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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: C • Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1SS3 Fax: (772) 462-1578 Commercial Residential ., PERMIT APPLICATION FOR: ( q PROPOSED INPROVEMENT LOCATION: Address: _ Aot, -4j-- Legal Description: LM tAN5 'C 1 f L 1!✓ {� N t )'P, Property Tax ID 9: 14 "�.� � • a VA _ 0 1 0C�2 C' Lot No. Site Plan Name: L'— Id 1 U2 Block No.31 Project Name: 7— tom'\/ Js L_CCt7 Setbacks Front — Back: Right Side: _-__ Left Side: DETAILED DESCRIPTION OF WORK: c�34-.? � S Lam? CONSTRUCTION INFORMATIOW m _... ... ,. Additional wvr to be per orn ed- under this permit - c ec a tat appy: Mechanical Gas Tank _ Gas Piping _ Shutters , Windows/Doors Electric _ Plumbing — Sprinklers Total Sq. Ft of Construction: 15 R l _ Generator _ Roof Sq. Ft. of First Floor: Cost of ConstrUCtion 5 _7�)T79 U Utilities: —Sewer -Septic Buildinp Heipht- ___ OWNER/LESSEE: Address: q I-)pq 1"FTj-k '__LQ0 t S y1�C City: Z -' _ fal' . i e -I C --"T 5tatela., Zip Codec_ Fdx; Phone No. Los, 9-2a E -Mail: —� Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Y C'.O t C� 0_j21 -,tr'*1 L,, Company: 4L5#-'VT—Ca g Address: Zip code: i EQ Oto Fax:r Phone No. t E -Mail: AmYi�ae Corn State or County License if value of construction is 2500 or more, a RECORDED Notice of Commencement is required. 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Active AHRI Type : SP-A Seties . R410A AC SPP Outdoor Unit Brand Name: TEMPSTAR outdoor Unit Model Number (Condenser of Single PacltaUe) . PAJ442000K"OA 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, M5, MT, NC. ND, NE, NH. NJ, NM, NV, NY, 011. 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 condrtioners can only be installed in region(s) for which they meet the regional efficiency requirement. T he manufacturer of this TEMPSTAR 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 . 41000 SFFR 1450 EER (A2) - Single or High Stage (95F) : 11.50 1"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selfing 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 rating is shown alone with the previous (i.e. WAS) ratino. DI5cLAIMER AHRI docs not endorse the product(s) listed on this Cortificate and makes no representations. warranties or guarantees as to. and assumes no responsibility for. the product(s) listed on this Certificate. AHRI expressly drsclairns all liability for durna(es or urry kind anon)( out of the use or perlormence of the product(s), or the un■uthori2ed alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahildlrectoty.org. TERMS AND CONDITIONS This Cwac rtilirwtw find its contents are proprietary products of AHRI. This Certificate shall only be used fpr IhdlWdual, peKunel and confidential reference purposes. The contents of this Certificate may not. in whole or in part. be reproduced: copied: disseminated;�� ai 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. Alit-CONDITIONING. HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the modol cited on this certificate can be verified at www,ahridirectory.org, dick on "Verify Certificate" link we make life bolter"' and enter the AHRI Cwrtitied Reference Numher and the date oh which the certificate was issued. which is listed abuve, and the Certificate No., which Is listed at bottom right. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13183:5872126ffilOW