HomeMy WebLinkAboutKEVIN MULLEN PERMIT APP ALL APPLICABLE INFO MUST 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 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
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PERMIT APKICA; ION FOR: To Select from dropbol cliok arrow at the end of Fine
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Legal Description: �11 /1 LQ � I rlU(�0] QS"G I?4Gl �C.` G► t°� tr "�l'�i `
Property Tax ID#: I OlQ- 501 A Lot No.
Site Plan Name: U.Aif\ h(VU Q. Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Additional work to be errorme un er this permrt- check a apply:
L_JHVAC Gas Tank Gas Piping Shutters Windows/Coors
Electric Plumbing E]Sprinklers 0 Generator �Roof Roof pitch
Total Sq. Ft of Construction: tt S Ft.of First Floor:
Cost of Construction:$ 4� l ' UtilitiescnSewer Septic Building Height:
Name fflu ����r-1�-- Larne: C1 YYIV_f _fT, � � A f'1l
i Address: 450�e JW c4- o V af Company: IAan
City: 'X�`k° State: Address: to D
Zip Code: A Fax: City: t •e Xr&e _ State:_Et
Phone No. 9,LPg - 94 lr Zip Code: ?24419 Fax:_q l
E-Mail: Phone No. 1�1 P-- 1 nV,,-140 LP
i raI in fee simple Title Holder on next page if different E-Mail:
�a P P g �
I from the Owner listed alcove) State or County License:
if value of construction is$2SOO or more,a RECORDED Notice of Commencement is required.
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DESIGNERS GINS€R: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: — ppll..abie
Address: Address:
City: State: City: State:
Zip: Phone: ^ Zip: Phone:
FEE SIMPLE TITLE H ER: Not Applicable BONDING COMPANY: Not Applicable
Name: — Name:
Address: Address:
City` ' City:
Zip: Phone: Zip: Phone:
1 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 Permitholder to build the subject structure
which is in conflict with any applicable Horne 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 appreved 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:Yodr%ilure to record a!Notice of Commencement may remelt 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 tender or an attorney before
Comrtiencing work or recordigg yourNotice of Commencement.
Signature of(Omer/Lessee/Contractor as Agent for[homer Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORMA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 by this day of 20 by
asrsor,.
(Name of person acknowledging' q��v� �111=� � any (dame of person acknowledgin time �E `rs
�' MISSi`���9��.� qg'�� ••�pMMISs ��
wary2r F,• � ��.•� ��,uary��.y°;9�
(Si nature-of Notary Pu ,ic-5tate8orida��°� x (Signature of Notary P is 5e offRib ZIP) IT:
07Q59 o d g25g
Personally Known OR Pr � y Personally KnownOFi�I �°�; tn
Type of identification Produc Type of identification,Produced
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Commission,,Na ''F ed � ,5• (Seal Commission No._,C a 2P (Seat)
Revf`sed 0711-5J2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION -SEA TURTLE MANGRO'
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CERTIFIED"'�
Certificate of Product Ratings
AHRI Certified Reference Number: 8535630 Date: 11/27/2017
Product: Split System: Air-Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: TC3133021
Indoor Unit Model Number:AP30BX21+TXV
Manufacturer: CHAMPION BY JOHNSON CONTROLS
Trade/Brand name: CHAMPION HEATING AND COOLING
Region: North (AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, Ml, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR,
PA, RI, SD, UT,VT, WA,WV,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: LX SERIES
Manufacturer(responsible for the rating of this system combination is CHAMPION BY JOHNSON CONTROLS
Rated as follows in accordance with AHRI Standard 2101240-2008 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): 30000
EER Rating (Cooling): 1125
SEER Rating (Cooling); 13.00
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 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.ahridirectory.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;
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-CONDITIONING,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahrldirectory.org,click on"Verify Certificate"link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better°
which is listed above,and the Certificate No.,which is listed at bottom right.
@2014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131662776648367322