HomeMy WebLinkAboutHegeduspermitALL APPTIGABLE.INFO MUST BE
,r,",\b[Z\ \b Permit Number:
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
230A Virginio Avenue, Fort Pierce FL i4982
Phone: (7721 462-1553 Fax: (7721 462-1578 Commercial Residential Y
Address:
ffiL
Site Plan Name:Block No.
Project Name:
Setbacks Front_ Back: _ Right Side: Left Side:
\'Y-e ftiv \jl,e
OD
permrt -
AC Gas Tank
Plumbing
f]o., Piping Shutters
Generator
[-l *,noo*s/Doors
E Electric n [_lsprint<ters I l-lnoot E Roorpitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
utilities: I-l r"rr"r. E t"*Cost of Constructiont $\l)Building Height:
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Zip Code: 1.1Y3 I fax:
Phone N
Fill in fee simple Title Holder on next pa8e ( if different
from the Owner listed above)
Zip Code: .!tL (Ul- Fax:
e-rvrairUl0ilfie r 14@ qfn1,l.
State or County license:
MORTGAGE COMPANY:GtruErR: _ Not Applicable
BONDING COMPANY:_Not ApplicableFEE S!MPLE TITLE HOLDER:
Name:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated'
I certify that no work or installation has commenced prior to the issuance of a permit'
st. Lucie countv makes no representption that is q!?l,i!g"1Bt.i$'iy,ll:$i:"J133,I:fif:lTJLl8lgell?,?.:+:,::!f,t"ltiFi,t iHii,ilil?r,HLl'.t.fJ:r:::lJ':Ht,lf [,Y,eVJ';lHS,r*tsfi,P#lAssociation and revii:w'your deed ror any restricUo'riiilriiir''iiriv idprv. -
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the .pprov6d plans, the Floridi Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
s
Name of persgn making statement
Personally Known X On Produced ldentification
Type of ldentification
orida )
Erpires: OCf 28,2018
BONDED THRU
1ST FLORIDA NOTARY IJT
STATE OF
' Name of person making statement
Personally Known #* On Produced ldentification
Type of ldentification
(Signature of Notary Public-
f i CFroEi+siou # FF 17 237 2
f--'fu*lfrs: 0gI28,2018
DATE
COMPLETED
Rev.8l2lt7
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Product : Water'to'Air and Brine-to-Air
Model Number : CFX036
Manufacturer Name : COLDFLO INC'
Brand Name : DUAL AIR
Rated as foilows in accordance with ANSUAHRUASHARE/|So standard 13256-1 water-toAir and Brine-To'Air Heat Pumps and subject to
verification of rating """ui""v LJnHRI-sponsored' independent third party testing:
AHRI Gertified Reference Number :4547267
Old AHRI Reference Number :
Air Flow Rate - Cooling:
Air Flow Rate - Heating:
WLHP (Water-LooP Heat PumPs)
Cooling CapacitY (Btuh)
Cooling EER Rating (Btuh/watt)
Cooling Fluid Flow Rate (gPm)
Heating Capacity (Btuh)
Heatin! cop-{w.altAaatt}:,:t,, r'n,:l:,:,.l:::,,i
Heating Fluid Flow Rate (gPm)
GWHP (Ground Wateiieat PumPs)
Cooling EER Rating (BtuhArVatt)
Heating Capacity latun;
Heating COP (watUwatt)
neatini Fluid itow Rate (gpm)
GLHP (Ground -Loop Heat Pumps)
Cooling Capacity (Btuh)
Cooling EER Rating (BtuhMatt) l
Cooling Fluid Flow Rate (gpm)
Heating Capacity (Btuh)
Heating COP (watVwatt)
Heating Fluid Flow Rate (gpm)
lndoor Blower Motor Fan TyPe : ECM
Sold ln? : USA
ffirm#asffi& ffim&&re
Date : 10-19-2018
Part Load{Part Load2 Part Load3Full Load
'1200
1200
'
1:.1 ti':r.i
36500=
36000
16.00
9.00
40000
:,:., . 4-80=ii
:.i.],,'9-0$ ti'
L, 40000
: 23.50
11:l;:r; $,$Q -
"ttt'alooo
,, ..4;2Q ,
r,l ,,,*Ofi,,,,,
:t,t:i ' j''=r::::
,,,iri.,
17i00=i
9.00 i!i=
26000 ,',
3.60
9.00
t,'Active', Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for.sal6; 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 siill
or offerinq for sale.
DISGLAIMER
AHRI does not enclorse the product(s) listed on this Certificate and makes no representations, warranties or lluarantees 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 ol the use or performance of the product(s), or the
unauthorized alteration of data listed on this Certificate. Certifted ratings are valid only for models and configurations listed in the
dlrectory at www.ahrldirectoty.org.
TERMS At{D CONDITIOI{S
This Certificate and its contents are proprietary products of AHRI. Thls Certificate shall only be used for individual, personal and
confidential reference puryoses, The contents of this Certificate may not, in whole or in part, be reproduced; copied; dissemlnated;
entered into a computar database; or othcrwise utilized, in any form or manner or by any means, excePt for the user's individual'
personal and confldential referen6e,
CERTIFICATE UERI FICATION
The information for the model cited on this certificate can be vcrified at ww$'ahrldir$cl0ry'srg' click 0n "verify ssrtl'loale" link
and enter the AHRI certificd ReferencG Number and the date on which the certificate was issued,
which is listed aboYe, and the Certificate No', which i5 listed at bottom right.
@201 SAir-Conditioning, Heating, and Refrigeration lnstitute ,,i:irivltiiiii;;=iI
alE-couDtrtor{ail€, HEAllN6,
& REFRlGf AANON If,ISIITUT-
rqr: sreke iii! better*
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