HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. -
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Permit Number-,
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Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL x'4982
Phone: (772) 462-1553 Fax: (772) 462-1578
Res idem-,
Front il Back: Right Side: Left Side:
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Total Sq. Ft of Construction:
Cost of Construction: $ 00
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. Ft. f First Floor:
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Name P o
Address: ice W- mvl_
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city:
State:
Zip Code -,C1,
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Phone No. 05.
E -Mail:
Fill in fee simple Title Holder on nextpage if different
from the Owner listed above)
TRACTOR'
N a m e:
Company: 4-n
Address:
cityG State:
Zip Code.- F
Phone No. --7 --7
E -Mail:
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State or County License -1.
If value of construction is $2500 or more, a RECORDED Noticeof Commencement is required.
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 nf tha rmn+'tn .9 b`
1
0 5V L 3 requested permit, 1 do hereby agree that I will, in all respectserform
the work
in accordance with the , p
approved ►plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concu rrency. review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another nonresidential 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 he jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
Commen " Urkor reco '
pp" - rding-Va r Notice Of Commencement
I f-- % J ---
Signature of Owner/ Lessee/Agent Signature of-tontractor/Ucense Ho
STATE OF FLORID A]
COUNTYOF STATE OF FL
COUNTYOFORID
The forgoing instrument was acknowledged before me
this
L_ day of 20 Eby
(Name of person acknow-l"em—dging)
1^ 1-111\
(Signature of Notary Public. State o-f--F---1o`-rid-a
Personally Known. lv--�.. OR Produced Identification
Type of Identification Produced
The forgoing instrument was acknowledged before me
this day of
M-.�.
(Name of person acknowledging)
g
g ature of Notary Public- State of Florida
t '�--
Personally own , Po"r -OR Produced Identification
Type of Identification Produced -------
LINA"ARIE 80
Commission No, , 1,
9K—
UCHAR� I Commission No.
My COMMISSION #FF125526
ReviseLL407) 398-0153 NoridallotaryService.com
d 07/15/2014
INDA MA&*UCHARD
My COMMISSION #FF1 25,5526
".100144-1 - I --
1-107) 39870153 FloridallotaryServic,,,,%.com
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
AHRI Certified Reference Number: 8936362 Date : 05-09-2018 Model Status: Active
AHRI Type: RCU-A-CB
Series: GOLD 16
Outdoor Unit Brand Name: AMERICAN STANDARD
Outdoor Unit Model Number (Condenser or Single Package): 4A7A6049J 1
Indoor Unit Model Number (Evaporator and/or Air Handler): TEM6AOC48H41 +TDR+UF/HRZ
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.
The manufacturer of this AMERICAN STANDARD product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 48000
SEER: 17.00
EER (A2) - Single or High Stage (95F) : 14.00
(Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being
marketed but are not yet being produced. "Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Rat n s that acre acc�j�aqi by -0�,re-rate. The nepublished rating re igu§, i.
!at are acco :)ang.
WAS indicate an invol &,§hown alonwith the.
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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.-ovg.
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_. -,.;h rid iroetory,org, click on "Verify Cor tificate" link we make- fife- bc�tterTM
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.
@2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131703600062711748