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HomeMy WebLinkAboutbuilding PermitALL APPL C BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 'ti �Z� Permit umber: _ §II W501* 119 1 pt Building 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 arro at the end of line PROPOSED IMPROVEMENT LOCATION zr, *{ Address: i0 �) Cvlu Legal Description: X Property Tax ID #: �� 2� �V�j �-- - L Lot No. Site Plan Name: Block No. Name: Project Name: City: T !CC -t'- State: _ Zip Code: Fax: jj ��, q Phone NO. " Z ' i(- Setbacks Front Back: Right Side: Left Side: City:' x � i �- Zi P Code: � 'G. Phone No. Fax1 1Z"���i3 DETAILED DESCRIPTION OF WORK E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: lL_ State or Coun y License: ILN _-A 1�t V'_Y `I "CXD� .: COIVSTRUCTiON"`INFORMAT[ON ;°= .__. ­ Additionalwork to be clertormed uncTerthis permit- c ec a app y: Q ®HVAC Gas Tank ]Gas Piping _Shutter Windows/Doors 11 Electric ❑ Plumbing Sprinklers ElGenera or E]Roof Roof pitch Total Sq. Ft of Construction: G S. Ft. of First Floor: �\ Cost of Construction: $J Utilities: _ Sewer _Septic Building Height: OWNER/LESSEE:CONTRACTOR: _' Name GLC 0 M Address: Name: Company: City: T !CC -t'- State: _ Zip Code: Fax: jj ��, q Phone NO. " Z ' i(- AddKs City:' x � i �- Zi P Code: � 'G. Phone No. Fax1 1Z"���i3 State: E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: lL_ State or Coun y License: ILN _-A It value of construction Is )z5Uu or more, a KtLUKUtU IYDUCe UI WI I] H Mn l.en III n LIZ Ic4u - SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Address: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a per itto 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 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 of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida 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 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 ecorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult wi In lender or an attorney before rnmmanrina %ninrk nr rornrrlina vniir Nntira of CnmmPnrement. Signature of Own r/ essee/Contractor as Agent for Owner Signature of o actor/License Holder STATE OF FLORI AC" STATE OF FLO 1IDA COUNTY OFA C,;-) COUNTY OF The forgoing instrument was acknowledged before me The for oing Inst ument was acknowledged before me day eez_ 20 ic; by this day of �`�'2 20 iF) by this of IV c rc�ll� ' c; c (C(f7) Name of pers n making statement Name o person making statement Identification Personally Known OR Produced Identification Personally Known OR Produced Type of Identification Type of Identification Produced Produced (Signature of Notary Public- St} .Flor , 6tjherine Konger (Signa ure of Notary Public- State q# Florida ) Catherine Commission No �2 "E � bn#FF172372 Rs: OCT 28, 2018 titer► Konger Commission No. 1�'� ,bion#FF172372 BONDED �y a�=Expires: OCT 28, 2018 �`�,;F'"' THRU 1ST FLORIDA NOTARx LLC ,OF c3�' BONDED THRU nu„ IST FLORIDA NOTARX LLC REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 AHRI Certified Reference Number: 3383109 Date : 11-12-2018 Old AHRI Reference Number : Model Status: Discontinued Product : Water -to -Air and Brine -to -Air Model Number : TCH/V036AG Manufacturer Name : CLIMATE MASTER, INC. Brand Name : TRANQUILITY 16 Rated as follows in accordance with ANSI/AHRI/ASHARE/ISO Standard 13256-1 Water-toAir and Brine -To -Air Heat Pumps and subject to verification of rating accuracy by AHRI-sponsored, independent third party testing: 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) Heating Cop (watt/watt) Heating Fluid Flow Rate (gpm) GWHP (Ground Water -Heat Pumps) Cooling Capacity (Btuh) Cooling EER Rating (Btuh/Watt) Cooling Fluid Flow Rate (gpm) Heating Capacity (Btuh) Heating COP (watt/watt) Heating Fluid Flow Rate (gpm) GLHP (Ground -Loop Heat Pumps) Cooling Capacity (Btuh) Cooling EER Rating (Btuh/Watt) Cooling Fluid Flow Rate (gpm) Heating Capacity (Btuh) Heating COP (watt/watt) Heating Fluid Flow Rate (gpm) Indoor Blower Motor Fan Type Sold In? : USA Full Load Part Loadi Part Load2 Part Load3 1150 1150 34500 13.50 9.50 45200 4.40 9.50 38700 20.70 9.50 37500 4.00 9.50 35300 14.90 9.50 29600 3.30 9.50 tModels with "Discontinued" Model Status are those that an AHRI Certification Program Participant no longer AND is no longer selling or offering for sale. 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. 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.ahridirectory.org, click on "Verify Certificate" link r:e make life tetter'" 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. - 131865171044341634 ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: