Loading...
HomeMy WebLinkAboutPermit application Carole SchuttALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: S , - J Bu111 ing 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 5S4F.QVLQ � 3gu2- Legal Description: rd;,SS - [t,;1 O (, - �lK SLlO.,9 PropertyTaxlD#: 3H0 D--000- Site Plan Name: Project Name: EO -V-0 10 S Lkl_k f - Setbacks Front Back: Right Side: Left Side: 4 Lot No. 27 4 2,8 Block No. LDETALED DESCRIPTIONOF WORK: Ac– 6 a " I e- 0 L'+ I-{ 1-6) 'A (S . S S g4_ia_ (O IAC w ►moo bL.-C_�-wOV4V. CONSTRUCTION INFORMATION: - ACLICIItip,nal work tobe Derformed n er t is permit - c ec a app y: I `'iHVAC 7�Gas Pi Gas Tank i _ _ Piping1:1 Shutters Q Windows/Doors Electric F-1PlumbingSprinklers li Generator rI Roof Roof pitch Total Sq. Ft of Construction:S Ft. of First Floor: Cost of Construction: $ UtilitiesInSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name F S L Name: Address: 0 L City: V� (� State: 2 Zip Code: 3 �1 9 � Fax: Phone No.112 - 3 l - 9 11A Company: ' e- Address: y� City: Zip Code: Phone No. State: P7Y Fax:1 1a,g 1 12- �f J O S E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) .r E -Mail: 41 State or County License: AL l l142 ... ul-uvi 1 1s ,?e_,vu yr more, a KtLUKutU ►voUce or commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAVs/ INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: i Address: Address: City: State: Zip: Phone City: State: Zip: Phone: i FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: RD° Go www.ahridirectory.grg Certificate of Product Ratinqs AHRI Certified Reference Number: 8458527 Date: 07-17-2018 Model Status : Active AHRI Type: RCU-A-CB Series: LX SERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TC4B4821 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE48CX21+TXV Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, 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. The manufacturer of this CHAMPION HEATING AND COOLING 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 : 47000 SEER: 15.75 EER (A2) - Single or High Stage (95F) : 12.75 t"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. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published ratina is shown alona with the orevious (i.e. WAS) ratina. 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, personaland 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, AM 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 we 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. 131763058393434513 ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: