HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL
Date.
ECS MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Permit Number:
Building Permit Application
Planning and Development Services i
Building and Code Regulation Division
2300 Virginia Avenue, Fort fierce FL 34982
'hone: (772) 4624553 Fax: (772) 462-1578
Commercial
i
Residential
PERMIT APPLICATION FOR* To Select f � ---- `
ror� dropbox, ����k arrow at the end of I�ne�.
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Property Tax IDS # 'RA -OR
Site Plan Name,
Project Name:
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Electric
Plumbing
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7° Name":—
ame• , . . '• •i.' a{# r �...\ +.5.. lay � • }
Name ►� r * `
a �
Address' .,• i t °
• Company:111111,11d f
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R
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C'ity. e. State: FLmp Address:
.. as
Zip Code' Fax
' --� .�... .._. City; ey S#at .._
Phone No. - A. Zip Code:.5LA!a
Fax: i0-1
E-lal: Phone No.
Fill in fee simple Title Halder an nexgt page (if different E -Mail: is +
from the Owner listed above) State or Court' nseLl�ce .•
�� �►
if value of construction is $2500 or more, a RECORDED Nonce of commencement is required,
I certify that no work or installation has commenced prior to the issuance of a pormit
I
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 Associat! n1rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association aond review your deed for any restr ons which may apply.
In consideration of the granting of this requested permit I fq^ k Ift icti
EN c y agr ee 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 undereoin'Lcr a full con "rr
Mrrin 0
Y W U Lures swim
%-w"%oy I 1= ievv: room additions,
ming 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 payin twice for
improvements to your property. A Notice Of Commencement must be recorded and posted on he jobsite
before the first inspection., If you intend to obtain financing,, consult with lender 0
commenciriR work or r cordin rney before
S your Notice of Commencement,
�essee/Contractor as Agent f -or Owner Si s
.0f6re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STATE OF FLORIDA
U COUNTY OF LIU
The forgoing instrument wps acknowledged before me The forgoing instrument was acknowledged before me
this day of 2 0 aby this day of —A::?— 20 by
-J
(Name of person acknowledging) PIES
(Name of person acknowledging)
A nt A
(Signature of Nota--r—yPublic- SUa7e of Floridamm)
Personally Known
Type of Identifical
Commission No.
Revi"sed 07/15/2014
OR Produced Identification
.-- I —
CHRISTINE Cin PEPPER
YCOMMIAiffGG 061780
EXPIRES: Jawary 11, 2021
0 .� -
- - - - - I � V 9 %M %.* I
Personally Known,.., OR Produced Identification
Type of Identificatio, 2,g -%MA- - - �'- - -- - - .
Commission No.
CHRISTINE CULPEPPER
My COMMI"IMY GG 061780
EXPIRES: January 11 1 2021
Bvded Thru Notary Rft Undwwrftem
Ir
I# -t(- RAIN id -t* 'I'l-MOIX
AHRI Certified Reference plumber: 9162578
Date: 4/11/2017
Product: Split System: Heat Pump With Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: CH14NB042*0*W
Indoor Unit Model Number: F84CNP042L
Manufacturers. CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER IR CONDITIONING
;aeries name; 14 SEER HP
Manufacturer responsible for the rating of this system combination is CARRIER. AIR CONDITIONING
Rated as follows in accordance with AHRI Standard 210/24OP-2008 for Unitary Air'�Conditioning and. Airw►vurce
Heat Pump Equipment and subject to verification of rating accuracy by AHRlm-sponsored, independent, third
paw testing:
Cooling Capacity (Btuh):
EER Rating (Cooling):
SEER Rating (Cooling):
Heating CCapacity(Btuh) @ 471=:
40000
1'1.50
14.00
41000
Region IV HSPF bating (Heating): 8.20
Heating Capacity(Stuh) @ 17 E:
25200
" Ratings followad tly an astedsic C) indicate a voluntary, rerate of previously published data. uNess amompanied rrrit'h a WAS. which indicates an involuntary rerate.
DISCLAIMER
AHRI does not endorse the product((sl listed on this Certificate and makes no representations, warranties or guarantees as #o, 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 stall 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, to 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 on this certificate can be verified at www.ahrildirectory.or;g, click on "Verity Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which Is listed above, and tate Certificate No., which is listed at bottom right.
@2014 Air -Conditioning, ideating, and Refrigeration Institute CERTIFICATE NO.:
,'alit-CONDITIO MIG, HEATING,
& REFRIGERATION INSTITUTE
-we mate lite- ix}tterm
131363821845796717