HomeMy WebLinkAboutGERALDINE BROWN PERMIT APPLICATIONPlanning and Development Services ounaling Permit Application
Building and Code Reguiation Division
2300 Virginia Avenue, Fort pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APP ICATI.ON FOR: To Select from dropbox, click arrow at the end of line
Address:
'LLgal
Property Tax ID #: - tQ I ` �-g'(� Lot No. -U-11!
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Total Sq. Ft of Construction: S_ Ft. of First Floor:
k-ost of Construction: $ - � UtilitiesSewer O Septic Building Height:
Marne j= I a i 21�
Address: ���
City: M i- State: f—L
Zip Code: Fax: lV-
Phone No.arz -+0 ..1 C) SO
E -Mail: N 14 -
rill in Pea simple Title Holder on next wage (iif different
groin the iswne. listed above)
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State or County incense:
If value of construction is $2507 or more, a RECORDED Notice of Commencement is required.
State:
Name: _
Address:
City:
Zip:
EEE Si3MPLE TITLE MILDER- _ Not Applicable
Name:
Address:
City: _ r
Zip: _ = Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _blot Applicable
Name:
Address:
City_
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Florae owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: yozir failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property, A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you inter:d to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice o Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
s
Signature of Contractor/License Holder
STATE OF FLORIDA
ST'AT'E OF FLORMA
COUNT" OF . _...Sr. 4vc, e
COUNTY01'
The forgoing instrument w acknowledged before me
this Ig day of-124AJ2 ?p LL—by
i he forgoing instr meat was acknowledged before me
this 19-�h day of
20 i [ by
(Name of person acknowledging j °°®$° �iyF
(Name of person acknowledgsn °°
(Si nature of Notary Pu „c -state orida_)
(Signature of Notary Public- $1 Bof ff)
6 y 074259
Personally Known OR Prod ` ksa ``
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4 02 25
Personally known OR
Type of Identification Produced ion"° <
type of Identification F'rodu;es�10 flm
C4mm1559on �N o: _F���2�sy' (Seal
Commission No. — C�i `J� (Sea])
Revfsed V/3 5M14
REVIEWS FRONT ZONING SUPERVaSOR
COUNTER REVIEW REVl�3sf
PLAITS VEC�AT@®t°5 -SEA TURTLE iVd'1iUizR�:
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COIVIPLEfE
INITIAL
Certificate of Product Ratinas
AHRI Certified Reference Number: 8458537 Date: 8/18/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: TC4134821
Indoor Unit Model Number: AP48CX21+TXV
Manufacturer: CHAMPION BY JOHNSON CONTROLS
TradelBrand name: CHAMPION HEATING AND COOLING
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ,
NY, OH, 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: LX SERIES
Manufacturer responsible for the rating of this system combination is CHAMPION BY JOHNSON CONTROLS
Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party testing:
Cooling Capacity (Btuh): 48000
EER Rating (Cooling): 11.75
SEER Rating (Cooling): 14.00
IEER Rating (Cooling):
" 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. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on `Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better"
which is listed above, and the Certificate No., which is listed at bottom right.
02014 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 131475478022945418