HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO(MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 912812018 Permit Number:
RECEIVED
Building Permit Application SEP 2'R 7018
Planning and Development5ervices Perini
Building and code Reguiotion Division St Lucie county
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial � Residential X
1 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 6/� �`
Legal Description:
Property Tax ID#: 34-10-503-0363-000-4 Lot No.
Site Plan Name: Palm Grove S1D Block No.
Project Name: Tiiton
Setbacks Front Back: Right Side: Left Side:
Change Out 3.5-Ton 14 SEER Split System, Like-for-Like, with 7KW Heat Strip.
�' , .�' •etr.' t""'CR� e.
BM
tlond wor to a er orme un er its perms -c ec a appy:
HVAC Gas Tank ❑Gas Piping CGenerator
Shutters O Windows/Doors
Electric l J Plumbing Sprinklers El Roof Roof pitch
Total Sq.Ft of Construction: SFt,of First Floor:
Cost of Construction:$ 5,800.00 Utilities:n Sewer O Septic Building Height:
Name r ✓L '^ Name: 1\7 Sd"J
Address: & o '�_9r V-40419 LZ- �� Company: Promag Energy Group
City: �- a l_.'r P & 9Z- State:Fu Address: �� `�_ 6L •kms
Zip Code: 34982 Fax: -7 City: �VT Q ����-i State:FL
Phone No._� J Zip Code: 34947 Fax: 772-252-4831
E-Mail: Phone No. 772-467-3227
Fill in fee simple Title Holder on next page (if different E-Mail: gaylon.p@promagenergygroup.com
from the Owner listed above) State or County License: CMCA48033
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
RECEIVED 09/28/2018 12:34
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fill t; a NatApplict�bie ' ::Nt6 7� RGE:et)Mfi'�t1Yr; Nar;apalicabf$
Name; Name:
Addnassr.
Address.: ' .
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• Phone
FEE SIMPLE TITLE HOLDER. �Not Applieable BONIJIbI O COMPANY: j(Not AWicable
Name;. w Name:
Address: Address;
City: city
ZIP _Phone: Dhone"
OWNER/CONTRACTt3i1;AFFIDVlT:Application is h€rebu made to obtaina pkrmltto do.the wo#li and ipswilation as Indicated,
l'c@rtify that no Work or InitaMnion.has cornMenoetf prior to tho Issuanoe of.a petrift
st k cie Gaunt makigno repreies!'atlon that ls.grangng a permit lill autPicrize the _ rmlit hold to build the b ect.strr��Nre
=sinyr�tic is
oiitct xW err��yy ep}�11cAb e.Worne owners n ru es,by aws'er an¢CotreAaritt:t at rtaay rrstrt' t>SrohEfk.such
stnrcaJre..Pease ccnsuit with your Home Owners Assodatiue and rovieupyour flood forarfy!r"b%cttom vM&may apptv.
In Consideration of the gf'araing of thla requested permit,tdo hereby agree that I W1114 in all respects,.perform thavark
In at�rdattCewlth th+e.a rovct9 tars;th>il�orfr3a Buildin rad .
PP. P B psand Sb.klcfe.Goudty AniendmeitLK:
The?oHowing building permit appllcaWns gra exeRlpt frortl txtdareflEng;4 +JlI canfurreluy realew;'ro4ln edditlwts,
acomory structurt%,siaimming'pools,,fences;wails,signs screen,roams and.accesvrv,mseais:o awAhvrnorvresidential use
WARNING TO OWNER.,Yrtut failure to Reco vO a Nowt of Gnrnmen'cesM a t-stay reSsA1106.yodr p8Yf6 twiaefor
irnprovements to yourproperty.At Notice df Cnrnmtincemertt nrtust be recorded acrd Ousted on the jobsite
before the first Irt action. If you lntend:to otnaln financing,c u�Wlth..lender or ah attorney hefbm.
m in lKor'i�or oxordin8your Notice of.Commenceme
J" 1A lack .
Lira of Qwnerl tesgei/co.ntractor a$Agent frit Owher Wre of contracpr]Ucerrse Holder
STATE OF FLO A STATE OF fLORID
COUNTY aF� _ COMMOF 1�(
r
14e f �sg Ino me. fhe was cknowledggd before me . fq. 014810S ht wren ! rlawleda fare:rale
this day of �o l bar chis;; ,,day:4f
erne aj pt$ rrrak 1A I
ng statumfinC Narriyb7 aan tnykirig staiAmRrlt
P'2rsanally Known t3R Produced.Identificat Pemoaliy Known Q 08 Praduc.ed(derifMcation
Type of Identiflcada i. �N10 �T �'wo of Identiftaatlon
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REVlEyVS FRONT• ZONING suPt:13.mia PLANS Vi.g9T,ATION SEATURTI:E MANGROVE
SAUNTER REVIEW AEVIE*'' REVIEW.. REVIEW : . RiNIEW: 'REVK-W
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Rev.8/2/17 : .
RECEIVED 09/28/2018 12:45
Certificate of Product Ratings
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AHRI CartiflI6d Reference Number;201435280 Data:N-28-201S Model Status;Activa
Old AHRI Re'forenC6 Nurnoor 7 8954591
AHRI Type RCU-A-C6
Outdoor Unit Bra nd Name:RHF-r=M
Outdoor Un It
Model Number (Condenser or Single package):RA14428J 1
Indoor UrAt Modal Number(Evaporator andlur Air Handier);RH1T482ISTAN
Region: Southeast and North(AL,Aft,AC,DE,FL,GA,HI,KY,L.A.MD,Ms,NO,OK,SC,TN,TX,VA,AK,Co,CT,ID,IL,
IA,IN,K6,MA,ME,MI,MN,MO,MT,ND,NE,NH,NJ,NY,OH,OR,PA,RI,91!),UT,1/T,WA,VIN,WI,WY,U.S.
Territvriea)
Reglcn NOW: Central air canditicnen:manufaclurad prior to January 1,2015 are eligible to be Installed In all regtons
until June 30,201a.13891nning July 1,2010 central alr condfttoners can only be Installed In replon(s)Tor
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marketed but eta rot yet being pmducad.'Producdon 3topped"Abdel Staua are those that an AHRI er0catlon Program Padi0lpartti5 no longer prodttoing BUT k stal
qr�eylllno or o4feririgfor sale.
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.that a ya CC0rrp3nied Ay_YVA.S Indicate an Involuntary re-rate. Tew he noublls *a ,—i�f—ifl-W liltbl ariaSl_rnhm...
DISCLAIMER
AHRI"m not andorea the praduat(s)[lewd anAM*Certifreata and makes no reprssentations,warranties or guaranteem
s as tD,and assumes no responstaalwfor,
tha prvduat(p)iloted on this Certlftoate.AHRI nxprwaly plpolalms all I[ability Tor damages Dr any kind sang out of ttw rise or performance of the peoffuct(a),or ave
- -thortzad alteration of caw Maud tet this eerafloata.cgmr*d t lro are valid only for moft [b and configurations listed in the
direewryatW7 W-ehridimatorvorg.
T16RMS AND CONDITIONS
This Certlfleate'$nd Im contanua aro proptlstary products of AHRL This certificate shall only he used for Individual,personal and
cortfiderttial reference purposes.The contents of thts Cerdticste may not,In whole or In part,be retrrodueed;eoplod,dleesminatsd; IFEW
entered Into a computer database;or otherwise utiftzed,In any form or manner or by any Means,dmept for tha usa/s IndlvWgar,
ovtaonel and abnftdonklal reference. AIR-C9NDrt4QNtN(X N WWW,
CERM MCATE IIVERIFICATION &REFW 5RATI0W IN8l1tWK
The Inran»tattat for the model cited on this certNlcate can be verified at wtvw.0rldlt04UlrY.orgr click oh"Verify tibrNftonts"link we rnaka lira btlrer-
and enter the AHRI Qerdliad FW mn a Nurnbar and the date on which the certificate was Issued,
width is I lsted bove,and the Certificate No.,which Is listed at bottom right
®2018AIbZindltioning,Heating,acRefirigewation Instituto �t .7-
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