HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLIC BL.E NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:17AJ Pe -3
rmit Number.
Building Permit Application
Planning ond" Development Services .
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462,,.,155 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION F�.
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Zip Code: 41
Phone No.
State: NA,
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Name: W
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Addr
City:
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Zip Code: Fax:
Phone No. 11-7 -- Lli n 1 q n ,I I
E -Mail:
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from the owner listed abovel State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
1 certify that no work or installation has commenced prior to the issuance of aer
p rn it.
St. Lucie County,makes no representation that is granting a permit will authorize
which is in conect with an a i . the permit holder to build th
y applicable Horne Owners Assoc�at�on rules, y e subject Structure
structure. Please consult with your Home Owners Association and revie bylaws
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 requested permit, l do herebya that I
in accordance with the approved plans, the Florida BuildingCo agree will, Il, +n all respects, perform the work
des and St. Lucie County Amendments,
The following building permit applications are exempt from undergoing p gong a full concurrency review: ream additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING To3VVlJ"UER: Your failure to Record aotce Of Commencement .
�rnpro�rements to your property. A Nonce of rr�mencerr�ent mai► result �n your �a���g twice for
before the first inspection., � Commencement must be recorded and posted on the 'obs
inspection. If you intend to obtain financing, consult with lender� to
Commencingwork or recordingour Notice of Comm or an attorney before
Commencement.
ature of owner.
STATE OF FLORIDA
CO U N T1f OF
/Contractor as Agent for Owner
The forgoing instrument was acknowledged before me
this � day of � � 20 1 b
(Name of person acknowledging)
(Signature of Notary Public- State of Florida
Personally Known
Type of Identifical
Commission No.
Revised 07/15/2014
OR Produced Identification
CHRISTINEEPPER
Y- COMMIS&§ GG 061780
E FORE : January 11, 2021
S
Sigdafure of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF� i IM0.0. L) ��
The forgoing instrument was acknowledged before me
this h day ofav C
by
Qq -4 F --Vljjt
S
(Name of person acknowledging)
Personally Known OR Produced ldentification
Type of Identficatio�i�-�
Commission No.
CHRISTINE CULPEPPER
Y COIL+ MI U GG 061780
..♦ �°-' EXPIRES: January 11, 2021�'
1Oii,iV to � ru Notary PW* Ur
AHRI Certified Reference Number: 8085333
Date: 411912017
Product: Spilt System: Heat Pump with Remote Outdoor Unit- ir•Source
Outdoor Unit Madel Number: 4TH R4024GI
Manufacturer: TRANE
Indoor Unit Model Number: T M5A0B24Nl21SAA
Manufacturer: TAKE
Trade/Brand name: TRANE
Series name:
Manufacturer responsible for the rating of this system combination is TRANE
Rated in accordance with AHRI Standard 210124134008 for Unitary Air -Conditioning and AirmSource Heat Pump
Equipment and subject to verification of rating accuracy by AHRI,-sponsored, independent, third parity testing:
Cooling Capacity Btuh):
EER Rating (Cooling):
SEER Rating (Co+oiing):
Heating Capacity(Btuh) @ 47 F:
23400
11.50
Mif r#;
22000
Region IV HSPF Rating (Heating). 8.50
Heating Capacity(Btuh) @ 17 F:
12800
x Ratings toliowed i;y an asterisk (*) indicate a voluntary rerate. of previously ,published data, unless accompanied with a WAS, which indicates ars involuntary rerate.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assurnes no responsilafiity 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 an this Certificate. Gertified ratings are valid only for models and configurations listed in the
directory at www.ahri+directery.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRL 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, he: reproduced, copied; disseminated;
entered into a computer database, or otherwise utilized, In any form or mariner or by any means, except for the user's individual,
personal and confidential reterence.
CERTIFICATE VERIFICATION
The information for the model cited an this certificate ran be verified at yr-{.vw.ah ridirectory-org, click ori "Verity Certificate" link
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.
@2014 Air -Conditioning, Heating,, and Refrigeration institute
AIR-CONDITIONING, HEATING,
& REFRIGERATION INSTITUTE
lk"e f1111%e 1 ix betted'.,