Loading...
HomeMy WebLinkAboutBuilding Permit Application I I I I ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Date: t� Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Residential Phone: (772)462-1553 Fax:(772)462-1578 Commercial PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line s� ���� ..���^R'',�, r�����•Y R! '�'.�','.F• '` --f5 F ..r'a't.r;crv.++..5��..a%—' -.s.;' Address: } r« Legal Description: 3 J n - Property Tax ID#: •C 9 0- Lot No. Block No. Site Plan Name: - Project Name: 1� -- Setbacks Front_.,, ront . Back: Right Side:_ _Left Side: ( °I3ESCI �PI rd �n. ,R f U M k rl,xr U�YH' T e r r t ,. '9�.f}`�`& ice" '-5 - L Er ,•k'yS, 3 ,l � � �y#�.i 3" +' '°:t,,.e �, s..`4 e..rz.:'- ry : 3 X3 5 r-Yyc�KrR1 •- �:s3'-r,.. .._::r U na wor oa.: .--�t...5a_..:,. es•:.'oY.; is?pe.'.r:.Rm_aist`-..zrc:c_ec ax l flial a;.-p.r.p.yn.:teerm un HVAC E] Gas Tank 7Gas Piping _Shutters ❑Windows/Doors. Electric U Plumbing ❑Sprinklers Generator 'Roof C� Root pitch I Total Sq. Ft of Construction: S�Ftj of First Floor: Cost of Construction:$�II�/ , Oct Utilities: U Sewer ElSeptic Building Height: i Vic 3.� k:•"3i s47n .y •+v ,. ,t7x#"•'....r �':` t� xis i ;%..:_. r-n-..:.. ,.. —.✓ 'F�?s'c r`.S Name a:. Name: Pr o Address-" /' Company: A Lm Air City: State:10-L Address: Fax: City: Stat�L. Zip Code:, � � �-��"���:-.- t�i-� y2 Phone No.S e EL Zip Code:73Q61r�-a Fax: I ' `�� (ti (a ' E- Phone No. Mail (Q Fill in fee simple Title Holder on next page(if different E-Mail: r from the Owner listed above) State or County LAnse'— C'.i61C f1 41.4 If value 01 construction is$2500 or more,a RECORDED Notice of Commencement is required. AMRS CERTIFIED0 , . Certificate- of Product Ratings Es AHRI Certified Reference Number:202540560 Date:07-01-2019 Model Status:Active AHRI Type:RCU-A-CB Series:MERIT ML14XC1 SERIES I Outdoor Unit Brand Name:LENNOX Outdoor Unit Model Number (Condenser or Single Package):ML14XC1-047-230A•' Indoor Unit Model Number(Evaporator and/or Air Handler):CBA25UHV-048-230-•' 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 LENNOX product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 with Addenda 1 and 2,Performance Rating of Unitary Alr-Condibpnfii piC-Soli k7eat Fumettrlpmei rt ar2d stYblect fo ra#ng accuracybY Af tit spogsof ed�ttdepefidenf third party tssUng: Coohgg�ac A2jShgte ar Fllyh Siage;(95F) blah 46500 SEER t & z L !g; gr ° EER"(A2; Singte.or Fiigt Stage(8�5F} .13 00 t70 aV �� t v y ¢, 3-»f "'t, F .n I I t'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 produced.'Production Stopped'Model Status are those that an AHRI Certification Pro-cram Participant is no longer producing BUT is stili seging or offering for sale. Radnor that are for by WAS Indicate an involuntary re-rate. The new oublishad retina is shown along with the orevious(i.e.WASI ratina 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 disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate,Certified ratings are valid only for models and configurations listed in the directory at www.abridirectory.org, i 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; AMN entered Into a computer database;or otherwise utilized,In any form or manner or by any means,except for the user's Individual, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATIO.N INSTITUTE The information for the mode)cited on this certificate can be verified at www.ahridirectory org,rick on'Verity Certificate"link we t^ako-lirti t e,;rt 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 a 132064743394856467 TE NO ©2019AIr-Conditioning,Heating,and Refrigeration Institute GtERi`IICA i