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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date 2 Permit Number:
� r
Building Permit Application
Planning and 11 Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone- (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address:
Legal Description:
Property Tax to B: f Lt 2-3 - K 6 S - h (�q lP _ S OU _ 2
Site Plan Name: lot No.
Project Name:
Side:
rp
-(�4. .•,011h.i'
aPa.. ALT
Gas Tank
Plumbing
Total Sq. Ft of construction:
Cost of Construction: $ L4 I 114 B' - dl-)
Piping
Block No.
Left Side:
'i''7' y{ A!'r as 'Lnp. 5°•!ii=4�! n'F i.1L!`.;�'.;'; v' i ;,.p..
3 mN ws�+P iLk EEI�
Ihutteis ❑ windows/Doors
Generator Roof = Roof pitch
S11*
. Ft, of First Floor:
Utilitles:!Sewer QSeptic Building Height:
City: mays e +t-0- State: 6f"�
Zip Code: 300 l e L Fax:
Phone No, U 0 LI _ u LA - rr a, L. R
E -Mail:
Fill In fee simple Title Holder on nept page ( if different
from the Owner listed above)
Name:�gllVtt_c F t^ _ w ..........:...
Company.t,iytC_t% n t,^ngf�b L v.
IR\Y
Address::8h51-1 N IAc Wm\l \
City: �_} . I P State: iFL
Zip Code:.314!3 4 1Fax: -1-17 - Ll
Phone No. 1"12 -rat! 1 11-11,
E-Mail:Y_n�i1,.. ;Z:_ % _
State or County License: 2A r>1� tq, p1 t
15 $2500 or more, a RECORDED Notice of Commencement Is
UPPL`�I�IENTQL��O(�ISTRIIGTI0IV LIEN I:AW,INFQRMATIbN�� , !; , .' := ,' ' ;' :-
DESIGNER/ENGINEER:
Name:
x Not Applicable
SUPERVISOR
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
MANGROVE
Address:
REVIEW
City:
Zip: Phone:
State:
REVIEW
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
INITIALS
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 contlict 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
c
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST - t 0 C VF_ COUNTY OF 5T- L t I C_ 1 Y
The Wooing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of ;,4V 4unn It 20 Alby this Za day ofbrejo vLb?X , 20 � by
11 1
f*MF_S F c_?trAI—s I JRrVE-s F Qlel'kr--,-F
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Flor
Personally Knowq�s_� OR Produced
Type of Identification
Commission No. V
MYC01EX
Revised 07/15/2014
Notary Public- State
Personally Known OR Produced Identification
Type of ldentifica on Produced
#GG08M Commission No. SUSANNEGRO
D2,2021,J j`t'�t�'; MYCOMMISSIONOGG089099
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Ny
Certificate of Product Ratings
AHRI Certified Reference Number: 7849850 Date: 9/19/2017 tStatus: Active
Product: Water/Brine to Air Heat Pump Packaged Unit
Model Number: 50PCV036LIRaa5/FA
Manufacturer: CARRIER CORPORATION
Trade/Brand name: CARRIER
Series Name:
Rated as follows in accordance with ANSI/AHRVASHRAE/ISO 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: 1200/1200
Air Flow Rate - Heating: 1200 / 1200
WLHP (Water-Loop Heat Pumps) Full Load
Cooling Capacity(Btuh) 37900 / 37900
Cooling EER Rating(Btuh/watt) 14.70 / 14.70
Cooling Fluid Flow Rate(gpm) 9.00 / 9.00
Heating Capacity(Btuh) 41800 / 41800
Heating COP(watt/watt) 4.60/4.60
Heating Fluid Flow Rate(gpm) 9.00 / 9.00
GWHPIGround-Water Heat Pumps)
Cooling apacity(Btuh)
Cooling EER Rating(Btuh/watt)
Cooling Fluid Flow Rate(gpm)
Heating Capacity(Btuh)
Heating COP(watt/watt)
Heating Fluid Flow Rate(gpm)
GLHP (Ground-Loop Heat Pumps)
Cooling Capacity(Btuh) 39900 / 39900
Cooling EER Rating(Btuhhvatt) 16.90 /16.90
Cooling Fluid Flow Rate(gpm) 9.00/9.00
Heating Capacity(Btuh) 26900 / 26900
Heating COP(watt/watt) 3.50/3.50
Heating Fluid Flow Rate(gpm) 9.00/9.00
Indoor Blower Motor Fan Type:
Sold In:
Rmilgs Wanted by an Baa r) IlMlpb a vaunr"y made M plersousiy pusishea dur, umen acampaldedwith a wats, wNm, iMeRa an imaama,y reale.
DISCLAIMER
AH RI does not endorses me pmissaw listed on Nu CeMOap and mehe6 no re"eaentatoes, wartanHe; of goaranha as p, and assumes no responslbany lot,
the produMls) Rated on Mh CertilMAts. AHRI expressly dlsdalms all Imbli ty Bar damages of any land arising one of the use or pertompnea of Me 'had u ga), Or the
unauthomed alteration of dap NVOW on this CerrMap. Certlfied ratings arc valid only f" models and anaguatM
ons noted In e
dlmonlory at www.ahrldlrectory.org
TERMS ANDCONDITIONS
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©2014 AlnCondHioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131503043514434761