HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BcE.COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4 24,l cL, Permit Number;
4
Building Permit Application
Planning and Gevelopmerit ServiCPS
Building bred Codc Regulation Division
2300 Virgil Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
I PROPOSED IMPROVEMENT LOCATION: I
Address: _
Legal Description:
Property Tax l D #: -G lel lei s . I - C) [> C7 `' "► 6 Ato.
Site Plan Narne; C j *-ll Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name - ice_
_
itiona wor to a orme Linder
HVAC Gas Tank
is perms - c ec
[]Gas Piping
a appy:
5hutters
Windows/Doors
U Electric lJ Plumbing
05prinklers
1:1 Generator
Roof
Total Sq. Ft of Construction: 4.
Fill in fee simple Title Holder on next page ( if different
Sq. Ft. of First Floor:
from the Owner listed above)
Cost of Construction: $ . __j4 q q Cp Utilities:
11 Sewer []Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name - ice_
Name: PATRICK FLETCHALL
Company: COOL & RELIABLE AIR COND
Address: 4 ai" 1 Cz2yri V I'il
Address; 1051 NE SANTA CRUZ DR
City: _�UX'- �• State: FL
Zip Code3LAaq `J Fax:
City: JENSEN BEACH State: FL
Phone No. LA 2.
Zip Code; 34957 Y Fax:
E -Mail:
Phone No. 772-692-5750
Fill in fee simple Title Holder on next page ( if different
E -Mail: r-cool(gbellsouth.net
from the Owner listed above)
State or County License: CAGO58567
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name; ---
Address:
Address:
City: State:
City, State:
Zip: Phone:
Zip: Phone:
BONDING COMPANY: c _Not Applicable
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Name: _-
_
Address:
Address:_ __-
City: �- -
City:
7ip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as Indirated
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
Association bylaws that may restrict such
which is In conflict with any applicable Home Owners rules, or and covenants or prohibit
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 nbn-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 recorded and posted on the jobsite
before the first Inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recorWng your Notice of Commencement.
' 2
atone of Conti o icense Holder
Sig ure of Owner/ ent/ Lessee
STATE OF FLORID /STATE
OF FLOR
COUNTY OF J` [__Z, l c e
COUNTY OF
The forgpjng instr rent was acknowled d before me
20 by
The forgoing instru ent was acknowledged before me
this of 20�by
thi,3ay of �,,
( ame of person acknowledging )
ame of person acknowledging)
n
(Signature of Notary Public- State of- lorida)
(e of Notary Public- State of Florida )
Signatur
Pu
Personally Knuwn f" OR Produced Identification
personally lfnnwn R Produced Identification
Type of Identification Produced_----
Type of Identification Produced
Commission No. (Seal)
Commission No. (Seal)
Rcvibed 070115/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
V[GETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
— -
REVIEW
DATE
--
RECEIVED
DATE
COMPLETED
Certificate of Product Ratin
AHRI Certifled Reference Number : 10579086 Date: 11-2155-20111 Model Status: Active
Old AHRI Reference Number :
Product ; Water -to -Air and Brine to -Air
Model Number : WSVCB04Rr-2
Manufacturer Name : FIRST CO.
Brand Name : HYDROTECH
Rated as follows in accordance with ANSI/AHRI/ASHARE/ISO Standard 13256-1 Watcr-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 (BtuhM/att)
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 (Rtuh/Watt)
Cooling Fluid Flow Hate (gpm)
Heating Capacity (dtuh)
Heating COP (watt/watt)
Heating Fluid Flow Rate (gpm)
indoor Blower Motor Fan Type : PSC
Sold In? : USA
Full Load Part Loadl
1350
47000
1360
12.00
56200
4.30
12.00
b2600
19.00
12.00
44200
3. l0
12.00
Part Load2 Part Load3
t"Active" Model Status arc those that an AHRI Certification Program Participant is currently prndtring AND sailing or offunng for sale: UH new models that are being
marketed but are not yet being produced "Production Stopped" Model Statue are those drat an AHRI Certification Program Participant is no longer producing BUT is still
selling or "'in"
for sale.
Ratirxta that era accompanied by WAS indicate an involuntary re -rete. The new published rating is shown along with the previous (i.e. WAS) rating.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate end makes uu representations, warranties or guarenlees as to, and assumes no responsibility for,
the product(&) listed on this Certitirats, AHRI expressly disclalms all liability for damagm% of any kind arlsing out of the use or performance at the product(&), ut the
unauthorized alteration of data listed on this Carttficate. Certified ratings are valid only for models and configurations listed in the
directory at www.ahridirectorv.org,
TERMS AND CONDITIONS "IMF
Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual. personal slid
confidential reference purposes. The contents of this Certificate may not, in whole or in part, he repruduced; copied; disseminated; rso no IR
entered Intu o computer database: or otherwise utilized. In any form or manner nr by any means, except for the user's Individual.
personal and rnntidential reference. AIR-CONUI HEATING.
& REFRIGERRATATIN9. ION INSTITUTE
CERTIFICATE VERIFICATION
The infarrnation for the model rited on this cartifiMto can he verified at www.ahrldireetormfg, dick on "verity Certificate-11nk we make life beuer"
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.
02018hr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1sler�a�2sos�eaa.�