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HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:~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 x---- Address:~DD LegaIDescription:Ihe.A...-h\urY1 On ih-e..[Cean]I lOR...IS5B-5Cl4J UnlJ 3---A LO~151b -12:10}3535 -ID.l?J) Property Tax 10 #:\l!d5-'15lo -['eelS -C!:i)-5 Lot No._ Site Plan Name:_ Project Name:_ Setbacks Front _ Block No._ Back:Right Side:Left Side:_ Shutters D Generator o Windows/Doors DRoof Total Sq.Ft of Construction:_ =-1r-.."~Cost of Construction:$--->-LLL-..:...=.1\..)L.J _ S<t£!;of First Floor: Utilities:USewer D Septic Building Height:_ i'\OW~;fffiRlLESS:EE:". t')jL..r ,,,,,cO'",./ Name IDr't:\e AddreSj~tJ,14::iA '#3A City:k>:.\--leCl'Je... Zip Code:3L!q~q State:fL Name.u~T. Company:MVa_Aic..of-4he.\VeaS(Lfe a,.;~+ Address:loD\-:;;.l\Aax~Avetu.G City:hvt--31etU--State:J7<- Zip Code:34.4'2>1.Fax:'112·4<0 '5.tJti 4S- Phone No.1id-4(d5-llool.o E-Mail:o.lhklt\k..~.per 00.',-\5 e k .othu4\.tcsW-. State or County License:CPc.-o3q~~q.zs~~ Fax:_ Phone No._ E-Mail:_ Fill in fee simple Title Holder on next page (if different from the Owner listed above) If value of construction is $2500 or more,a RECORDED Notice of Commencement is required, 1"<....,..'.''.•.."c .',.....SUPPLEMENTAL CONSTRU.CTION LIEN LAW INFORMATION:," DESIGNER/ENGINEER:_Not Applicable MORTGAGE COMPANY:_Not Applicable Name:Name: Address:Address: City:State:City:State:----- Zip:Phone:Zip:Phone: FEE SIMPLE TITLE HOLDER:_Not Applicable BONDING COMPANY:_Not Applicable Name:Name: Address:Address: City:City: Zip:Phone:Zip:Phone: OWNER!CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie countx makes no representation that is granting a permit will authorize the germ it holder to build the subject structurewhichisinconlictwithanyapplicableHomeOwnersAssociationrules,bylaws or an covenants that may restrict or prohibit suchstructure.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 your Notice of Commencement. Iv;<~//.a~~I VJC;;VJ/1~;!7/d~ '~gl?ature of Owner/Agent/Lessee VSignature of Contractor/License Holder STATE OF FLORI~~d Lc,tl~STATE OF FLORIDA ~•.Luc(:QCOUNTYOF.U COUNTY OF "--Oun1 The forgoing instrument was aCknowledmefore me The fo~ing instrument was acknowledged before methislft:day of 4a..~,20 ,by this ,-day of Mtt~.201,.,I by C(J r J:J .CS/anllle/T,/)tty/¥;""~fllrnlel .'it f'htl()( (Name of person acknowledging)"-(Name of person acknowledging)<; /tP 12'~~\IIIfIl'Jt'11 /..."p a.~..AJ .\\\\\11111/1/-',,~R..1/'"" (Signature of Notary ~S'~~f§f Fro(~(Signature of Nota?C-Stat~$~:irtq.l ••-:-'%~, ~'l.\l\i·.·.Y"f.~~.··~'i-I'IRES -.,00 Personally Known -.:~'profj~':eQ(~~ication Personally Known o~~~~~~ntific<i~~ Type of Identificatio~~~d 4"~§fH:;;;:§---Type of Identification produccil.u :52;::,1]':%~'6~.~~.Q ~tt:Cl.if ...t<:-=~:~~·k ~j:UJ:~-.•v,/:~~t:(5.:,.~g :4..~O~~<::::)b".:::s41--.:::Commission No.~4 -"11'~'!'~)Commission No..~"v-(.",(~~Il$"'~~ ~/.•••co ••••··«"\S~·~".~"f.~.'?~'.111111'*.N01f\\\~~:-\'~~••••~<;)~••(>~~~...••••••••"fb'.,;~ -"11//X()TA.~~.\\\'" Revised 07/15/2014 111/11I11Il\\\\\ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED A.~!!ICERTIFIED® www.ahridirectory.org This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Jan 1,2006 and Dec 31,2016 and used in GLHP or GWHP application point. Certificate of Product Ratings AHRI Certified Reference Number:4547269 Date:5/1/2017 tStatus:Active Product:Water/Brine to Air Heat Pump Packaged Unit Model Number:CFX048 Manufacturer:COLDFLO INC. Trade/Brand name:DUAL AIR Series Name: Rated as follows in accordance with ANSI/AHRI/ASHRAE/ISO 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: Air Flow Rate -Heating: 1600 1600 WLHP (Water-Loop Heat Pumps) Cooling Capacity(Btuh) Cooling EER Rating(Btuh/watt) Cooling Fluid Flow Rate(gpm) Heating Capacity(Btuh) Heating COP(watt/watt) Heating FluidFlow Rate(gpm) Full Load 51000 18.00 12.00 58000 5.00 12.00 GWHP(Ground-Water Heat Pumps). Cooling Capacity(Btuh)57000 Cooling EER Rating(Btuh/watt)27.00 Cooling Fluid Flow Rate(gpm)12.00 Heating Capacity(Btuh)50000 Heating COP(watUwatt)4.30 Heating Fluid Flow Rate(gpm)12.00 GLHP -(Ground-Loop Heat Pumps) Cooling Capacity(Btuh)53000 Cooling EER Rating(Btuh/watt)20.00 Cooling Fluid Flow Rate(gpm)12.00 Heating Capacity(Btuh)39000 Heating COP(watUwatt)3.60 Heating Fluid Flow Rate(gpm)12.00 Indoor Blower Motor Fan Type:ECM Sold In:USA; •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 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 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 shall 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,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 modet cited on this certificate can be verified at www.ahrldtrectory.orgv chck on "Verify 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 we ma ke IiIe better" ---_._---------- CERTIFICATE NO.:131381344955623260