HomeMy WebLinkAboutALSFELD AMTEK 041919All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date 4
�1 Permit Number:
,,� ;; � • . � _ cry
•
•
Building Permit Application
Planning and DeVelopment Services
Building and Code Regulation Dlvisrnn
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-iSS3 Fax: (777) 462-15719 Commercial
PERMIT APPLICATION FOR:
PROPOSED_ INPR�O]VM. . OCATIO.
Address: "1 I t.� 4?LY�� " •�i
Legal Description: `-1
Property Tax ID #: r 4,2 51 u,:;R r ep R
Site Plan Name:
PrnjPct Name' Au*jdT -
setback5 rront_ Back: Right Side:
Left Side:
Co UC1`1t�N INFORMATION:itioild wor to e pe or- r maunder this permit t app Y:
Y—MechaniLdl ` Gas Tank _ Gas Piping — Shutters
_ Flectric __ Plumbing
Total Sq. Ft of Construction: I C" �( '
Cost of construction: $`.
Ip 61T;�
Residential
Sprinklers _ Generator
Lot No.
Block No. (5
W indows/Doors
Roof
Sq. Ft. of First Floor:
utilities. Sewer _ Septir. Building Height.
CONTRACTOR:
t
Name:
Address, -
City; c state:
Zip Code: _ Fax:
Phone
F-Mail: �—
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
[.ompany: 1`tf 17
Address:'1 {��t1.>i"i%_i�'{1�49 • _
City `t� ia�`iStete:}�1
Zip Code:tf Fax:
Phone No.-7-7 -;2 - R-21 - ,-
F-Mail: o t,4
State or County License: lLOQ 54
CX�
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name: _ _- Name;
Address: Address:
City: _ state: _ City: State:
/Ip: Phune. Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip; Phone:
BONDING COMPANY. Not Applicable
Name: _
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to nbfain a permit to do the work and Installation ds indicated.
I certify thet r)t7 work or installation has commenced prior to the Issuance of a permit.
St. Lucre C❑unTyy makes no reprem olatinn that is granting a permit will authorize tha permit holder t{► build the subject s ref t►rp
which is in 4onflict with any applicable Hpme Owners Assoerarinn rulers, bylaws Or dri [o.01ants that may reylricl or pro Ibit such
structure. Pledse i.bnsult with your bottle uwner5 A55oclatton dnd review your deed or any restrictions which may apply.
In consideration of the granting of this requested permit, I d❑ 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 applirarrnna arp exempt from undergoing a full concurrency review. room additions,
accessory structures, swimming pools, fenrPs, walls, Signs, screen rooms and accessary 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 jobsite
before the first inspection. If you Intend to obtain financing, consult with lender or an attorney before
c_omm_ enring work or recording yogr Notice of Commencement.
Signature owner/ Agent/ Les see Signature Oi CO f)r/1 icense Holder
STATE OF FLORI _
COUNTY OF �
The f r Ing instru ent was acknowlodged efore me
this ii day of 20J by
ti f- 4,q- �D p4fi, t
(Name of pe.rsp2,$knuwledging )
(Signature of Notary Public- State of Florida
Personally Known , OR PrudULed Identification
Type of Identlficatiur
❑FRbRA11 RUS71"1?
t'� Nnrery fii�yet
Commission NY. F�,{�,
�y' y commis ton M
�, , y t MM. Explr�s N1
REVIEWS I FRONT ZONING
LUUNTER RCVILW
RECEIVED
DATE
COMPLETED_
eR v. TIZD1d
STATE OF FLORIDA
COUNTY OF __
The fO�q ulg instru ent was acknuwlcdged before me
this a— ay of 20C by
[Name of pec�o$r0owleclgingffl
(Signature of Notary Public- State of Florida )
Perwrially Knourn _- f7R Produced
Typr of Identification prod„tea
r;. Nntov public - state 9f Ftonad
279604
My rnmM. Expires Miaw In. LU72
„al kin —
Commission NY.
SUPERVIS
REVIEWUR I REV W I V RFVIFWIDN I s RED FWLE I MREVIEWVk
Certificate of Product Ratings
AHRI Cmitifitsd Referenca Number: 7492898 Dmitt 04-18-?019 Model Status. Active
Al IRI Type. SP-A
�enHR RninA A{: SPP
Outdoor Unit Brand Nkme TFMPSTAR
Outdoor Unit Model Numhar (Condenser or Single Package). PAJ442000K"OA
Region All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, 111, If), II IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
MT. NC. ND, NF, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, LIT, VA, VT, WA, WV, WI, WY, US
Territories)
Re01nn Norm Cenitwl wit cundiliunur5 manufactured prior to January 1. 2015 are eliglhle to he invitslled in all regiana
until June JU, 2016, Beginning July 1, 2016 oentral air oondltIonem can only he Installed in region(e) fur
which they meet the 1ejlrJrlal etTGleney requiramant
Thw mwnufacturcr of this TEMPSTAR product i5 rerpnnRlhle ter rim. rmlurtl nl Truk ayAtem combination
Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 with Addenda 'I and 2, Performance Rating of Unitary
Air C•4nditlnning n Air-tiniiimi Ht:wl Pump Equipment and subject to rating arrurxy by Al IRI-eponanrwi, indrpundenl, third patty testing:
Cooling Capacity (A2) - Singlc or High Stage (95F), btuh . 41000
SEER 14 1150
PER (A2) Single or High Stage (95F) : 11 50
t"Aatiyc" Mvdvl 81u1...;.n.. lhu that ikn AI IRI Cartification Program Participant is currently rMCIM-G AN() vellinp nr nffrrinp for rao:OR now modals; that are being
marketed but are not yet being prnamom-Prndirrrinn Arnpped" Model ftatlJB Are thavu Ltatt wit AHRI CuiLlf udimi pivylarli PArt141Valit rfi " Irn7rlrr producing 13UT is still
"Tln or otlenny Iw auk.
WAS indicate mri mvuluritar re•rate, It Ion with thA pravloug I e WA& rating,
DISCLAIMER
AHRI 0005 not ondnrse the pmdurt(m) Ilated un Udr Gertlflcete end makes nu represyntalivno, nor+tfntleu w AuArentAes as to, and amumea no rooponoibility tar.
the prndunl(n) luAnd un thw Cattitimute. AHRI axprauly dlaclalmt all Ilabllliv for d■rn■R•e nt any Lind xri%ing and of thn urn nt pnifnrntanre of the product(t), or the
unuutlivriziAl ultntatlan of data llafwd on thle Certificate. Certified rotino are valid only Tor Models and ennflguntlnna lintArl In the
directory at www.uhrldlrvntnry,nn;,
TERMS AND DiIDNS
This cnrflflrnte andng itn kJc contents are proprietary products of AHRI. This GeRmcate sn211 enly he used for Individual. perannal and
rnnfidentlal reference purpuseb. Trrc cunlenls ul Urn, Gvi ufiwty May font, in whole or In part, he reproduced; copied; disseminated; 01W an
-
entercd rntn n conq,ulnr dntnloW-; o+ ,thaiwlne utilized, In any forth or manner or by any meant. vxcvbt lot the user's individual,
pertnnal end ronfidentrel reference. MR -CONDITIONING, HEATING.,
CERTIFICATE VERIFICATION
w HrfHlHteitlttN INSTRl1TE
The information for the modal cited on thic ccttHirntr mn he, ve rlflad at www nhrldlrectnry.nrp, rJlck an -Vorlfy Cartlflcate' Ilhk 14 1tirto
and enter the AHRI GORIT100 RoyvancA Numhar and the data on which Div curl1111mW ns is usued,
wlriuh is listed above, and the Certificate No., which Is listed at bottom tight_
13".�.W 101355:2835762
02010Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: