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Building Permit Application
ALL 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 chisdentiaateand producer MAHeI. This anrenb areproprietaryf t" antl ha 11 onlya umpndinaMeapep; s, da annaembl reference purpmes The aMendi of this this at. ohs may not, in w pant Be rep pe dbsemi ed, B any - _' c"npM"aafteren or Mherwbe MItreQNenyform or manners Melly meas, escepr I. me user's Intlbpual, , Or or a aipt I. mar died. peraedl ad e. AI REMIGEATIINd. HEATING, CERanalandE VERMWl TION CERTIFICATE VERIFICATION 8 REFNmaaAmdN IM$lIi11TE The"terlie n forAHRI Me normal vednmat www.nhr, C. tlicN on •vodry conumnae IIM+ lite hello dad Numb"and VRW ql ahler Celllfleap V(de ISSYBE, ni n,.ke Mlerate A Refishomethio Number rand the o data Wyeas Seri C. i aye ad CB CamilYla which b 14[N above. antl Me Certltate Ns, whkh b ts1e0 ai bosom dgp. ©2014 AlnCondHioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131503043514434761