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HomeMy WebLinkAbout5155 n a1a 6 r ALL APPU BLE NFO FOR APP1.1CAT10v1%M& Date. ergit Nu ber. sun *i 1$ i trz il4 �# rmo i c;% i n lantilng and Development mites i Building and Code Regulation Division go 00 Virginia Avenue,. Pierce FL 34982 Phonee (772) 462 53 Fax* (772) 462*4578 Co erc'lalResi T APPLIC 0 0 C We� ro rop ox, C Ic arrow at end of line MOW +; +�� +' �,� �* +'■��* rl1 J� ��+ �+ * � 1 ** F # * +y r +� F + + a + 'Vol. - 4 k Of H.101 i * F ■ ■# t ' r ■ !,1 1 ��rE i � � � +�� ! 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"� .. -y<. a r. i f i' i• k * * �i Y #� Ife t M �,• . i. •'`� ,y,i i R i, i• i a +k! ` ■ . f � �E � � i IY i. f� L * .. tp ��■ Rt �i• + �e�l� � � fr !■ �e#f ft ,�i!+ ■� o n1 work to - ertor e - itu-iud-er tis per� � checic a i apply* HVAC Gas Tank Gas Plp'i'ng Shutters Wl* ndows/Doors Electr'l'c 4111121111111M lu bi"n g Sprl* nklers otal Sq . R of Construct*ion . S Ft. of First Floor ,: Lam* Cost of Construct8ion , Sewe r ON S e PU c Bu 'I' Idlng Heig ft . �� �• '� � i ■ 4 ! i� � � � t +���*�f _�� ��+ ��� �� ���* � f � i Fi #� . � � � 4 � � � ,+ * ! # a � � •�F� f . � ■ � i ' .�• i i . R � � i ii �i � � . t � - i � i p ■ y� � t ■ '` 'p'' ■w o% �■ + ■ ■ ■� ■ *ice 0 led, i.�M4 iF 1 ■ � ! p� # i �■ f i,■ *- * r ■+ + r ! ► +� M i1 s, ■ r f t ■ ■ �* t .■■rr ! * ■■ i■ � 4 # 4i � � ■n i + r F i■ ■ ■� # i F■ ` ya ■ ■i a # r� +i F F - PL ' 'T # + J • T}* e{" i ■. I� • �* i * * �i• i F r7 - a yy t. 7 MF #! *. # .F■ !7 � a,a !*p}y;, * * t *a • **` o! {i i i L. + ■ � - �. 'F� _■ - * - .. fie.. - ■ T t _ ! i # + ■ r ;t ■ r# • # +* t � + *� - } r# ! 44 ■i. $ iV i i �f' +4 ff ■i *�* f' !+l i�R !Ti �� +.;$4 !#■E #i�� ��+�} �# Ilk a rma� �c N a I I i I Iva a 0 r i Addrew. Co C Stat Address a m Ill 11 Zip Code& F a x C*Ityeo e Phone No 00 , . Z'1P C * � « * EmMaI16 Phone 1140., F f I eel S ill in pie Title Hold.er an neiqt page if +. TO B Id ng P t APPI t N FOR T S I from the Owner listed above) Stateor County License** If value of construction Is $2500 or more, NoticeCommencement Is requiredS -------------- dd W-01 Y t pi �oz�WL,, nnA DESIGN ER/ENGI N EER : X Not Applicable MORTGAGE COMPANY : X Not Applicable Name : Name : Address : Address : City : S t a t e : City : State : Zip : Phone ,: Zi p : Phones. FEE SIMPLE TITLE HOLDER : x Not Applicable BONDING COMPANY : x Not Appl *lcable N a me : Name : Address : Address : City : Cit y : Zip : P h o n e : Zip : P h o n e : I certify that no work or installation has, commenced prior to the issuance of a permit. St. Lucie County makes no representation thatis granting a permit w ill 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 ereview:from undergoing a full concurrency 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 tender or an attorney before commencin work or record *ing y Notice of Commencement . s nature of Owner/Lessee/Contractor as Agent for Owner S' ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY COUNTY of The forgoing instrument was acknowledged before me The foToing instrument was acknowledged before me this ay of 20 �by this ,� day of OL 1 20 by iiijiiilllll ( Name of person acknowledging ) ( Name of person acknowledging ) ignature of Notary Public- State of Floridi ) S*Ignature of Notary Public- State of Florida Personally Know OR Produced Identification Personally KnowProduced--- OR Produced Identification Type of Identification Type of ldentificat�ion I mmmbmwdp� - vl-to*o SUSAN MONTENEGRO' Commission No ,. � ` MY 00i��►pN Commission No. .�� "'L','�� .-OcIr SUSANC"NEGRO • EXPIRES: Apr1� 2. 2021 r `�' '': MY COMMISSION # GG 089099 .j•"•;F Ie c.� ' 5pnQCd 111N 110t�rY Pt�V+C Utde(wlitel5 i'• t ADM 2 , 2021 • Smded Thru Notary Public Underwriters Revised 07/ 15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ro c. Ftati n s du ���ti���d ��fe��nc� �furn��r: 9�5�3�� �at�: �l� l�� � �`AHRI Product-,a, Variable SpeedM.1n1wSplist Head Pump, with Remote Outdoor Untt AirloSource, Free Defivery Outdoor Unit Model Number: LIVS12HPli6V180 . Indoor Unit Model Number: LIVS1 2HPI I SVI BH Manufacturer: GREE ELECTRIC APPLIANCES INC. OF ZHUHAI Trade/Brand name: Grm3'1zL-"E Series name; 1 Manufacturer responsible for the rating of this system combination is GREY ELECTRIC APPLIANCES INC., OF ZHUHAI Rated as follows �� accordance with AHRI Standard 21012404008 for Unitary AlrwCondffloning and AirooSource Heat Pump Equipment and subject to vedfica#ion of rating accuracyr by AHM"sponsored, independent., third party tesfing. Cooling Capacity -(Btuh),&. 120,00 EAR Rating (Cooling): 10q,55 SEER Rating (Cooling): 16-00 Heating Capacity(Btuh) 47 Fp*- 13000 Region IV HSPF Rating (Heating)*- 0.00 Heating Capacl'ty(Btuh) aft 17 F-M 7600 CERTIFIED RATINGS FOR VARIABLE-SPEC}, MINI- AND MULTI-SPLIT SYSTEMS ARE 1IALlI3 FOR ALL COMBINATIONS OF INDOOR UNITS (BASED ON COMBINATION TYPES) 114ritTH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHR# DIRECTORY OF CERTIFIED EQUIPMENT. VISIT WWWAHRIDIRECTORYDRG CFO VERIFY THAI T THIS COMB4NATION IS AN ACTIVE LISTING AND THE DATA LINED ON TRatings� owe by ATE IS SEA vvlu�a�re�ra e�f pre t��stY RE� ��e�d�a a�n�1�sTQ c��mCpa�nte� in a��AS whrc� 22MBINATIONr� � nt��€y THE� �C��RECT(�RY. DISCLAMER l4HRt dais not endorse the product(s) listed on this Certificate and makes no representations, wanranties or guarantees as to, and assumes nG responsibility for, the praciuct(s) listed on this Certif3Cate, AHRI expressiy di5clairns all [iahifity for damages of any kind arising out of the use or, performance of the prcxiuct(s). or the unauthorized alteration Of data U5'ted on this Certmcate. Certified ratings are valEd only for models and conngurations listed in the directory at m,ahridirectory.org, TERMS AND CONDITIONS This Ei Ce� �cate anc� its contents are prQArfetary products of AHRt. This Certificate shall only be used for individual-, persal1a[ and ��•V confidential reference purposes. The contents of this Certificate may not, in whole ar in paa, be reproduced; copied, disseminated, entered into a computer database; or otherwise utiiixett, in any form or manner or by any means, except for the user's indIvldual. personal ,and c4nficlentia1 reference. AiR-co�v��t�tv1�1�, �#�A��N�x CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited an this certificate can be verified at v+�ww.ahritlirec�vey,+��g, ciiGk ate `Verf�y Certificate" IIn�C i-ve mak c '!iic 1)ttuu�° and enter the AHRI fiertffied Reference Number and the date on which the cert'rftrate was issued, which is ri ti abmve, and the Certificate No., whlch is 1Isted of bottom right 02014 Kit-Conditioning, Hea-Ving, and Refrigeration Institute E .�"IFIC�k'��, NOS.. � 3"i�2��14�8238��23�