HomeMy WebLinkAboutBuilding Permit ApplicationIII II1 6 1. I.
BLYNFo MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Buildinsover
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34382
Phone: (772) 452--1553 Fax: (772) 462-1578 Commercial
PERMITAPPLICATION FORIV.
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Holder on nett page (if different: E -Mail, lr1
from the Owner listed above) State or County License: 1 ?-,el
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} if value of construction is $2500 or more,, a RECORDED notice of Commencement is required.
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DESIGNERJENGINEER:
Name:
Address:
City:
Zip.
Phone.0
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
- Zip:
Phone:
X.
x
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
State: City:
Zip:
Not Applicable
Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip.
Phone:
X Not Applicable
State:
x Not Applicable
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 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 orrecordingyour Notice of Commencement.
ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF �� . '1_ :� k' k=
The f_or�going instrument was acknowledged before me
this ZU day of ��y , 20 �by
M. MVES
(Name of person acknowledging)
III
�(5ignature of Notary Public- state of Florida }
Personally Known OR Produced Identification
Type of Identification
,�'r` 'i►. SUSAN MONTENEGRO
Commission No. My 00 � # GG 089M
�; EXPIRES' APA 2 X11
;►r� Cs�'Fv�tt4 B06do ThN
Revised 07/15/2014
REVIEWS
DATE
COMPLETE
INITIALS
FRONT
COUNTER
S` ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 16!; 1 C E.
The forgoing instrument was acknowledged before me
A
this 2PI day of A \J , 20 by
>k
.AM� -IF— G
(Name of person acknowledging)
i
- o<Sjgnature of Notary Public- State of Florida
Personally Known ti OR Produced Identification
Type of Identificaon Produced
Commission No. SUSAN WOUMNEGRO
ZONING SUPERVISOR PLANS
REVIEW REVIEW REVIEW
s
1 110.
My COMMISSION # GG 459099
' F_X,PIRE, Aod 2, 2421
Bonded 7M Notary Pubk Ur4ewim
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW
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This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 3'I, 20166
AHRI Certified Reference Number; '102 9675
Date: 7118/2017
Product: Split.System: Air -Coaled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: CAIONA037*0**A*
Indoor Unit Model Dumber: FX4DN(8,F)037L
Manufacturer: CARRIER AIR CONDITIONING
Tradell3rand name: CARRIER AIR CONDITIONING
Region: Southeast and North (AL, AR, DC, I)E, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO. CT, ID, IL, IN IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NHr NJ,
NYv t3H, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be
installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners
can only be installed in region(s) for which they meet the regional efficiency requirement.
Series name: 1+5 SEER AC
Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING
Rated as follows in accordance with AHRI Standard 2101240-2008 for
Heat Pump Equipment and subject to verification of rating accuracy
party testing:
Cooling Capacity (Btuh): 34400
EER Rating (Cooling): 13,00
SEER Rating (Cooling): 10.00
1EER Rating (Cooling):
Unitary Air -Conditioning and Air -Source
by AHRI-sponsored, independent, third
} Ratings followed by an asterfsk (` indicate a voluntary rerate of previously published data, unless accomparri Y&h a WAS, which indicates an involuntary rerate.
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DISCLAIMER
AHRI dues, not "dorse, the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and asslrmes no responsibli ty for,
the product(s) listed on this CertMente. AHRf expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the
Kunst thodze+d alteration of data listed on this Ortiflcate. Certif€ed ratings are valid only for models and configurations listed in the
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directory at
l TERMS AND CONDITIONS �
This Certidrate and tts contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and
confidential reference purposes. The contents of chis Certificate may not, in whale or in part, be reproduced; copied; dlsserninated;
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
informs#ion for the model cited on
this certificate can be verified at click on
aVeq €y Ceyt;fio8te lv link
and
enter the AHRI Cartifled Reference
Number and the date un which the certificate was issued
R
which is listed atsoVc, and the Certiffcate No., which is listed at bofforn right --
131448835 1 Z 5315202
@2014 Air -Conditioning„ Heating, and Refrigeration Institute CERTFIAaTE NO.:
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