air Heat Pump Packaged Unit Model Number: 50PCV030L/R"°3/CA Manufacturer: CARRIER CORPORATION Trade/Brand name: CARRIER Series Name: Rated as follows in accordance with ANSI/AHRI/ASHRAEIISO Standard 13256-1 for Water -to -Air and Brine -To -Air Heat Pumps and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Air Flow Rate - Cooling: 950/950 Air Flow Rate - Heating: 950/950 WLHP (Water -Loop Heat Pumps) Full Load Cooling Capacity(Btuh) 29200129200 Cooling EER Rating(Btuh/watt) 1320 / 13.20 Cooling Fluid Flow Rate(gpm) 7.00/7.00 Heating Capacity(Btuh) 33400 / 33400 Heating COP(watt/watt) 4.30/4.30 Heating Fluid Flow Rate(gpm) 7.00/7.00 GWHP(Ground-Water Heat Pumps) Cooling Capacity(Btuh) Cooling EER Rating(Btuh/watt) Cooling Fluid Flow Rate(gpm) Heating Capacity(Btuh) Heating COP(watt/watt) Heating Fluid Flow Rate(gpm) GLHP (Ground -Loop Heat Pumps) Cooling Capacity(Btuh) 31 000 1 31000 Cooling EER Rating(Btuh/watt) 14.70 /14.70 Cooling Fluid Flow Rate(gpm) 7.00/7.00 Heating Capacity(Btuh) 20900 / 20900 Heating COP(watt/watt) 3.30/3.30 Heating Fluid Flow Rate(gpm) 7.00/7.00 Indoor Blower Motor Fan Type: Sold In: ` Ratings followed by an asterisk (') indicate a voluntary rentte of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate 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 an this Certificate. AHRI expressly disclaims all (lability 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 far models and configurations listed in the directory at wwwahridirectory.org. TERMS AND CONDITIONS AW This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and a , - 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 anytorm or 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 certificate can be verified at www.ahridirectory.arg, click on "Verify Certificate" fink male lifeett Ner^ and enter the AHRI Certified Reference Number and the date on which the certificate was issued, Kc which is listed above, and the Certificate No_ which is listed at bottom right ( 131312235287421098 02014 Air -Conditioning, Heating, and Refrigeration Institute ! CERTIFICATE NO.: