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HomeMy WebLinkAboutBuilding Permit Application Jun.20.2019 01:09 PM PAGE. 1 ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED. q Date: Permit Number: � \Q 6 5 3 -,, - RECEIVED Building Permit Application JUN 201 Planning and Development Services ST, Lucre County, Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34981 Phone:(772)462-1553 Fax:.(772)462-1578 CommerClat�, Residential PERMIT APPLICATION FOR: Mechanical PROPOSED INPROVEMENT LOCATION: Address: Legal Description-_?i.11err(S.-(��r�l- Property Tax ID#:3LNol - rZao I QQ-- T Lot No. Site Plan Name: ^ Block No. . J�f /T31 P�ojeccName . ^1f Lj Setbacks Front Back: Right-Side;- Left Side: r iF I14AMN DETAILED DESCRIPTION OF WORK: CONSTRUCTION-INFORMATION: itiona wor toe Orme under this permit-c ec a appy: Z✓HVAC 0 Gas Tank []Gas Piping _Shutters .❑Windows/Doors "Electric Plumbing 0Sprihk1ers Fi Generator Roof Total Sq.Ft of Construction: Sq.Ft.of First Floor:• Cost of Construction:$ �; DOC) Utilities. Sewer 0 Septic Building Height: OWNER/LESSEE: ntp CONTRACTOR: r JOHN.BROWNING Name 1 � r7 Name: Address::!:jr2:5o1_- .3L 49 Company: 113"S AC&ELECTRIC City: n2QLNf-w 2. . Stater Address: 1535 NW QUAIL CIR ZipCode: 5(_ o-51 Fax: City: STUART State:FL Phone No.L-1nj_') cl'bE E - U-7-L Zip Code: 34994 Fax: -� E-Mail: Phone No. 772-934-6778 Fill in fee simple Title Holder on next page.(if different E-Mail: Jbrowningac@gmai(.00m 'from the-Owner listed above) State or County License: CAC1816319- .�1.�5a If value of construction is$2500 or more,a RECOROEmNotice of Commencement is required: Jun.20.2019 01:09 PM PAGE. 2 r io .tUPPEf1�lt 'ALQSTt3kiC�lQN Z1EtTEAW E�tQRMATN DESIGNER/ENGINEER: Not applicable MORTGAGE COMPANY: ,Not Applicable Name: - Name• Address: Address. City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicahle BONDING COMPANY:. Not Applicable Name: Name:. Address: Address: City: city: Zip: Phone: 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 commencedprior to the.issuance of a.permit. St.Lucie County makes no representation that is granting a permitwill,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 mayapply. 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,ferices,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 improvementsto 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 commencin work or recordin our Notice of Commencement.I �! .- Signature.of Ovine gent/(Assee 'Signatiire of contractor icen Holder ,'STATE OF FLORID -a STATE OF FLORI ut COUNTY OF _ , COUNTY OF A . The fora -ng instru ent was acknowled ed before me The forgoing instrument was.acknowledged before me thi; ay of 200 by th�Dday of 20U3by JTn �p(,3n I"Q n r (Name of person acknowledging) (Name of person acknowledging) (Signature.of Notary Public-State of Florida} (Signature of Notary Public-State of Florida Personally Known OR Produced Identification Personally Known 9 -OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. Co crAid No. DEBORAH RUSSELL. (Sea)} �otiwx P� —D BORAH USSE L _� 'Notary Public torida i; Notary Public-State of Flo]22. a commission s GG 279b04 m Comm.Expires Nov 30, of A't Revised 0711 20'1 y Bonded through National Notary-Assn, Banded through National Notary REVIEWS. FRONT. ZONING. SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE rrA1MDLFTFp . Jun.20.2019 01:10 PM PAGE. 3 NMI Nual 1 , , Certificate of Product Ratings AHRI Certified Reference Number:200091811 Date:06-25-2019 Model Status:Active Old AHRI Reference Number::10266362 Brand Name:TRANE Model Number:TS(D,H)210G(3,4,W)RO""0 Series Name:VOYAGER II + RECEIVE® AHRI Type:SP-A J U." c� 19 Refrigerant Type:RA10A Hertz:60 57. Lucie Gaunty, Permitting Sold In?:USA,Canada Rated as follows in accordance with the latest edition of AHRI 3401360 Performance Rating of Commercial and Industrial Unitary Air-conditioning and Heat Pump Equipment and AHRI 365 and subject to rating accuracy by AHRI-sponsored,independent, third party testing: Cooling C20bityVF Cooling.Capacity 95F.at 230if-l*Q*j7 0000 EER 95FIEER.95F:at:2230V:.1:1.001.1.T.W. IEER/IEER:at"230v:12.4%12.4 The'follovuteg data is'fbt reference omy:andda,;nottertified;li rE►Hftl Full Load indoor CoJOA-ir Quan[Ity(sqh):6125 •('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 produeed.'Production Stopped'Madel Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or often for sale. Ratings that are accompanied by WAS indicate an involunta' rv�e rate. The new published rating is shown alone with the Drevious O.e.WASi rating. 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 dlscialms all Ilabluty for damages of any kind arising out of the use or performance of the product(s),or the unauthorized afheration of data listed on this certificate.CertMad ratings are valid only for models and configurations listed In the directory at www.ahrl directory,org. TERMS AND CONDITIONS This Certificate and.its contents are proprietary products of AHRI.This Certificate 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 arty form or manner or by any means,except for the user's individual, AM personal and confidential reference. AIR-CONDMONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahrldfrectory.org,dick on`Verify Certificate'link „Emake life budge and enter the AHRI Certified Reference Number and the date an which the certificate was issued, which is listed above,and the Certificate No.,which Is listed at bottom right ©2099Air-Conditioning,Heating,and Refrigeration Institute Cj-TT 132059467424614304 [ `- GATE NO.: t Nb