HomeMy WebLinkAboutbuilding Permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Datev
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue., Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Legal Description: A0 _�Cl �(-)
� : ` (� I ®— C) C) 1":3 0 uuo- S Lot No.
Property Tax ID #
Site Plan Nang Block No.
Project Name:
Setbacks FrontBlack-o — M'ght Side: Left Side:
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-OF WC
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Gas Tank
Plumbing
G a s Piping
Sprinklers
I Shutters
Generator
LIJ, Windows/Doors
'Total Sq. Ft of Constructione , Sc Ft. of First Floor®
C i iHeghtost of Construction: $ Utilities: Sewer Septic Building i:
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Name w. -C S)
Name: n4 Qx
Address: L�e-:i +4^Ne-( ®l
Coo pany:,Se���, AC se- Ev LC.,
City: 00 A_ C L I lr� State: 4,,
Address: 532. QW Muea.�)+i
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1 ode,3, 306 Fax:
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City: ate,
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Phone lqo. .9ri q_
Zip Code: Fax-7'?Q --q N -3s 11
E-Mail*—
Phone No 7 -7
Fill 'in fee simple Title Holder on next page if different
E-Mail: i4o Q7 a�
from the Owner listed above)
State or County License: C- 4C 1.1
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
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E)ESIGNER/'ENGINEER: Not Appflllca b I e MORTGAGE COMPANY: Not Applicable
Name: Name:
Address'* Address:
city: State: City: 'State.
2 Phone.. Zip: Phone.
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY,* Not Applicable
Name: Name:
Addeess: Address:
city: City:
Phone: z1op:
Z 1 P: Phone.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and install Lion as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucle Count � makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which Is in con lict with any applicable Home Owners Association rules, bylaws or an(ycovenants that may restrict 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. Lucie County Amendments.
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 OWNEW. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINC
TWICE FOR IMPROVEMENTS TO YOUR PROPERTYx A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED O,�.E JOB SITE BEFORE THE FIRST INSPECTION, IF INTO�D TO OBTAIN FINANCING, CONSULT
WIT" YAOR LE _R OR AN A ND,E :(TORNEY 13EFORE RECORDING YOPR N ICE OF COM-MENCEMENTs"
�ig_nat'ur'e of Otvner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
"OUNTY OF COUNTY OF7
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
th is 30 day of 0 &ee- by this day of 0 e,-?-O b-e,_�r' ---, 20 1"'1 by
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Name of person making statement. Name of person making statement.
Personally Known A OR Produced Identification Personally Known OR Produced IdentificatIOIL(i
Type of Identification Type of Identification
Produced Produced_--_
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AI Ak A&� ft,
(Signa 06,
Notary Public State of RoMe
Comm! Jennifer I Aguiar lcma
A,I Commission '011(wal 339871""
Expires 06/2912023
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REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMph FTFD
Notary Public State of Florida
Jennifer 1. !eiar
n N (Seal)
1 71
EXPIreS 05/2912023
SUPERVISOR I PLANS j VEGETATION SEATURTLE MANGROVE
REVIEW REVIEWREVIEW REVIEW REVIEW
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AHRI Certified Reference Number: 7425627 Date : 10-30-2019 Model Status: Active
Old AHRI Reference Number :
Product : Water -to -Air and Brine -to -Air
Model Number: TCHN060A
Brand Name : TRANQUILITY 16
Rated as follows in accordance with ANSI/AHRIIASHARE/ISO Standard 13256-1 Water-toAir and Brine -To -Air Heat Pumps and subject to
verification of rating accuracy by AHRI-sponsored, independent third party testing:
Full Load Part Loadl Part Load2 Part Load3
Air Flow Rate - Cooling: 1950
Air Flow Rate - Heating: 1950
WLHP (Water -Loop Heat Pumps)
Cooling Capacity (Btuh)
59400/59400
Cooling EER Rating (Btuh/watt)
13.40/13.40
Cooling Fluid Flow Rate (gpm)
16.00
Heating Capacity (Btuh)
72000/72000
Heating Cop (watt/watt)
4.30/4.30
Heating Fluid Flow Rate (gpm)
16.00
GWHP (Ground Water -Heat Pumps)
Cooling Capacity (Btuh)
66600/66600
Cooling EER Rating (Btuh/Watt)
19.90/19.90
Cooling Fluid Flow Rate (gpm)
16.00
Heating Capacity (Btuh)
60000/60000
Heating COP (watt/waft)
3.90/3.90
Heating Fluid Flow Rate (gpm)
16.00
GLHP (Ground -Loop Heat Pumps)
Cooling Capacity (Btuh)
60100/60100
Cooling EER Rating (Btuh/Watt)
14.80/14.80
Cooling Fluid Flow Rate (gpm)
16.00
Heating Capacity (Btuh)
47500/47500
Heating COP (watt/waft)
3.30/3.30
Heating Fluid Flow Rate (gpm)
16.00
Indoor Biayuer Motor Fan Type -. PSC
Sold In? . USA, Canada
Where rating shows value/value, the first value is at minimum voltage, the second value is at 230v for a dual volt system.
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 Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratings that are accompanied b WAS indica�tean an re - rate. The new r)ublished ratina is shown along with -th (i.e. WAS1 rating.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assuilmes no responsibility for,
the product(s) listed on this Certificate. AHRI expressly disclaims alLI 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.ah rid 1 rectoryx ,r,gg
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 any form or manner or by any means, e,,%cept for the user's individual,
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at click on "Vor"Ify Cortificato" link
we make life bettor -
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.
@2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132169400041336130