HomeMy WebLinkAboutBuilding Permit Application All APPLICAA�FO ST COMPLETED FOR APPLICATION TO BE ACCEPTEDmber:1 ot 0 n 0
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Date: Permit Nu
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Building Permit ApplicatiQY
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Planning and Development Services arttn nt_
Building and Code Regulation Division Permitting°coultV
2300 Virginia Avenue,Fort Pierce FL 34982 5t.I-uC1e ✓/
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT TYPE: I
'PROPOSED_IM��P��R}OVEMENTLO.0 TION : './
Address:ql IY iij&6 i-tri- G ti Qin. g i vd N.
Property Tax ID if: ,"�t'nl�p 501 -1-101 —p p 01 Lot No.
Site Plan Name: Fi S i i V r Block No.
Project Name:
DETAILED DESCRIPTION OF WORK',, a. .,.,
fiVEC, Qti.cutqf,oui Wj-rhpt)-t ol(i( wOrk, ioft 41.5 t itlig s'i
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CONSTRUCTION INFORMATION:",• S ° ;:
Additjonal work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction: C Sq.Ft.of First Floor:
Cost of Construction:$ 5,625 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: t :CONTRACTOR:°
Name ' I L '1 r. '/ ' Name:4_O.,rf,t,v ill
Cel/
Address:- r 1/ . 4 1, Al ' 4 r(. S1'Li A, Company:' ' O V +L r aK eGL i
City: Part d 1/(Ac State:F� Address: r��1r �jQ.A' j {
Zip Code: J ,r 2. Fax: 'City: CO C)3 State: PI
Phone No.(57 653 t 15(9 Zip Code: . 2.1-'12..2- Fax: �2 �L� ,�LG�ti
E-Mail: Phone No_r 2-j-� t61-- R �i 4
Fill in fee simple Title Holder on next page(if different E-Mail., / 1 4/ t_ >lIi g I I hi i fie (A
from the Owner listed above) , State or Coun y License C At, t 91 I
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.
• i
DESIGNER/ENGINEER: —Not Applicable ' MORTGAGE COMPANY: —Not Applicable 1
Name: ; Name:
Address: ' '�` I Address: 1
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable 1 BONDING COMPANY: _Not Applicable
Name: : Name: I
Address: Address: 1
City: City;
i Zip: Phone: I Zip: Phone: j
I ! 1
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated-
1 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 G
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.Lucie County Amendments.
j
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 I
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."
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Signature of Owner(Lessee/Contractor'as Agent for Owner Signature of Contractor/Licens'Hol.er,
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Pt" a COUNTY OF P>r'eVcz 4
The forgoing instrument was acknowledged before me ' The forgoing instrument was acknowledged before me
this 2`S day of ai ,20 t"l by { this Z S day ofvj ,20 11 by 1
! /��
Anc/rtaJ fr`vcc.lf Andr ,) / ceJI
Name of person making statement. ` Name of person making statement.
1 !
I Personally Known > OR Produced Identification Personally Known )6 OR Produced Identification
i Type of Identification Type of Identification
I Produced ! Produced I
(Signature of Notary Public-State of Flo',•,•l TRAVIS BATCHp*nature of Notary Public-State of Florida) TRAVIS BATCHE R;
NOTARY PUBLIC i
Commission No.i�c`/`i"27°�2' ,k l F 92.70'2- o ,! NOTARY PUBLIC,
�" � STATE OF FtORliitr'�ommission Na. �,
+4`,,,,I
,- c G'' .. STATE OF FLORIbT
I a CaFtm FF992702 L .�=Comm$PF8t2702
I =-'-i %1C�?F a ¢t' E?m"sr s 5116120 t
REVIEWS FRONT ZONING SUPERVISOR ' PLANS VEGETATION SEA TURTLE I MANGROVE
i COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW }
DATE '
RECEIVED I
DATE
] COMPLETED I 1..f '
Rev.2/7/19
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• FREEDOM AIR ANS'HEAT INC
'owl CLEARLARE RO
cocoa.FL?.2922.
Phone i'921 rdt..11-6.988 ,
Financing ,ite License Number CAC19,1444S ,
Available I . ....... lop-a,o", 41: 4:4
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a-i-,-2,3.5-3'-E795-C-'
Customer Hame:Sterinert Fisher Home Phone: 50G2S?CrIette
Street Address: 92 Mediterranean bled a: Alternate Phone:
city.State.Zip: Port Saint Lucre Ft 34e52 Email Address: f69;sttgratert tom
Equipment and Installation Specifications
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v..4...:ti,J,..;.,,~-.fiat'viii.'47..,. -:,,,l,r,Abor&Al.a.tiimis•.',,,. 1
: seizPcoe.a 14 SEER ' , • 1 • 1 Year Lagar ' " 1 . ..Comp 1 year Energy
• ' Saving Agree:Tent ,
t Outiocr Model Nurnher i taer.v Heat Strip ' 1.. Erse:ham Guarantee ' I' .
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d
1 tntrotraaneumber t• . . . ' I All requeed peprritting. Packagee Tclowns
Cad
• 1 • irierricenie lowns
Coe Model 0...erytm • , , . I AN Whtle Metal Spread
1 Vildrathan Hata-eon Pads
Ahditt pesters Re Number ; i y.,, t 1,,,,;:e,;.r.,t,,, •„,• ' .
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. . 1: l'..•IT.'fr. •lr6;.'"!rr",-"., • . •
i„ry — - ; , tkr„, !:,•til:P.,„. .,'Y't .';'4' : , .
disc*.'Narrow,: ,„ '. ''.4.ta itjt.i.y.-..'krAtttrti!ii,,,,t.y • .
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'104RS' I,Compressor
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i Hear harrye! ; I Pro
. .:,4;. Honey-mit Pro 1 I
r •lOVHS' t All Other PSRP ; . ':": " Cmg dal Stat
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-1P4P*03r,.0.44:4VP'110-4,',..' EtataBLECREDITSRESATES . .
PairtatOltra$883 : ipt 14,4 arena-ar •a-41.an
0.-Gerrnfaiel tight . • Prerritrd WSICtilo,di17.4.1.4 •14re en .
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Project Totals: 044;;,,Pa'Vrielt. ,
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1014Ann,..t
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— - •-..;l Estimated'Final Investrnant . S .
t,52.5 -
.00 ! ;
' !Mr!F.1.4.bk,RobatIS and Credits.
Terms
Price tntigide$all tax,caber and rnatarial•Amount dad,upon receive No warranty on ritah lines tvnetsuever.Ownerndust maintain rater and drain line
yecdprity te ensure grader ore ave F7eeddrn Air and Heat,Mc.it.nct respansilt.te har damage caused be lath of nlilntennnna Tr*proposat is sood It'
31 days
Acceptance(Custarnert , ALreptarice i.Corricanyi 1
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elm lid CERTIFIED°
wwwi.ah rid#rectory.erg
Certificate of Product Ratings
AHRI Certified Reference Number:7490505 Date:05-21-2019 Model Status:Active
AHRi Type:SP-A
Series:R410A AC SPP
Outdoor Unit Brand Name:CARRIER
Outdoor Unit Model Number(Condenser or Single Package):50ZPC060-30"
Region: Alt(AK,AL,AR,AZ,CA,CO,CT.DC,DE,FL,GA,Hi,ID,IL,IA,iN,KS,KY,LA,MA;MD,ME,MI,MN,MO,MS,
MT,NC,ND,NE.NH.NJ,NM.NV,NY,OH,OK.OR,PA,RI,SC,SD,TN,TX,UT,VA,VT,WA.WV,WI,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 CARRIER product is responsible for the rating of this system combination.
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Rated as follow,€n accordance with the latest',edrtion of ANSi/AHRI 210/240 with Addenda 1 and 2 Performance Rating of Unitary
A r-Candrtiomng&"Air-Source Heat Pump Equipment arid subject to rating accuracy by AHRI-sponsored'independent third patty testt€ng
Cooling Capacrty(A2)='Single or High€gFr Stage(a§F}bFirh::54000
SEERI t4 rltl x
•
EER)A2} singia ar ch stage(95F) 1�30;
.� , : = -
•
1'Active'Model Status are those that an AHRI Cereficatiort Program Participant is currently producing AND selling or offering for sale;OR new models that are being
- marketed inti am rest yet being produced-•Production Stopped'Model Status are those that anAHR€Certification Program Participant is no longer producing HUT is still
Retinas than ate accompanied sale. by WAS indicate an involuntary re•refe.The new ubiished raring is shown ainn
� � c with the previous(i.e.WAS)retina.
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 tor,
the products)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 II
unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and mnegurottons listed in the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary Products of AHRI.This Certificate shall only be used for individual.personal and i !
confidential reference purposes. maypreproduced:copied; -•e
The contents of this Certificate not,in whole or in art,be disseminated;
entered into a computer database;or otherwise dated,in any form or manner or by any means.except for the users Individual
personal and confidential reference. AIR•CONOITIONING,HEATING,
CERTIFICATE VERLFICATIQN &REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.ahrtdtreeeery.org,click on'Verify Certificate'link „r matte 6E'i,etlar"
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which Is listed above.and the Certificate No..which is listed at bottom right. • .<: --"^`2029435941475037
• 02019Ak-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NIS
13