Loading...
HomeMy WebLinkAboutVICKERY AMTEK SLC 042219All APPLIC,,A/IB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �'f Permit Number:m �COUNTY Building Permit Application Planning and Development Services Building and Code RPguluri❑n Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax, (772) 462-1578 Commercial R@Sidential PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: 1..� L4 . - .'ea_ a'�`. Property Tax ID #: 4 ` Cc L- Lot No. Site Plan Name: _ Block No. Project Name: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: 1 Additional work to be performed under this permit -check all that apply: Mechanlcal _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ OWNER/LESSEE: Name�- Address: ti { Glty.� —7 -.I • T Zip Code: r' Fax; Phone No(),_ /d E Mail: 5q. Ft. of First Floor: Utilities Fill In fee simple Title Holder on next page (if different from the Owner listed above) Sewer __._ Septic Building Height: CONTRACTOR: Name: 6" r Company: - u Address; S r1 �� 1z i -ley-L�eu* 1'e 9P tl C lip Code: FaJ�-I Phone N "1-3'=-j 9t State or County License If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. (^Zk- If value of HVAC is $7,600 or more, a RECORDED Notice of Commencement i$ required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: Address: City; _ -. State: Zip; Phone: FEE SIMPLF TITLE HOLDER: _ NOT Appllrable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Address: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain.; permit to do the work and installation as indicated. I certlty that no work or Installation has commented prior to tha IcsUance of a permit. St. Lucie County makes no representation that Is granting a permit will authnrize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covellants that may re trim 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. wile county Amendments. The fulluwing building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen ruums 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 rYrust 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 recording your Notice of Commencement. Signatur of Owner/ Agent/ Lessee COUNTY OF DA STATE OF FL It The for oi�tg inori ant Was arknowlad ed before me this ay of 20LO by i (Name of perm acknowledging) (Signature of Notary Public- State of Florida ) Personally KnownOR Produced Identification Type of Identification t•— Commission No. g .•` Notary "IVi, ric, of Florida Comm GG 27960t kpF My Comm. Explr- Nov 30. 7011 �tiw�rG...a1NotaryA„n, Revised 07/1-S/1014 Signature of Cdhtractor/License Holder STATE OF FLORIDA COUNTY OF _ it J_'f !!c. The forgolog InstrurAent was acknowledged before me this y of f 2013by (Name of pgrgn cknowTedging ) (Signature of Notary Public- State of Florida } Personally Known OR Produced Identification _ Type of Identification Produced Commission No DEMAAir AM" •'ia_u ��.'r��: Notary PUbli[ State of Flo" " ,a rom�lurOn M UG 779604 ,M 7F •ilCfi• PAY( OMIT, r AV-, ..... _ _ . . aanaPatr+r u+>; h NatIanal Nntary Assn, REVIEWS rRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED - DATE DATE COMPI FTFD Certificate of Product Ratings AHRI Certified Reference Number . 9529494 Date 04-19-2019 Model Status, Active AHRI 1 ype : RCU A C1.3 Senes : 14 SCCR W GERIEG R410A AC_: Outdoor Unit Brand Name GRANDAIRE Outdoor Unit Model Number (Condenser or Single Package) . WCA4364GKA*' Indoor Unit Model Number (Evaporator anti/or Ali I laridlei) . WAH0H4h' 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, WI, WY, U.S. Territories) Region Note, Central air conditinnars manufactured prior to January 1, 2015 are eligible to be irlbtallW In all iegions until June 30, 2016. Beginning July 1, 2010 central air conditioners can only tar installed in region(9) for whloh they meet The. ri:i Innal aNlrienry requirement The manufacturer of this GRANI)AIRF product is responsible for the rating of this system combination. Rated a5 follows in accordance with the latest edition of ANSI/AHRI 21U/24U with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source I leaf f unlp Equipment and subject to ratinq accuracy by AHRI sponsored, independent, third party testing• l:oollno L:niFtarrty (A2) - Single or High Stage (9517), btuh : 33200 SEER . 14.00 EER (A2) - Single or High Stage (95F) . 12.00 t"Acliviii' Mudrtl $tutu; arc thnr that An Al IRI CArtifirrtinn PrWrsm Participant iv currently ptudwiny AND wiling or ofl'erina for FAIw OR new modeir that are being; marketed but uhc nut yet Ucuhg pradurnd 'Production Mopped" Modal Status are those that un AHRI Gertt6rnrimn PrnUram Pnrtinipam I& no longer producing OUT is still Ilia vi oRerhtiq for Agile I t A denim anted by WAS indicate an mv' Iu nta ry re- rate-, Tfi4 now Dubll,,hed ratinn in ahawn mlinnfl wit If Ifhe rjravurua Ci e A3 'J[ i' . DISCLAIMER AHRI dues nut uudomA thA product(A) listed an this Certificate and nwkvs Ito repraserttatinng. warrantleA or Auarantesa as to. and assumes ho tcspohsiblllty for. the product(a) Noted on this Guiruncute. AHRI e%piwly di-4AI— all liability for damageb of uny kind urlsing uUX of the USe nr perfnrmAncn of the producl(s), or the unauthorized alteration of data IVtAd on thlr, Certificate. Cartifled ratings are valid only for rimdnr,. and rnnflguratlons Ibstad In the directvty in www-4hiIdlrertory.arE. TERMS AND G4MbITItiNA Lhis OettifiLate and h7 pnntent-t arin propnetury pruduch, of AHRI. This CertlficatA Abaft anly be used for individual, persutial wid confidchtlol roferonrm purprimm. The contant4 or this Certificate may not. In whnlA nr in part hA rnprnduced; cuplud; dlsLotill listed, � No rI orituted Into a romputar databosc; or othurwr,o uUlirod, iu miy farm or manner or by any moons, except for the uwr's lhdlviduni. persontil and nnididnhtlal rAfArance. AIRcrma RATiia ii a Trru , eERTIFICATE VERIFIrarinx 8 RE6RILiERATION INSt1tUrF The infunnuttuii for the modal cited on this certificate Chin be Verified at Www,ahridireetnry.org, dick an "Vii fertiflcate" Ilhk to maA:c 1iFc Ircttu." and Vntpr the ONRI eArtiffArI RAfArAnr.A Number and the dfltu oh which the certificate was issued, s_ which m listed above, and the Certificate No., which is listed at botton, right_ ©2019A1r-Conditioning, Heating, Elhd Refrigeration Institute CERTIFICATE NO.: t��ootrzt3s�hxJs��