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Building Permit Application
pb'�C� y --)-I-1) ALL APPLIC �LE INFO MUST BE COMPLETED FOR APP"LMTION TO BE ACCEPTED Date: c CC Permit Number: • r >J�` Li Planning anc Development Services Building Permit Application Building and ode Regulation Division 2300 Virginit Avenue, Fort Pierce FL 34982 / Phone: (77 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITAI PLICATION FOR: To Select from dropbox, click arrow at the end of line . _. _ _.–__-__— Address:i 7 rv\� Legal Descrlption: l P 1 P/], . not-e„t _ /`t_ Property Tax #: Site Plan Nam Lot No. Project Name�i,�y p C rn n Block No. Setbacks F nt Back: Right Side: Left Side: 11 to .�3 ti 3T -3'y Pert Ecarpp to e er orme Is permit - c Electric Gas Tank ❑Gas Piping 0 Plumbing Windows/Doors Total Sq. Ft of Sprinklers onstruction: Generator Roof S Ft. of First Floor: Cost of Constr ion: $ \ /S V , Utilities:Sewer ❑Septic Building Height: Name C' k �mri•'' Address: S J Name: City: a . State: Company: Address: Zip Code: 101 Fax: -LQ rF(� City: I?SC Stated_ Phone No.—l Z' I Zip Code: 3�e�f �-2 Fax: �� 7_ •L((p j -( n 7f E -Mail: Phone No. —02 , J(.21 - ( I A Fill in fee situp a Title Holder on next page ( if different E -Mail. ' from the Own r listed above) State or County License: CwL�? 07'? U If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required 171OUS ) ILO past/ au (leas) Z5y_w0_3a ON UOISS!wwo0 (leas) Z �` N uolss!wwo0 pa]npad uol;e]l}I;uap! }o adAl pa]npad u011e I}t;uapl }o adAl uoµe]l}puapi paonpo/d UO //I\- \ umouH AlleuosJ— uope]l}l;uapl pa]npad UO � u oup A!leuovad ePlJol3 bo aieiS ]!IgndiueioN }o amie .S) I ( eDuola jo aieic auana Aip, din o n,cn9iN/ _ �Icpalmou�l]e u slag }o aweN) :A;!� (sup, os d }o aweNl :ssaippv SIVI11Nl I :aweN algeo11ddy loN :ANtldW00 9NIONOR algeollddy --- o • N � I q 31dWIS 331 3131dAOJ w LL N 2 'Er–oz I } P� 43 o oz o Ae sl �uS�lo} q pa8palmou>I]e sem;ua p` N pNj 7� w�s�F– 0 '� AepT-� slyi :d1Z 1Z i;sul aulOR�o} a4j 0d s3 Faa0 31VO M31A3'd M31A3U PATAH M31A3U M31A3U M31A3U 1131NnoJ do nog 3AOU9NtlW niumv3S NOLLd1 EM SNbld UOSIAU3dns 9NINOZ 1NOUJ SM31A3U 171OUS ) ILO past/ au (leas) Z5y_w0_3a ON UOISS!wwo0 (leas) Z �` N uolss!wwo0 pa]npad uol;e]l}I;uap! }o adAl pa]npad u011e I}t;uapl }o adAl uoµe]l}puapi paonpo/d UO //I\- \ umouH AlleuosJ— uope]l}l;uapl pa]npad UO � u oup A!leuovad ePlJol3 bo aieiS ]!IgndiueioN }o amie .S) I ( eDuola jo aieic auana Aip, din o n,cn9iN/ ;ua ouawwo0 �o a�lloN l Up u)oua woo '-:'-�� �,�q ; awolle ue �o aapual ilM ilnsuoo' hueul; ulelgo of pualu. noA lssgeCay� uo pa;sod pue papuooa� aq;snw lua aouawwo o aol 0 11 'uolloadsul l !g ay; a ;aq d �o} aOlrHi 8u!Aed �noA ul;lnsa! 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Tom ay; wiOped 'si]adsai !le ul 'll!m I;eyi aaj8e Agalay op l y!wjad pa;sanbai s!y; }o 8w;uej3 ay; }o o!;e/aplsuo] ul y]ns mils'Aiid eo n] aqj 4/�ew oeUue ueuano� }ue �o smejAq asejn/ uoµeuossy s�auMp awo alge�gddellm l nsuo i suoa ul sl y]lym a�n;]n/;s i]afgns ay; pllnq o; ie l0 1wjadpay; azuoy;ne II!m ilwied a RwluelS sl a uol a uasaida� oa salew luno auo n�is PI 4l, i 43 3 i sa i l 1S 'ilwied a }o a]uenssl ay; o; jol/d pa]uawwO] sey uol;elleisul.lo liom u;ey; A}p/a] I —:auo4d :d!Z :A;!� :auo4d :d1Z :ssaippv •AIIJ —:ssaJ. :aweN algeo11ddy loN :ANtldW00 9NIONOR algeollddy --- :aweN :a3O10H 3111 31dWIS 331 :auoyd :diZ :alelS :AlD :alels :auo4d :d1Z 1Z :ssaipptl Al!J _ :aweN aqP'I1d`lv7°N ANtldWOJ30tl91aOW — :ssaippy :aweN --- algeallddy ION :If33N19 3/U3N91S90 _– –_ N�11t/W80dNl Mt/l N3Il N.OLL�MJiSNOJ WA3W3lddflS; CERTIFIEp Certificate of Product Ratings AHRI Certified Reference Number: 7615285 Date: 4/7/2017 Product: Single-Package Air-Conditioner, Air-Cooled Model Number: P7RE-036K Manufacturer: FRIGIDAIRE Trade/Brand name: FRIGIDAIRE 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. Series name: FRIGIDAIRE KRE SERIES Manufacturer responsible for the rating of this system combination is FRIGIDAIRE Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 35000 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): ' Ratings followed by an asterisk (') indicate a voluntary rerate Of previously published data, unless accompanied with a WAS, which indicates an involuntary ramie. 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.ahrid]rectory.org. TERMS AND CONDITIONS Individual, This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; A.- .■ `' 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. AIRCONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on'Verity Certificate" link we make lite 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. CERTIFICATE NO.: tatssoazozsa000zsz ©2014 Air-Conditioning, Heating, and Refrigeration Institute