HomeMy WebLinkAboutTropicalIslesPermitAppAll APPLICA13E INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: J Permit Number:
COUNTY
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID #: 3W3 --
Site Plan Name: '/'
h
Project Name:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
97- r ciza
._1,a0- }
Additional work to be performed under this permit— check all that apply:
mechanical _ Gas Tank , Gas Piping Shutters
Electric _ Plumbing Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic
OWNER/LESSEE:
Name I0 W
i(.
S [' -
Address:
,,,� y% '
City:
C
State:
Zip Code:
vooZ
Fax: )[U )�- '
Phone No.
r
E -Mail:
N{ //-}
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:
Company: I
Address: b o/ t
City:
Zip Code:
Phone Nolo'�n-?kk'
E-Mail �
State or County Lice
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Lot No.—
J7
o._J7 Block No.
L/ S
Windows/boors
Roof Pitch
Building Height:
1=axo?�7,AlA -`5�%el
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:
Name: Name: Not Applicable
Address: Address:
City: State: City:
Zip: Phone Zip: Phone: State:
FEE SIMPLE TITLE HOLDER; Not Applicable BONDING COMPANY;
Name: Name: Not Applicable
Address: Address:
City:
Zip: Phone: City:
ZIP: Phone:
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 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 appfy.
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 RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA j STATE OF FLORIDA
COUNTY OF b COUNTY OF_ �
The forgoing instrument was acknowledged before me The for omg instrument was acknowledged before me
this i.� day of -c tjrA 20 by this day of 20A by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifica 'on Type of Identificat on
Produced Produced
(signature of tart' P tate of Florida) (Signature of Not y Pu - to
Commission No.G)C) J(.p3--W1 (Seal) Commission No.6RG, U3,:P3 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
ev.
JENNIFER E, CAGAS
Notary Public, State of Florida
•+:"�.�i CERTIFIED°
www.ahridirectnry.org
Certificate of Product
Ratings
AHRI Certified Reference Number: 8458537 Date : 02-26-2019
AHRI Type: RCU-A-CB
Series: LX SERIES
Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING
Outdoor Unit Model Number (Condenser or Single Package) : TC4B4821
Indoor Unit Model Number (Evaporator and/or Air Handler) : AP48CX21+TXV
Model Status: Active
Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL,
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, vVi, 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 conditioners can only be installed in region(s) for
which they meet the regional efficiency requirement.
The manufacturer of this CHAMPION HEATING AND COOLING product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSIIAHRI 216/240 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 : 48000
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.75
t"Active" Model Status are those that an AHRI Certification 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
selling or offering for sale.
Ratings that are accompanied by WAS indicate an involuntary re -rate The new published ratina is shown along with the previous Si.e. WAS) ratina.
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 not,
in whole
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. Ar%E OWN
CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING,
REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.abridifectory.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, we make life better'
which is listed above, and the Certificate No., which is listed at bottom right.
@2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO 131956729187406910