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HomeMy WebLinkAboutBUTLER AC APP AMTEK AIRAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I Permit Number: • ---- a - Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Legal Description: Srr .' 064 Lilo — P ( 42 Property Tax ID #: �•� Jr` -ink - f i I Le I - © Lot No. _ Site Plan Name: Block No. Project Name: R2I,+lef Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: = - Additionalwork to be pertormed under this permit -c ec a I I that appy. Mechanical Electric Gas Tank Plumbing Total Sq. Ft of Construction: 1 :2—c2 Cost of Construction: $ z4 5"_'C) _ Gas Piping Sprinklers Shutters Generator Sq. Ft. of First Floor: Windows/Doors Roof Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: _ - Name - er7 7 1 ;. Name: 114, _ Address: D le Company: 1' L77 'i� CitState:JEJ., Address: '? I Ns ffl&x0_0_rmk Zip Code: Fax: �— Cityx-� Sf 1L'i� State: V1 Phone N l '6�?�, J' J o �L� Zip Code: G ap Fax: Phone No( -7 X430 1- 514J'a� E -Mail: E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: If value of construction is 2500 or more, a RECORDEU Notice or commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: City: Address: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 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 co manrine wnrk or recordine vour Notice of Commencement. Rev. 7/2014 v/ . Si nature Owner/ Agent/ Lessee Signature of Co or/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF _, COUNTY OF S f. c' i The forB,o,ing instrument was acknowledged before me 1�"21ay 15U FAL/bP.l20 by The for oing instrument was acknowledged before me thisay of 20� by this of t (Name of pers on cknowledging) (Name of pe o acknowledging) (Signature of Notary Public- State of Florida } Personally Known producet� A"@ aY', °s, Type of Identification - ; (Signature of Notary Public State of Florida ) Personally Known �'':a ' foduced%dQMIfi6A6KL ": Notary Public •State of Ion a Type of Identificatio Y • c • y •ac Crmmission # U 17306u =' • = Commission # FF 179630 •� ;� oa' M Comm s Nov 30, 2018 Y I§ 1� Commission No. -%• My Cor>«ilLPires Nov 30, 2018 Commission No. OFI OFF',,, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 7/2014 At MAIM &0%1111 Soul CERTIFIEW Certificate of Product Ratings AHRI Certified Reference Number: 7845710 Date: 11/13/2017 Product: Year -Round Single -Package Air -Conditioner, Air -Cooled Model Number: LRP14GE48= ***P Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: LENNOX Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, VVV, 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: Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC. Rated as follows in accordance with AHRI Standard 210/240-2008 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): 46000 EER Rating (Cooling): 11.00 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 products) 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(&), 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.ahridlrectory.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: Now entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, entered 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, dick on 'Verity Certificate" link a make 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 CERTIFICATE NO.: X31550944231202998 ©2014Air-Conditioning, Heating, and Refrigeration Institute