HomeMy WebLinkAboutFERLAND AMTEK 051319All APPLICAB INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Plonnlnq and Development Services
Building and Code Regulation AivIsinn
73oo vlrginio Avenue, Fort fierce rt 34982
Phone: (772) 462 1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR:
Address. L i��t"`� �+� 1�f a. �y' I �
Legal Description:''' -" 1 LtC,i �. "IL (S
Property Tax ID A: 3"-! - C y - - PEI— Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back: _ Right Side: Left Side:. -
Block No.
Mechanical _ Cds Tank _ Gas Piping _ Shutters _ windows/Doors
Electric —. Plumbing — Sprinklers — Generator — Roof
Total Sq. Ft of Construction:
Cost of Construction: $ t7L
Address:
City:
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Name: 4JAAU1' I
]ta company: 1 ; r71t� •
State: Address:
Zip Code: -�14 q,5 j• Fax:
Phone No:2112
[-Mail:-
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
City: I state:-r-1-
Zip Code:' a Fax:
Phone N
E-Mail aYZ�
State or County LiLensc (9 1 (a(e
If value of construction is 2540 Or more, a RECORDED NOticv of Commencement is required.
NEER
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable I MORTGAGE COMPANY: Not Applicable
Name:
State:
Address:
City: _
Zip: Phone:
_State:
Not Applicable BONQING COMPANY: Not Applicable
Nance. —_
Addreg4• - Addrec5•
City: city.
Zip. _— Phone: Lip' _ Phone:
OWNER/ CONTRACTOR AFFIDVIIT: Application is hprphy made to obtain a permit to do the work and Installation as indicated.
I certify Lhdt no work or installation has commenced prior to the issuance of a Hermit.
it. Lucie County make no representation that is granting a permit will authorize the permit holder to build the subjerr structure
which is in conflict wit an applicable Home Owners Associatiun rules, bylaws or and covenants that may restrict or prohibit such
structure Please consult with your Hume 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.
ThP fallowing building permit applications are exempt From undergoing a full concurFerrcy 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 Jobsite
before the first inspection. If you Intend to obtain financing, uviisult with lender or an attorney before
commencing work or recording yo-gr Notice of Commencement.
5lgnature4T owner/ Agent/ Lessee
STATE OF FLORID
COUNTY OF Lam, _T
The for ng in5trume It was acknowledged before me
this May t�f _ 20 by
re-4
(Name of pftacknowledging )
t1i
(Signature of Notary Public- State of Florida )
Pr+rsnnally Known OR Produced Identification r _
Type of Identification Produced W
Signature of Co or/License Holder
STATE OF FLORIDA
COUNTY OF
The for rng instrurnlPnt was acknowledgetj before me
this 2Kay of 20by
(Name of person knowledging )
(Signature of Notary Public- State o Florida 1
Personally Known ( — OR Produced Identification
Type of Idpntlfication Pro iuced ._.r
Commissto mp—�% UEBORAri RUSSET Pal) E(iijlrYiISSI ll
:� • ,a Notary u c • State of Farttla ;r*Y �r RU55ELl
+ j � Commission 9 GG 279e04 r /, � `f', Notary Public State or Florida
_ GG 27960 _-
o
rrOUgtr ial No[dry ASSr�• yy ��M�� Cumnr. Ex lrts Nev 7i7, 3032
REVIEWS UPFRVISOR PLANS VC�hrlrsTt llglr I+a iuSikUMoT 3s6 MANGROVE
COUNTER RFVIFW REVIEW REVIEW REVIEW
RECEIVED - -
DATE
COMPLETED
. +�•�� CERTIFIED"
www.ahridirr.clury.urgCertificate of Product Ratings
AHRI Certified Reference Number . 9T62635 Dalc 0S-13-2010 Model Status: Production Stopped
AHRI Type. RCU-A-CB
Series: 14 SEER W SERIES R410A AC'
Uutduut Unit Brand Name: GRANDAIRE
Outdoor Unit Model Number (C:ondenumu of SiriglA PackagA) ' WCA4244GKA"
Iridorx Unit Model Number (Fvaporator and/or Air Handler) FMA4P24"A'
Region: Uoutheast and North (Al.AR, DC', DE, FI , CA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, GO, GI, ID, IL,
IA, IN, KS, MA, MF, MI, MN, MO, MT, ND, NF, NH, N.), NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S.
Territories)
Region Notc • Central air conditioners manufactured prior to January 1, 2015 are eligible to be irmtalled in all regions
untll :Tune :30, '2111ri Etegumirig .li rly 1, XJ18 ra4rtlral air r:nnr11tinnArA rain only hA InAtallAd In rAglnn(A) far
whi(Ai lhuy nu to the wgivnal cifrcacncy requirement.
The•. manufaclui ei of this GRANDAIRE product is responsible for the rating of this system combination.
R;itisi nr tollows In accordance with the latent edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air Source Heat PUMP Equiprnenl and subject to latirng accuracy by AHRI-sponsored, independent, third party testing
Cooling Capacity (A2) - Single or Hlgh stega (Q.FiF), hti rh ??Fnn
SEER. 14.00
FFR (A?) - Sln01e or High Stage (95F) 11 50
t"Aetive" Modal status ore theca that an AHRI lrertihvutruri Huyrum Pmhvipunt i; vunenlly pivduvirry AND xlliny yr vlleriny fvr wie, OR r1¢w m-le-ter that .vi- ho ins
marketed but are nut ywt bairrp pruduvwd.'Pioduction Stopped" Model Status are those that an AHRI Certification Program PartlrlpAnt Is m longer prndriring ni IT In ntlll
p{Ilinrf nr ofterinn for sale
Ratinas that are accomDamnd by WAS induale err involuntary ra-iaie I lw now putjiiydiidd raLugi_}klirtuwii kd;uILlwdti the ureyious (I.e. WAS) ratinu.
D15CLAIMER
AHRI does not endorse the product(s) hsted un this GertiliLute and makes by tvNtvserlrtativlrs. Wal}ahtle5 Or guarantees astn, and assumes no responslhllity far,
the product(&) Il&tad an this Certllleole. AHRI eaprossly disGuims ull lhrbihty nor derniigrm iir ur.y kind u.iekig uut ut th., Li— ur l.eltuririali..n ut the ptudu,t(s), ui thb
unautitarized attaratlon of data listed an this Cardriicats. Certified rutinits ure v►drd vnly Iur rnuduN and cvnhilurutivhs IlVad it, Triu
directury at www.ehtidlre4Thry.oil.
TERMS AND GORDo to it NACIF
This Csrtiflcate and its
cantmt& era prupnelury pruduc� ut ANRI. This rertme0te stitlll vhly dv Used Tvr Ihdlyidllol. hersanal and
cnnfldentiAl rnlnrnnre purposes. the cuilLenrs or Llus f eruricute may hot, hi whole or Ili port. be reprodutad. copled. disseminated: fin..E ad
entered into a computer database; or otherwi5u ulllizud. Ih tYhy furhi or niannar or by any monks, except tar the user's Individual,
rimmnnnl and unialdehtiAl reference. AIR-CONDITIONING. HEATING,
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