HomeMy WebLinkAboutTINA CORDOLA PERMIT APP ALL APPLIC BLE lNf0 MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Date: �`� Permit Number:
Building Permit Application
and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort pierce FL 34982
Phone: (772)462-1.553 Fax:(772)462-1.578 Commercial 'Residential
PERMIT APPiICA,T ION FOR: To Select from dropbox, click arrow at the end of line
Address:_ OD-Lt abua ynim aiiil-.
Legal Description: t (�h_ f d(Y%_ 0M fstM4cls Ei r`i 4�-ct (w— ''�IQe1s?-e 6a
Prope ty Tax ID it: � a� L D�� � S DAD`{ Lot No.
Site Plan Name: Block No.
� Project Name: Nr
Setbacks Front Back: Right Side: Left Side:
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Additional work to e nertormed under this permit-check all thit apply:
LIVAC 0 Gas Tank Gas Piping _Shutters
❑ Windows/Doors p ❑
Electric Q Plumbing ❑sprinklers l=..1 Generator ❑ Roof !._ J Roof pitch
Total Sq.Ft of Construction: S .Ft. of First Floor:
Cost of Construction:$ a , �)o.� Ut'slities:i Sewer❑Septic Building Height:
s
Name II1a. C; Gt0k( Name: GLYY1t.C�� T
Address; Company:_-ANattin G
5 City: � lm C State: Address: 1 S MQ rr K-t±
Zip Code: _ Fax City: State:
Phone No. rf)t�_- 40 - Q9 K Zip Code: Wgiii Fa Cl
E-Mail: Phone No. r1r `}' `� 7` l(Q (i
Fill in fee simple Title Holder on next wage(if different E-Mail:�_C�1101 x�l�� 1 1Y'IG�t
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from the Owner listed above) State or County License:
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNERIENGWEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: --
Address: -- address.
City: _ State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE T T E HOLDER: Not Applicable 89NDiNG COMPAW.: Not Applicable
Dame: Name:
Address: Address:
Zip y Phone: Zip: _Phone:
H
l certiy that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Coun, makes no representation that is granting a permiit 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 1 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:Yodr 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 hosted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recordiM your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for owner Signature of Contractor/License Holder
STATE OF FLORIDA _ STATE CIE FLORMA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me I he forgoing instrument was acknowledged before me
this day of 20 —by this day of 20 _by
(Name of person acknowledging) �mae, tE E. g A+i,, (Name of person acknowledging�v
�• ;.ar�nEss�a �'�� .• aimi�tss,., '
��y,apuary2r�y
N nature-of Notary Pu fic State 'lorida of notary P�i6ic-§46 off
r 07g2 A a{ s ¢2Ss
v�ad o
Personalty Known A-� OR Progi��� VtrisCatjAit, Personally Known
Type of ldentifiication Produced Type of Identification Produced
Commissionft.!- �s9 (Sea ;g Commission No. jc4g7o� (Seal)
Revfsed 13/f 1-'V2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION -SEA TURTLE IVIANGRO'
COUNTER REVIEW €ilrlllEW REVIEW REVIEW REVIEW REVIEW
f DATE
COMPLETE
INTa I I
This combination qualifies for a Federal Energy
a IL Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product
Ratings
AHRI Certified Reference Number: 10225923 Date. 11/27/2017
Product:Split System: Air-Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: AL21 B3621
Indoor Unit Model Number:AVV37CE22+CC
Manufacturer: CHAMPION BY JOHNSON CONTROLS
Trade/Brand name: CHAMPION HEATING AND COOLING
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,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: MOMENTUM
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): 35000
EER Rating (Cooling): 13.25
SEER Rating (Cooling). 19.00
JEER Rating (Cooling):
Ratings followed by an asterlsk(*)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;
en al
tered into a computer database;or otherwise utilized,in any form or manner or by any means,except for the users individual, iWamm
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,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.
@201.4 Air-Conditioning, Heating, and Refrigeration Institute [CERTIFICATE NO.: 131562799766706697