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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLlC#9LFdNFO 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 34.982 Phone: (772) 462-1553 Fax: (772-) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: Gj D U Legal Description: Property Tax ID's#: I !A I Lf - 1r21 . _9 C) 4 Site Pian Name: Project Name: Setbacks Front Back: Right Side: Left Side: vc lc i Q Y -X oke fir It�e Tt)M 0HVAC HVAC Gas Tank E]Gas Piping Electric Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ Lot No. Bloch No. Cc�Ytr` � Wa '`i.�y`"Li 4.�;`MR!", !j �r,'ty '4 '•'tiY't' .',:'r'E ir��r4rl�r Ann v Shutters Windows/Doors Generator Roof = Roof pitch S. Ft, of First Floor: iltiiitles:nSewer i �,.jSeptic Building Height: Name 's,,� Address: 2 city: ck u Y State: SL Zip Code: CI7q, l Fax: Phone No. - E -Mail: Fill in fee simple Title Holder on neat page ( if different from the Owner listed above) : City: + State:' -_L Zip Code: Fax: +�1'l Z2 Phone No. - E -Mail: Val J rx r %ri c- n State or County License: If value of construction is $2sco or more, a RECORDED Notice of Commencement Is required. �'y Ig 11 s r r5 /1r7 e�('y] 3 i :��Ay ?I ■■ f r ! ! M£:.? iuk;i ; l r z a � FRONT DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. 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 Association rules, bylaws or and covenants that may restrict or prohibit such structure. 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. G � re of Owner/Lessee/Contractor as Agent for Owner 5' ature of Contractor/License Halder STATE OF FLORIDA.STATE OF FLORIDA COUNTY OF _ eA_L C COUNTY OF SS Thefj�r-going instrument was acknowledged before me The forgoing instrument was acknowledged before me this 1 day of 20 'Q -by this day of 20 j3 by (Name of person acknowledging) (Name of person acknowledging) 4 -Signature of Notary Public- State of Florida ) Personally Knowq��__ OR Produced Identification Type of Identification Pirgell I& T Commission No. Revised 07/15/2014 of Notary Public -State of F Personally Known OR Produced Identification Type of Identifica on Produced SUSAN MONTENWiKV MYCoi rN#GG 089098 Commission No. EXPIRES. April 2, 2021 W" TNu Notary Pubk iinderrru+rs SUSAN RMMNEGRO MY COMMISSION # GG 089099 rH 2.2021 BoMed Thru Notary Public UMJKwd9c REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Rini NE'ad CE RTI F1 E 1 Certificate of Product Ratings AHRI Certtfled Reference Number: 7932241 pate: 7/5/2017 tStatus: Active Product: Water/Brine to Air Heat Pump Packaged Unit Model Number: 50PCV060L1R* 31CA Manufacturer: CARRIER CORPORATION Trade/Brand name: CARRIER Series Name: Rated as follows in accordance with ANSIIAHRIIASHRAEIISO 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: 2000/2000 Air Flow Rate - Heating: 2000/2000 WLHP (Water -Loop Heat Pumps) Full Load Cooling Capacity(Stuh) 57900 f 57900 Cooling EER Rating(Etuhlwatt) 13.00113.00 Cooling Fluid Flow Rate(gpm) 15.001 15.00 Heating Capacity(Btuh) 67200167200 Heating COP(wattlwatt) 4.30 1430 Heating Fluid Flow Rate(gpm) 15.00 /15.00 GWHP(Ground-Water Heat Pumps) Coaling Capacity(Btuh) Cooling EER Rating(Btuhlwatt) Cooling Fluid Flow Rate(gpm) Heating Capacity(Stuh) Heating COP(watilwatt) Flea#Ing Fluid Flow Rate(gpm) GLHP (Ground -Loop Heat Pumps) Cooling Capacity(Btuh) 60100160100 Cooling EER Rating(Btuhlwatt) 14.101 14.10 Cooling Fluid Flow Rate(gpi 15.00 116,00 Heating Capacity(Btuh) 46900146900 Heating CCP(wattlwatt) 3.2013.20 Heating Fluid Flow Rate(gpm) 15.00115.00 Indoor Blower Motor Fan Type: Sold In: Ratings Followed by en asterisk ('} indicate a voluntary rerate of previously published data, unkess accompanied with a WAS, which indicates an kmraluntary rorate. DISCLAIMER AHRI does not endorse the product(s) 1lsted on this Certificate and makesno representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) fisted an this Certificate, AHRI expressly disclaims all tiabilky for damages of any kind arising out of the use or performance of the producgs), or the unauthorized alteration of data listed an this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahrldlreCtefy.nrg_ TERMS AND CONDITIONS A "Imp This Certificate and Itss contents are proprietary products of AHRI. This Certificate shall Only be Used for Individual, personal and confidential reference purposes. The contents otthrs Certificate may riot, in whole or in part, be reproduced; espied; dissaminatad; pou ■■ .►i entered into a computer database; or otherwise utilized, in any form or manner at by any means, except for the users Individual, personal and confidential, reference., AITCONDMONING, KEATtNG, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The hriormation for the model cited on this certificate can he venhed at ww-ahridirectory.org, click on'Verify carts€irate" link mals G(v S�cucr'• 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 bottemright_ 131437566553Q20876 C* -12©9.4 Air -Conditioning, Heating, and Refrigeration institute '; CERTIFICATE NO.: