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HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinterALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
gate: Permit (Cumber:
Building Permit Application
L.iOV v:, ul* .. Aft-., Torr Y.c. �c ri 84y8&1
PRorne: t//L)Z1hL-15S3 Fax: t//L)46L-1n/S Commercial Resiaential
PERPIIT APPLICATIOI9 FOR: Mac Ianical
PRUPUSED IIOIPRUvEIVIER i [ut A 11019:
t
0 F
Legal Description: _
Property io.. ID - t — aao - - Lot Mo. �
Sitc Plan ICarrna: 81ocFC IVo.
Pro;eCt (Came: Z'A V c- C�L res CTM.
aetRacRs From 6act RigRi aitle: [en aitle:
DETAIEED DEbLRIP 11019 uF wORK:
%IZd2 l�=►'Z- a�D !rt'i / r�1 /- f - �S 5��/G J60Z 77x
LUM51 ROLI IUM IIQFURM7XI lulq:
Addidonal work to be erformed under LhiS perms► —c ec a appy:
"5VAC _ Gas Tank ❑Gas Piping _ ShULLers Windows/Doors
�JEIO—Lric Q Plumbing ❑Sprinklers Li Genera.or Roof Roof pitch
To.al Sci. Ft of Cons ruction: St
of FirSt Floor:
Cost of Construction: S 'r Odlities-)ewer Elaeptic 6uiltling HelgRt:
OWNER/LESSEE: CONTRACTOR:
Name "I-, Name: il(1 [ -�.
Addressk ` r-L Company:
City:p,f�-4 Luv i state: � hddress: V-U L)
Jp Cotle: `tg ' '. k Fax: City: V -
Picone Mo. YID _a �� a3b 1 Zip Code: P-'7 G Fax:
E-Mail: -',°# _ ° C`1 Phone No. 7�
Fill in fee simple Title holder on neat page (if different E-Mail:
from tRe Owner Ilszea agove) mate of County Eicense:i—_
Ir value of construetion Is >ca0p or more, a RECORDED Notice or Commencement Is requlrell.
SuPPEEIVIER IAC CON5I RUt IUN LIEN LAW INFORMATIU19:
DESIGNER/ENGINEER: _ not Applicable
MORTGAGE COMPANY: _ Rot Applicable
Name:
Name:
Address:
Address:
City: 3taLe:
City: Mate:
Zip; PFlone
Zip: Phone:
PEE SIMPLE TITLE HOLDER: ` Not Applicable
601113IRv'u COMPANY: ^Not Applicable
(game:
Narne:
Address:
AaCIre.»:
1.1 Ly:
City:
cip: Phone:
cip: Phone:
OWNER/ CONTRACTOR AFFIDVI i: Application i3 Repo, mase to oEtain a permit to Oo the work and installation as indicated.
I certify thot no York or irrmdlation Ras commenceu prior to the issuance of a permit.
at. Cucie Coun,y makes no representation, that i, g,ontins o permit will auLMorize tRe permit holder to build the subject structa- e
whicR i. i„ contlict :itR a :, applicaBle Rome Owners msoclation rules, bylaws or and coa.nant. tRat rn-, rent. iet or proRMt sucR
strut7ure. Please consult with your Home Owners Association ono h:::c: ,.zr Geed Tor any resirictions wRicR may apply_
In consideration of the granting of this rcciac3tJ ppt:rrn,t, I ao RereRy agree Mat I will, in all respects, perform the work
h. acraroance with Me approved plans, the Florida Building Coac..65 }t. [uric Coz;rnt, Armendments.
TF1e tolioWing Beila,n6 permit applications are exempt from undersoins a full cantiarr�ncy �eY;t -: rao oMaitions,
accessory structures, swimmins pools, fencc3,,isn:;, zierwen rooms an8 accessory uses to another non-residential use
vvmRMINO TO OWNER: Your failure to Record a Notice oT Commencement may resulc In your paying twice for
improvements to your propeRy. A Notice of Commencelmant must be record -d and punted on tne,opsite
Before Me first inspection. If you intend to obtain financin6, consult wiin lender or an attorney before
commencing work or recording your Notice or Commencement.
Signature of O—..rW1 Ce„cam/Ca: tactor as Agent ror Owner signature of C actor/License Flalacr
STATE OF FLOFWAj
COQA i r OF_ x,22 a� .� ✓�>r�
I ne rorgoing instrument was acknowledged 5.t.rc mle
this _L_4day oi [u-4 oy
� jo7e-N
name of pets eking statement
Personally RnP- OR Protlucea Isentilication
lyp&�or I'aentific tion ,-
STATE OF FLORIDA—
COUNTY
LORID COUNTY OF /LC
he forgoins instr s arKnowicuied Set -F. mle
tni3 aa, et cu lay
Name of person making at.tcrmcrit
Per�o.,ally Rno-n OR Proeucea Isentbicadon
type of IBendiication
Produced
(5ignotarc at Rota,, , Pa l3 e•�ta� or PlonM) ' I DAP-Rl;O (Sibs -tart: or Ret..—, PuQlic- state or F riCla1), js � r
camr7i3--ian Ra. ! ,v. F (Sealj . ryFLnKIDg Commission No. `[9� (Sealjf4uF rl-ORIuA
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW I REVIEW REVIEW REVIEW REVIEW REVIEW
DATE -”
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
w
Aill U Ewa CERTIFIED
or ,
Ceffificate of Product Ratings
AIM %eRifietl Reference RumBer: r-I ir.s444 Date: 10/25/2017
Product: Variable Speed Mini-Split Air-Conditioner, with Remote Outtloor Onix FKlrwource, Free ueltvery
Outdoor Unit Model NumEer: aa@IFCuOy---I
Indoor Unit Model Number: w01Q111C0-m---I
Manufacturer: CARRIER CORPORATION
Trade/Brand name: CARRIER
Series name:
Region: soutReast anti I4ortR tiff:, s►li, 04, pE; F[; GA; AI; KT. LR, MO, Mai, NC. OR. sC_ 1 n, IA, VA
AR, CO. C 1.10: I[. IA. IN, R5, mA, mE, MI, WIN, MO. M I, NO; NE, li NJ,
NY; OH, OR, PA, Rl, SD, UT, VT, WA; WV, WI, WY, U.S. Territories)
Region Note: Central air conditioners manufactured Nrior to January 1, 2015, are eligible to be
installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conaaldoners
can only Be Installed in reglonisf Tor wRicR !Rey meet the regional erriciency requiramant.
Manufacturer responsible for the rating of this system combination is CARRIER CORPORATION
Rated as frohows In accordance wltti ARRI stantlard r10rz40-z003 ror Air-Cw-itlitioniny ane Air-Source
Rw .t Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, Independent, third
t,arfy testing:
Cooling Capacity (rstuR); woo
EER Rating (Cooling)-. 100.000
SEER Runny 15.00
CBR i IPIED RR i IRG3 FUn VARIABLE-SPEED, MINI- AMD MFiC I I-SPLI i 5Y5 i tMS ARE VALID FOR AEC CuMBIIQA i IONS OF INDOOR ONITS
(SA5ED OA UUmSIMA I IOM I YPES) WITH THE SPECIFIC 001 DOOR OMI I LISTED ABOVE AND IN [HE ARRI DIRECTORY OF CERTIFIED
EQUIPMENT. VISIT WWW.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND TAE 07K r A LISTED 'vld
THIS CERTIFICATE IS ACCURA r E. UElIRLR C;M r HE AHRI REFERENCE # Tv UZICKE i COLA 11! r HIS COMBINATION IM l nE DIRECTORY.
' R_I1..p foiled byindiep.c.. -bnkay rera.ly.f pmTin:,.ly p,+51ir,eo.-I!!, o..'esa.cconpin-c,] ni',f1. 7—M vmim '.,cal-b5 an inTolanwry mrai.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and mrk— ::_ rwpp.=wRtatlun=, :.. r_ntl.o up ga.mmt_■c ..� t=, _Rd .zanrnee in. Feep.nelbillty fur,
tR. proaoc.�s1 lbeea on As e.riln.ar— ^RR; capressiy alsclalms all hdt]hiy r.r .amag�s oT .ny kino arising out of the use or performance of the pmduct(s) or the
ea.Rth■d-ed .dlopwtl■n =f d.t_ II-tud e., this Certlffeoty. C.rtM.d mtl..gs ..F_ :-Iid .nl,- fur med.1-s -Rd eunfiga._t6n3 16.ad In the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS
Ris ecrthc.ly on. iia wnr.ntS .re proprietary products of AHRI. This Certificate shall only be used for Individual, personal and
.enfidendi-I ref.mri.a purpm -,. The een;c .ts.f thh Certifieam mT n.p In :hely or in p.rt, Be roprooaceo; —pies; mssemin.leo;
entered into a computer database; or otherwise utilized, In any form .p -aRR■r or ttq any m■_R=, ir_.■■pt fur thu Roup'= IndlAde.l.
perennial .no con.',acnil.l r.Tu-ynce. ,.,R �OnDwRIRa, RrJ��a,
CERTIFICATE VERIFICATION fk REFRIGERATION INSTITUTE
The Infornr.t6re for the model clic. yn i.,1e reRhl_;c can Be :ammo .i —..R.l.lre....ry..rg, eLcR on':.rify a.rtirkete' Ilnh se msltt' lir! beller-
and enter the AHRI Ceptifi-d R■f■r_nwe Namb.o -Rd th. d_t..R -hi_h th■ ■■rllfi■_t. -_a 1..aeed,
wfli,.n is Hsi— e1110Te, .no ifle e.rtmcale R.., w1h.11 is listed at bottom right"-
©2014 Air-Condidoning, Headns, and Refrigeration inS¢ltute CERTIFICATE NO.: i3153407872148�79U
Michelle Franklin, CFA—Saint Lucie Comdr Property Appraiser—All rights reserved.
Si-.. Addrent
P�.I ID:
Aw.mm p:
Mar ID.
Use T;,-
zomim;:
c4lC-w1, :
o-nc -.hlp
7 aKarkas
Twru.i .:mm
--2_ pelt.; . e
P... Si Lurk, FL 1499&3021
Lwg..l Dxr.�.-Ipaon
PDD 28 ATTH}: RFSF.RV3: LOT 30 tOR 3444211, 3'30.1680.3817-727; 3961.18791
Current Volu=z
loedmarkd Value: f272.nrw
Aa -axed Vel-. TT_,uv.
E�.�pt:arts. 3e
Taxable Value K72,wo
Taxes for this parcel SLC Tax Cuhco,,-rs Otrl Q
Downie-inlnl lar lms parcel o—..i—d POFD
Total Areas
rmisllcw under Air (3F): Z u?
mitt. -- (Sri kill
c.n.. 3rze (arrrxl: • I+
Wn.. 3in (31F): 3421
Prvpc.—y Idcn:INc.dan
63:2 NEURV PL
3327-701410334IXMI-5
1373311
-DN
01—
mr;
3-1 Cunc cuuury
Tb-..- r.r mm_L.m is bch.d w br..wr...l IhEe nrn. bre -.:_ =.b;..: r..han-p. =.d = net warranl.4
t: Cep; neht 2417 $ami Lwi. Corp:; PmpwI, Appmi.— All . -is wc...cd.
k772) 567-3100
glembing ` 2804 US Kghnray , Fero Beach, FL 32950 .a
..• 1�..-..», �.� �' rb4�:1 � t �s�l1.i i w37� �.F$',-C. LA"t. i 4[c�z.*�
, -E-,',-
4-
CM
-,+:_
Sit— TYPE SIZE .2 — I YeE *
ErFlvia=rvt�t __ ^- EFFICIENCY J
Mrporais Gustomar
rsfttions
035) 803.0577
SicE TYPE
��.
, $
LIrTr3TaL 513BIUlAC — � T' SQIiiUTAC 5
Mt71MMIT Esr, • $_— --1 4 MOrinLY csr. 5 ----- - - - MEINTALY E5+ ' S
00SMfvIER llat'flALS --��— t.05F0MEt,( irrA6 i COSiuMER MIi7A15 .
Warraniy- r vvarrantyearts --/- Labor ? Warran,y: - Parts Labor
C:ovt�pl�ss¢r _ meq. &"w L rC�ieal Exchanger - C.o ,near R.i Exch�.t4r
I[eirraesant m°=veMM wmdisposed of �_ ,.yl_ by jaw. Complete 3 up wm=,ng use or Ilvr r sa- to �fect tee: Fi a ani3
r aE tusxistirig equppmmt nl. All work eomplelcz, is MM m a i7n-m misting cafes anti pe. -Its,
-- r • M MM M 3eLr�Tr:0C7M-ja. L!i 032 jn3
rweatJterpM&
G wnnnect is t_xrst.. ,
❑ Strom Air C
SUBtOTAL
i31scomect
tiectncal
Ca Media Filter
V e11 ae Equ,pr .nt slab
13 MW Plyw= 0W
I7 Mr,
$
war d lsolatkm Pads
❑ Reconnw-t Drain line
..:. ._
u Uv Light
id rtte L:ondirit
C GE tettid?iur
-
- __-
GI Start. K3 t
Ma Haat}
❑ Mhu Krifiier , _ ,_..
t uTAC 5
tet KefrW,,it L-. D7w-
❑ MM DW -W* t p7
G MWIT and PSB
urantil e
I1Seal New Conrteer--.a
u FIw vent. -,-a
`
�r ®*taeanr*ot
u Support Atk L7xp—A
❑tin c Cwr rAm*m
3 Cl CASt� a Ln�UR
l2 aoefr'geranf wwr
C�pply Plenum
p ITRi Mp7ng
t3!Expan valve
M Ravm IRIt?LT
0 Mtect�en+ae
� 13 CREDIT (LAST 4#s,
T•sfat=t -
C] Return
rta -
New u Rernrin�r t
3 Term 1364 i ay.)
EAP _.-a_ APRRUVAC _,_
OUR •.
d CflmfCr't Guarantee ❑Roma PnAgeftart I'saarre+tae
Z-- x44tow15em= G=&ntwe 1 •Paytnerr op ions miable with apxovcd cmd.t
• VL4 rico oae!*lrr+er , it`t 1 !15e oob begmnq arr, unf rt -Dari aaoitx]fia q xtegded WOM
ANY CLAIMS t�UIZ CORUMUMON D'EFECIS ARE 50aIEca tU THE MuREM:wD CURE rRuVISIONs 13F CHAPTER 568,
Fl:CKIDA STATUTi ES.
• 8UYERl51Z4ti3F;;r1M,GA,i+ =L'•Thja is F ttokne sodCll3uun sale, srd tf you as notwant une gout= sr -prices, You may cancel
Afglsfagreaine l by PmViidi'm Wri¢vtt nuns to art selrer In pemo.y.by .-leg .m, of by --lt. This notice must indicate tnatyae
da nutwanir.ure goods orsefVlcestsnd mustBtf 1'�hrered orpwanarl5 beim Mmight of tho third business Bay ones you
,sign ths:srryt
greementa ou cancei tuts agreerrrertt. uta seiner tear not steep a.ny ll or part of ., cash apayment. see th-
reuatsa:slae Bereorfdr-an:axpra�-- Uon 4tn1sltight;-
11l aUVWy&,e 121at r ej, right: to =v_ 0 h„.,, 5E4:Maxptatned to . ».Drolly and m wramg. -d wdhout w virg rT right is �..oe-I, l authorise the
wd colt tns vet for1R - the ruvorsa awu IlAfgBf, plus arry taxes , . cont Y Iat,D
Haat-10 Owner - []D noftw v is h was idem contracts+ blank lou ...a L,=1AW to -- ,„tel Df tr contreet at the t: -e
t DW,# tc P,00 -c, fcau jv-tat T,&. a. TNi MM rrfProwrtrt+rt contract may eonmp" a mo tis: none --W create a Man ff W
if -t -Ue be bcr *+d Dn,irYou do natpoy. tic;WMIOu emderstand mr ";9- tract before youst
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