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HomeMy WebLinkAboutBuilding Permit ApplicationAh APPEIM I1lMFVM0zi RE CUMPEETED POR HPPERM IOM i u 6! ACC1!P i ED Permit Iqumber: Nb J - Building Permit Application rlanniny and ztevelopmenr Services ouildiny and Code neguladon aivision X:Fw Viryinia Rvenue, rnR Tierce r= 3wzroz Phone: (772)462-1553 Fax: (772)462-1578 CVRIRICrdal PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: /(O 7, S OU-_4AJ �'� 1_�l -5,TLf legal Description: r- Lp of Z-_ ReaMential 1 viz Property lax 113;F: Sv Z `��� �� Z Cot No.cL�- e OF RIe AI "M ProjecL,ldame: _-_-� 0. ( rQL1 43r7 77 kW k) Se►backs Fronk—_ Back: night aide: Eeft 3ise: DETAILED DESCRIPTION OF vvORR: hG 0_V-AN 01,C/ — )Qd) TC77 CAe_P e(z- 5t A c) UJ\ t4 3 �< W &.o HVAC Ij Gas Tank Electric EJ Plumbing unaer knis permit - a E]Gas Piping Sprinklers Total Sy. Ft of Construction: Cost of Construction: $ � G -- - '6' an apply: Shu«ers Q vvindows/Doors Generator Roof Roor pilcll S Ft. of First Floor: Dtilities:0 zoewer ELpVc 6ahaing Reirht: OW E55EE: CONTRACTOR: Dame r Name: t A.J[� G+r Company: Address: Q 7-_)S V C9 i) l;;, G% City: a.QaEaiate:V L_ Aaaress: LipLoae:,X+Aq'�" I ray: Phone No. - e7w V l City: SLaLe:T`E_— zip CodeD _ Fax: E -Mail: c -i' -p -S Fill in fee simple i ide riolner on next page ( Ir ainerent Phone ivo. _ "i +✓ �- E -Mail: �foL Ce..('25 . Cz5VV&- from tRe owner listv8 oDv.eJ State or County License: L - L0 V C1 I S3 _ IT :;Aaa or awRI UCTivli i, :�zwu or more, a 1ALLUKDED Notice or COmmenCement is required. 5uPPCERIEM IAC uulQ5l RuCi ling CIEIa LAW INFORMATION: DESIGNER/ENGINEER: _ Nut Applicable MORTGAGE COMPANY: _ Not Applicable I'vame: Name: Address: Address: City: State: City: State: Jp: Pmond Zip: Ph e: FEE SIMPLE TITLE LDER: _ N ppiicable I VINVIl9u COMPHAY: Not Applicable Name: Rprnc: Address: -9aaress; City: City: IL- ip: PRonc: Zip: Ph OWNER/ CONTRACTOR AFFIDVIT: r4pplication is Reredy mage to odtain a perRlir to ao Or -orlZ —a inA.A.tion as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. 3t. Lucie County mages no representation teat is granting a permit will autnori.c tRe—crrnit Relaer to 6aila tha suBject structure wRieFi is iF. conflict with any a plicable Home Owners Association rules, bylaws or andreovenants tRat may restrict or proRieit seen structure. Please consult -it ,oar manic 0-riur.. A3,oei.,tiori Ana .c7 -ie.: year dced for any restrictions which may apply. In consideration or tRe granting or tMIs requested permit, I do Rered, agr�a tR,.t I will, in .,II re,pect,, pJIurm the work in accordant. -0 TRC appro:e8 plan,, tRc rloriaa Boilairi6 Coac, and St. Lucie County Amendments. Ifie Tollo-in6 oeilain6 permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, rences, walls, signs, scpcen roornz grid acct„om y arc, to a otfiier non-residential use ❑vmRNjNGG Iii vvvNER: Your Tallure to Recortl a Rotiee of Commencement may result in your paying twice for impruvEments to your property. A Notice Of Commencement must be recorded ano postett on tRe;obsite Before tRe first inspection. If you intend to obtain financinr,, zonsult with lender or an attorney before Commencing work or recording your ICotice of Commencement. Signature of Own'F7 Lessee/Contractor as Agent for Owner aignature oT Con(ratio r/rieen,c Rolaer STATE OF FLORIDA COUNTY OFiN{P.tn. . The�o{� ding instrument was acknowledg d before me this ! day of C -ti. 20ff by Name of ersan making statement Personally Known OR Produced Identification Type gf Identification 11 (Signature of Notary Public- State of Florida } Commission No )7q "_'a�zutlsera t,V c E REVIEWS FRONT ZO I G COUNTER REVIEW UAIL RECEIVED DATE COMPLETED Rev. s/c/ii E OF r COUNTY OF 0= i Re r inti :..zt�OLVI_ crit -..3 _ckno:,,Itabcd before me this day of lq.rmc or per;4n m.Rii-.g statement Personally Known UR Propuced IacriTiiic..tio.. Typ(g Cf Identifica ion (” ature or Motary Pudlic- xate or Floria. ) OrAM H. DAs ITARYPUBLICComFRi,_-fen 100 ATF OF FLORIDA JPERVISOR j PLANS j VEGETATION I SEA 1 REVIEW I REVIEW I REVIEW REVIEW tt,11v19Rt.': n. DABI; NOTARY PUBUOU STAT Ir OF MUM REVIEW Est, 5turt Dute c7 InstatiaT 6m, vvw-s lL -uVei FsL. Complcii.,n Dam� • (., i z) 515 1-3 r uv Corporate Customer _ 2800 US High --y 1, Va.- Bo -ch, FL 32960 Relulien.. Residential Senirw 0 Flo d Inc Lite.:. # CMC 1249753, CAC045fS 1;FCi�,7-2w (066) 803.0879 H6........_.. ,.,� 6M6S. taazae� V ziIZE _TYPE ZA-E=�C EFFICIENCY ZfLe $ 5 SUBTOTAL $ MONTHLY EST.' S CUSTOMER IMITIALS Warranty: gf4-_7 P -,e _4 Labwr A_Cemp room- _Heat Exchanger 5icr Z TYPE EFFICIENCY z SIZE -_ t 1lPE EFFICIENCY 5_ 3 ; 30BTOTAL $!? ! y—SUBIL' 5 MONTFILY ST." $ Mi1i4THLY arm' $ CU5 ER I{�RIALS v'u5 ER INRIACS W rrty::;2zc Parts L Labor I Wayr, Parte _ l Labor Compre.sor 49_H..t r5ch,., 9.. 1.,, uomprasso:112Heat Exchanger Refrigeranii recovered a; -.a d;ap_ccd of as req=ir_d Ey law. Complete clean up inclu..ing eau Pf flo.r ao era to pre`eet your hese e.,d removal of existing egcipmcnt. All work .empleted is 8.nm in accordance with existing codes and permits, - regai,-aa. - SELECTED OPTION: ❑ 1 ❑ 2 ❑ Weatherproof 1417.nmoct to Existing © Elmetronic Air ueaner_ SUBTOTAL 5 D: -connect Elo=6a1 ❑ Media R tut _ V Liferinro Eqaip ent Slob ❑ Mew Plywood Deck ❑ PCO 215ound Isolation Pads ❑Rcc-irmout 0. _im Lre. ❑ UV Lgh, ,kff Liquid Tito Uumd.it u Ceiling Saver Kir ❑ Hu "Idificr _. [3 Start Kit 'lean & Float) u Dehumidifier O R.frig.rant LL Dryer_ ❑ Mw:. Dal" Safety 5-tch G Outdoor Un t Pad ❑ Refrigerant Pipc Jneal New Cunnccrron. CO FIs. Venting ❑ New ❑ Racomiv.t 0 Support Attic Equipment ❑ Dcetwerk Cann -limns G Rmfrigerant Pipe vover psapply Plcrem ❑ Fen. Piping ❑ E iponaien V,.Ive ❑ New ;&Rccon„ect is Eleciin�l Winng t� Rctarn PlanumHome mTslat-Type��.,�/ ;/ Service Plan - UU 0No- bR=e.nnect 1 Term (364 days) Guarantee jff Home Protecti-: tae..r..ntwo So., iou Geamentoo X1 DO% Unconditional Money-B.Ek taus on:ec 5 TOTAL $ G i -,-ASH G CHEvK# ._-__ ❑ CREDIT CARD (LAST 4#7) EXP APPRIIAL ❑ FINANCING' o •Poymcri. options . _'tabl. with —proved credit • Written . om.,mcr .whorization -t11 be bloned before IRMinning any unroreman aaclkionai or cxtcnded irk. • ANY vLAIMS FOR CONSTRUCTION DEFEUiS ARE SUBJECT Iw THE MOTILE AND CURE PROVISIONS OF CHAPTER 558, rLORIDA STA, u, cS. - BUYER'S RIGHT TO CANCEL: Thia is .. home solicitation sale, and it you do not want tho goods or.- tvices, ywa n+ay cancel thic-sreement oy providing wrliaen notice to the, sellwr I . parson, by telegram, or by mail. This nvitice most indEeat. th-t you do. -.at .ant the goods or services ano mon be d.Ilvored or pe.-tnrerked before midnight of the third bo3Ir.o= day after you Agn thl....gn:arnent. if you cancel this agreemen., the ,allo. may net keep all or part of any cash down paymon= See tha rereroo aide hotbof fmF an explanation of this right - I ac.mmlcdge .hot ,,.y right to a.ne.l has been exp.ained to me orally iznd in .riang, a. -.d .itheel :owing my right to cancel, I authorize ilio performance or rhe vv ark, rbjact to ..11 tom=s end condll ons set forth on the reverse side hereof, pias .any t=ee open =omplet on. Notice To Owner - De net sign this home improvement con..ac¢ I.-. bl-.k. Y e ..re entitled to o mop, of the contract at the time you aigm Keep it !o preiecr r -or legalricht=. This home mprovement contra..! may coniain a rnortg.,ge a orwi�a create a ten on your prope.Ty that could So forecl.,aed on if you do net p_;. Bm sure you understand al provisions = you cusTomen.,9w.eaa once .S„—MEN SIGNATURE A^ e AHru CWlWW Rel9renoW Nutfttaef T4sl[Psoi Bale � 01-10-2418 MI E status -Acom Old AHRI Renerenoe lCumMr : ARM t,,...: SP -A Series . vowear unit Brand N—e : CARITIER Clemoor unR MOM IQumber (wndenser or Single I ITRej . 50m -0O24 -au - Indoor UnR BranR l9ame : IRM Unit Model Num1%lr (Errapurator anwor Air llaliolerl Furnace Mud =w NumIW : Royton : All (AK, AL, AR, AZ, CA, CO, CT, DC, uE, t -L, tart, RI, ID, 117- K 119, RS, its, M FIX IID, mE.1911, MN. Mv, RIS, MT, Nu. RD, NE, NH, rue, NRI, NV, NY, OH. OK. OR, PA, RI, SC, 50, TN, TX, UT, VA, VT, WA, WV. WI, WY, U.S. Territory) Region Note : Central olr Mg!:tioners manal9eluMU prMr to uanuary 1, zuiS are eligMe lobe Installed In all regions unill June 3U, c016. Boyimi.:y Jul, 1, 2016 central al. 550FI urs cam ixlt y Vee insiatted In ,;.yrarf(:;) for wnicn May meet me—gl5mol amclan.., requlR'MnL -[he mamaffiMmv o—T mks CMM[t:R PIWM 3 responsible TOF fie rating of tit$ system duan. Rated as follows in accordarme with th. latest edifton of ANSRAHRI 210MM with Addenda 7 and 2, Parr ons Reefing o -f Units.,, Ai. Condflioniny a Fur-samee MWI. Pump Is;Orpment anu sinew to rating accuraq by miRkponsoM, Iftdepandena third 1,aR4 testing: Coollm, Capadty (A2) - Single or High Stage (yar), INIM : 22440 St:ER :14.00 tett (Az) - single or nigh Stage (u*F) :11.5u IEER : I Aethne' Model Statile amuu,w. that an AHRI cmu,.ca.on —W-1 PNOpani a uw.-c.r MMM -19 =.—.N w orrmrng riff sane. CR new mmuni I= ore Ening marketed but ,.re nal yet being ro 'Production Stopped- Model Status — those that m. AHRI Certification ProgiamP r o� is mi longer producing BUT is :kill Mor offering for sale. DISCLAIMER AHRI does not endorse the proawgsl listed on this CertL,..te and makes no representafl-ii, warranties or goaranUM w to, 0— .swmas no respa,ultllfr:, ror, the prodoct(a) listed as this Certificate. AHRI apressly dlsi;14 .,, ,.ti liability for damages .f -.rry kind arising out of the ma ..- performance of th. prodnw=). er the u..ruthadzed alterall■n of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the dRill!" et w.n.ahriwnrvc-tory-F& TERMS AND CONDITIONS ..__ Cleraff m ..,u IM Bon=n -z.,. propnemry produce; of AHIRL _m ficam shall only ee aaao fo: I.,-Nidnal, personal and ee:fidential rete. _nw purposes. The contents of this Certificate miry not, In -hal. w In pert, be �prodaced; cppred; disseZ.-ted; entered into a comptor o.wbase; or otherwise utilized, In any form or manner or Cy any means, except for the users indRiduaL low rI personal and—nfidoW.1 -ferenec AIR-CONDITIONING, HEATING, CERTIFICW.ETERIMu -,vR-KEFWIUM'M'i vJISTRQTff The Inform tkin for the model cited wn this wrtlfieate sen be --rifled at.. �.ahrldlreoterj..7g, dick en'tferlf, C■rtHt■at■' link -e -..Ice life boner` and enter the AHRI Certified Reference Number and the date on which the certificate was Issued. wnl-. N iisra..111W. -nd the aeraarma; No., which Is listed .. EetfDM npre 02018A1r-Conaltloning, Heating, pia Hutrigamuon l..etlt9W , CERTIFICATE NO.: -P— I*p nv'—MY 4 -d -J 4mmJ —1 mm's =10t 1h+t&7 - . . 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