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Guidry, Paul -- Revised Application for Permit
ALL APPLICABLE NFO LIST 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 C017 merciai -- Residential PERMIT APPLICATION FOR: To Select from dropbox, click here PROPOSED INPROVEM ENT LOCATION: Address: J Legal Description: U t`'L f�+t` zip 1�f2-i . fl�f! A 1 Property Tax ID #:0 ._. j Site Pian Name: Project Name: Setbacks Front Back: Right Side:^ Left Side: DETAILED DESCRIPTION OF WORK: ' " cG� / y' /'-' ' L,t Gc.c Lot No. Block No. CONSTRUCTION INFORMATION ,flan ar to e e Orme un ert Es permit—c ec a a pA y: HVAC Gas Tank Gas Piping Shutters l—� Windows/Doors UElectric LJ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor. Cost of Construction: $ �� � � Utilities: 0Sewer [Iseptic Building Height: OWNERAESSEE: CONTRACTOR: Name �L �, .t v-1 Name: r Address' Jzi%`aW %- -e,4 Ci _J om y• lir' 0 a to City: � 11 Y e� f-tl G' State: J �V �d�d�i� r� 0 Zip Code: Fax: City: 0 Phone No. Jr, stater . Zip Code'.��9 Z� Fax: E -Mail: � 'j.Zr°Ln4L�./i LSC ,� � CS, f'i Phone No�'�-�.,� Fill in fee pie Title Hold on next --Y--- ge (If different -Mai from the Owner listed above) - State or County License: If value of construction Is $2500 or more, a RECORDED N of C/ommencemen is requi d, 610"r, DESIGNER/ENGINEER: Not Applicable Name: Address: City: State: Zip: Phone: FEE SAMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: _ — Not Applicable E COMPANY: , Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Address: City: Zip: Phone: 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 a first ins ection. If you intend to obtain financing, consul eeler am attorney before ca Cenci r or recur i ur Notice of Commence meat--�, _ Signature of Owner/ Lessee/Agent, Z�r STATE OF FLORIDA o -M 0 COUNTY OF � _ _ =o The f9 i instru ent was knowledge before i this lc?a of G , : 20 � y .a E g (Name9f person ackn ng) '(Signature of Notary Public- State of Florida ) Personally Known tl"'� OR Produced Identification Type of Identification Pro/d��uced f Commission No. ` `I ,�! � / (Seal) Revised 07/15/2014 Signature of Conti'attor/License Halder STATE OF FLO A FRONT COUNTY SUPERVISOR PLANS VEGETATION The forgo�l instru ent was acknowledged before m MANGROVE this day of lla4UiSr 20 / h y a r 8 0 0 (Name of p&son acknowledging) Public- State of Florida ) Personally Known L—` OR Produced Identification Type of identification Produced Commission No. �`�7 ._r t j (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Michelle Franklin, CFA-- Saint Lucie County Property Appraiser --All rights reserved. Site Address: Parcel ID: Account Map ID: Ilse Type: Zoning: city/County: Ownership Pact M Guidry Jamce M Guidry 3420 Colebrook DR Thompsons Station, TN 37179 Legal Description SF.ABREEZE ATATLANTiC VfF.W.UNIT 603 (OR 3459-97) Current Values JustiMarket Value: Assessed Value: Exemptions: Taxable Value: Taxes for this parcel: SLC Tax Collector's O#IceQ Download TRIM for this parcel: Download PDF 12 Total Areas Finishe&Under Air (SF): Gross Area (SF): Land Size (acres)' Land Size (SF): Property Identification 5049 N A1A 603 1414-513-0023-000-3 144546 14114N 0400 Saint Lucie Count`1 �-^� $203,500 $203,500 $0 $203,509 1,276 1,612 0.02 LOW This information is believed to be correct at this time but it is subject to change and is not warranted. TJ Copyright 2017 Saint Lucic County Property Appraiser. All rigbts reserved. Certificate of Product Ratinas AHRI Certified Reference Number: 7368712 pate: 8122/2017 tStatus: Active Product: Water/Brine to Air heat Pump Packaged Unit Model Number: TCHIV030A Manufacturer: CLIMATE MASTER, INC. Trade/Brand name: TRANQUILITY 16 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: 1000/1000 Air Flow Rate - Heating: 1000/1000 WLHP (Water -Loop Heat Pumps) Full Load Cooling Capacity(Btuh) 28100128100 Cooling EER Rating(Btuh/watt) 13.401 13,40 Cooling Fluid Flow Rate(gpm) 8,00/8.00 Heating Capacity(Btuh) 35100 1 35100 Heating COP(watt/watt) 4.6014.60 Heating Fluid Flow Rate(gpm) 8.0018.00 GWHP(Ground-Water Heat Pumps) Cooling Capacity(Btuh) 31700131700 Cooling EER Rating(Btuh/watt) 20.10 20.10 Cooling Fluid Flow Rate(gpm) 8.0018.00 Heating Capacity(Btuh) 29600129600 Heating COP(watt/watt) 4.1014.10 Heating Fluid Flow Rate(gpm) 8,0018.00 GLHP (Ground -Loop Heat Pumps) Cooling Capacity(Btuti) 28900 128900 Cooling EER Rating(Btuh/watt) 15.10 115.10 Cooling Fluid Flow Rate(gpm) 8.00/8,00 Heating Capacity(Btuh) 23400 / 23400 Heating COP(watt/watt) 3.4013.40 Heating Fluid Flow Rate(gpm) 8.00/8.00 Indoor Blower Motor Fan Type: PSC Sold In: USA;Canada ' 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.abridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of Al 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-CONDITIDNiNG, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahr!direct,)ry.org, click on "Verify Certificate" link -e m-ke life better - 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 CERTIFICATE NO.: 111479059825881912