HomeMy WebLinkAboutDavidsonpermitappAIIAPPLIC FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit APPlication
Planning and Devglopment Services
Building and Code'Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (7721 462-1578 Commercial Residential X
Addressi
Property Tax lD *:\. CI}b- D Lot No.
Site Plan Name:Block No.
Project Name:
Additional work to be performed under this permit - check all that apply:
_Mechanical
Electric
_ Gas Tank
_ Plumbing
_ Gas Piping
_ Sprinklers
_ Shutters
Generator -
Windows/Doors
Roof Pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction: S -U Utilities:
-
Sewer
-
Septic Building Height:
lf value of construction is 9Z5OO or more, a RECORDED Notice of Commencement is required.
lf value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
a.{6 i^ ^ work and installation as indicated.
OWruf V CONTRACTOR AFFIDVIT: Application is herebv made to obtain a permit to do the'
i certify that no work or installation has commenced prior to the issuance of a permit'
St. Lucie countv makes no representation thalis granting a permit will a,uthorize the permit holder to build the subiect structure
which is in conftict with ahv a'ppticabte Hoae owfrb?!''Ar3"t[ii6ii'i,ii;;, 6ti;";;;i;;d;;t;;;;;G th;t miv-reitrict cir prohibit such
structure. prease consurt"i,'itfr",i"r"iil;.iGUi,;"['hr"r#irit-,,?ffili;eii6;'y;,il; J6ed ior anv restrictions which mav applv'
ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the rp;;;;;Jp16;;, thl rtoridi Building Codes and St' Lucie Countv Amendments'
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: your failure to Record a Notice of commencement may result i1 vou1nlvl1g twic^e,for
imorovements to vouipioperty. A Notice of Commencement must be recolded and posted on the jobsite
il6'." ih;liisll"dpection.'tf yciu intend to obtain financing, consult with lender or an attorney betore
iommencing work'or recording your Notice of Comme[ce
Personally Known
tractor/License Holder
DA
II,: Hf,?instrH$r
was acknowrede*tberore me
Name of person making statement.
STATE
Name of person making statement.
Personally Known OR Produced ldentificationIHi,i.l'M
(Signature of Notary Public-
/ Lessee/Contractor as Agent for Owner
of Florida-Notar
ission # GG 27
Commission E
ATHERIN
:Ei-".I'*,:ii;ttij
Commission g
ovember 01, 2
ture of Notary Public-
VEGETATION
REVIEW
ff ffirm#wm& ffim&Ere
Date:02-05-2019 Model Status : Active
AHRI Certified Reference Number: 7626350
AHRI TyPe: RCU-A-CB
Series : MERIT 14ACX SERIES
Outdoor Unit Brand Name : LENNOX
OutdoorUnitModelNumber(CondenserorSinglePackage):14ACXS036-230A-.
lndoorUnitModelNumber(Evaporatorand/orAirHandler):CBX25UHV-036-230i
Region : Southeast and North (AL, AR, DC, DE' FL' GA' Hl'
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH,
Territories)
KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID' IL,
NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U,S.
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 conditioners can only be installed in region(s) for
which they meet the regional efficiency requirement'
me manutaciuier or t ptttrrOX proUlpt,elasnonsib,le fqt, thqr rating.of:thj,.s.$v$19m,9,!11fb'inati,!!1
Cooling,eiiiacity (A2),-Single or High Stage (95F), btuh : 34400' -!:: ::r: -']:.:,:r'
EER (A2)-$ins.t9 fioh;,gtaoe!sT:)=,50.,.i..1.1111i,,,, .,
,.
t,'Active" Model Status are those that an AHRI Certiflcation Program Participant is currently producing AND selling 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
sellino or offerino for sale.6liii,ii--ie:ii:i,i'-^-i^-,i'^:i^i-a h,, \Arae ihdi^.+a rh ihw^h'nfrn/ ra-rala Tha naw nrhtieha.i ralind is shown alono wilh the nrevious (i-e- WAS) ratino-
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 Certiflcate. AHRI expressly disclaims all liability for damage3 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
dlrectory al www.ehridlr€ctory,arg,
TERMS AND CONDITIONS
This Certlfleate and its contents are proprletary products of AHRI. Thls Certifieate shall only be used for individual, personal and
confldential 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 lhe user's individual,
personal and confidential reference.
CERTIFICATE VERIFICATION
The informetion for the model cited on this certificate can be verified at ulrrr.ahrldlrector),.org, click on "Vetify Sertificate" link
and enter the AHRI certifi€d Reference Number and the date on which the Gertificate was issued,
A'E"COr{Dt$Oi$NG, HEATiNG"
& EETRIOTRAfi EH Ii{STITUTE
ee rn*ke liie bettr**
which is listed above, and the Certificate No,, which is listed at bottom right,
@201 9Air-Conditionin$, Heating, and Refrigeration lnstitute 1 31938JS9207i5529&.',.i'r':::: :,
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