HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC OL NFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Date:
Permit Number:
Build"Ing Permit A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 452-15.53 Fax: (772) 452-1578
rens:
I Descri
Prope
ion:
Tax ID #:
n Name,
Block 1Vo.r
Project Name: -
Commercial Residential
Lot No,
Setbacks Front Back: Right Side:Le ft Side: d e . •
Aaizivnai wo
�IHVAC
Electric
4
Gas Tank
❑ Piu
tubing
1
unser this permit-- = ci
❑Gas Piping
Sprinklers
Total Sq, Ft of Construction:
Cost of Construction: s 4 145 .0
Name
Address:
City.
Zip Cod
Y
I
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apply; �� 'rr 4`�• • .e .r
shutters Windows/Doors
Generator Roof :1Roof pitch
S. Ft. of First Floor:
g
Utilities: Sewer Septic BuildingHeight:
-'r State:
e' Fax: fir,
Phone No..21
EmMail:
Fill in fee simple Title Holder on nexgt page ( if different
from the own 1` t d b
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Name:
Company:
Address:
City:
Zip CO(
Phone
E -Mail:
er �s e a WVt:1 State or County incense:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is rewired.
Fax:
State:'ICU
I certify that no work or installation has commenced prior to the issuance of a permit.
�rh�.ucie County,makes no representation that is grantinga permit r►vi11 authorize
which is in conict with an author a the permit holder t .
}� applicable Horne Owners Assvcratton ru.Ies, y p v build the subject structure
structure. Please consult with your Home Owners Association and review laws or and covenants that may restrict or prohibit such
your deed for any restrictions which may apply.
In consideration of the granting of this requestederrnit ! do her
in accordance with the approved Ians the Florida
eby agree that I will, in all respects, perform the work
p orrda Building Codes and St. Lucie bounty Amendments.
The following building permit applications are exempt from undergoing
accessory structures, swimming pools, fences g g a foil concurrency review: room additions,
P , , walls, signs, screen rooms and accessory uses to another ' non-residential
WARNING To OWNER,**OWNER,** Your f�tiiure to Record a Notice Of Commencement I use
improvements � encement may result �n your paying
,o your property. A Notice of Commencement must be recur � � �� twice for
before the first �nspectton. f you intend to vbt dei and posted vn theobsite
commencing work O � ��n f�nanctng, consult with lender or an ettvrne bef
r recordtn our Notice of Commencement,, Y ore
rn
ature of Ownrs/Lessee/Contractor as Agent for owner
STATE OF FLORIDA
COUNTY OF S
too U Lj t.
The forgoing instrument was acknowl
this day of
(Name of person acknowledging )
edged before me
20 q" --by
(signature of Notary Public- state of Florida)
Personally Known
Type of Identificat
Commission No.
Revised 07/15/2014
OR Produced Identification
CHRIS71NE EPP R
V COMMtSMA CO 061780
EXPIRES. Januarys % 2o2i
5
Si ure of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF �
The forgoing instrument was acknowledged before me
this day of 1 20 b
(Name of person acknowledging }
- - � • • iFr ! F Ay. �� {
Personally Known OR Produced Identification
Type of Identification-~
..1614112. -
Commission No.
a.' CHRISTINE CULPEPPER
AMY COMMi OC 061 780
r
W EXPIRES: January 11, 2021
'O ftWed TNv WtaSy Mk USS
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 313, 2018.
AHRI Certified Reference Number: 9198752
Oahe: 4/11/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: CA16NA030*0 A*
Indoor Unit Model Number.- FV4CNF002L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name; CARRIER AIR CONDITIONING
Region: Southeast and North {AL, AR, DC, DE, FL, GA, HI, KY, LA, MB, MS. NC, OK, SC, TN, Tx, VA
AIDC, CO, CT, ID, ILI IA, INy KS, MA, ME, Mf, MN3F MO, MT, Nl], NE, NH, NJ,
NY, OH, OR, PA, Rl, SB, UT, VT, 'IrlrA, W1, Wt, WY, U.S. Territories
Region Note; Central air conditioners manufactured prior to January 1, 2015, are eligible to be
installed in all regions until Mune 30, 2018, Beginning July T, 2016, central air conditioners
can only be installed in regions) for which they meet the regionalefficiency requirement.
Series name: 18 SEER AC
Manufacturer responsible for the rating of this system combination is CARRIER .AIR CONDITIONING
Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source
Heat Rump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party testing;
Cooling Capacity (Btuh):
EER: Rating (Cooling)_
SEER Rating (Cooling):
IEER Rating (Cooling)..
280€0
16.00
Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate.
DISCLAIMER
AHRI dries not endorse -the product(s) listed an this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsitWity for,
the product(s) listed on this Certificate. AHRI expressly disclaims all liab lity 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.ahridiirectcary.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary prGducts of AHRL This Certificate shall only be used for individual, personal and
confidential reference purposes. The contents of this Certificate may not, in whale 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,
personal and confidential reference.
CERTIFICATE VERIFICATION
The information for the model cited an this certificate can be verified at toww.ahridirect.ory.org, click on Werify Certificate" limit
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,
X2014 Air -Conditioning, Healing, and Refrigeration Institute
AI-Ct}t,iDlilf3NING, KEA.TING,
& €tEFRIGUERATiON iNS-VIITLTE
vie mak lite bare--°