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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: r 4111111111 e_....,, RFCEtVPo Building Permit Applicaff6m ?019 Planning and Development Services Permittn Building and Code Regulation Division St' tu9e eoa t enr 2300 Virginia Avenue, Fort Pierce FC 34982 n Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: d-�/� �c— C �� — r PROPOSED IMPROVEMENT-LOCATIO " { Address: 2ou') �s) Property Tax ID#: J(z_d:j iQak– e�(LOk —low, Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION'OF WORK: o N-CA.110 lJ 0--SR_C SC&M-0 CONSTRUCTION INFORMATION: Additional 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: Sq. Ft.of First Floor: Cost of Construction:$ Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name �C� ajL-;V% @-C CSN i Name: -TGI.SC)IV � G nk.1y,AJCD C Company:s� 4 .AA Z t Address: , ,t - City: cam M'Tzoc� _ _ State: Address: �C� �(tSp. c� 1n0 Zip Code: `� Fa_x: , Cit �� ��� Elk State: _ v Phone No. - - - Zip Code: �4CI Pa 'Fax: E-Mail:_ ' Phone No Fill in fee simple Title Holder on next page(if different E-Mail CN,Ke f oals, cb soI C_C&., from the Owner listed above) State or County License _ 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. SUPPLEMENTAL CONSTRUCTION LIEN,LAW JN FORMATION: 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 Applicable 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 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 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE COMMENCEMENT MUST BE RECORDED IAND POST O THE JOB SITE BEFORE THE FIRST INSPECTION. Y U INTEND TO OBTAIN FINANCING, CONSULT WITH OU LENDER OR AN ATTORNEY BEFORE RECORDIN OUR OTICE OF CQJIMENgEMENT." Signature Owner/Lessee/Contractor as Agent for Owner 7* at of Contractor/LLicense HolderSTATE F FLORIDA F FL COUN OF Sb` ��-�-�� OF The forgoing instrurrient was acknowledged before me Theoing insiV.4ment was acknowle d before me this3 day of 20 C1 by/ this I day of by 0J, Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identificationr Produced Produced ELLE (Signature of =� " c� Ta4 1?PFi21@tory Public (Signature f public t@" ommission # GG 270079 -_ _State of Florida. %,?of��o�?� My Commissi n--E�c pires - Commission #GGP� lic ������` 5 Commissi e.� Commission October 28, IP2 Isslon Expire October 2 9, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. NLE r X901129 ,o 11 certificate of Product Ratings AHRI Certified Reference Number:7849829 Date:12-02-2019 Model Status:Discontinued Old AHRI Reference Number Product :Water-to-Air and Brine-to-Air Model Number :50PCV036L/R*"3/CA Brand Name :CARRIER I i Rated as follows in accordance with ANSIIAHRI/ASHARE/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 PartLoad1 PartLoad2 Part Load3 Air Flow Rate-Cooling: 1200 Air Flow Rate-Heating: WLHP(Water-Loop Heat Pumps) Cooling Capacity(Btuh) 37900/37900 Cooling EER Rating(Btuh/watt) 14.70/14.70 Cooling Fluid Flow Rate(gpm) 9.00 Heating Capacity(Btuh) 41800/41800 Heating Cop(watt/watt) 4.60/4.60 Heating Fluid Flow Rate(gpm) 9.00 GLHP(Ground-Loop Heat Pumps) Cooling Capacity(Btuh) 39900/39900 Cooling EER Rating(Btuh/Watt) 16.90/16.90 Cooling Fluid Flow Rate(gpm) 9.00 Heating Capacity(Btuh) 26900/26900 Heating COP(watt/watt) 3.50/3.50 Heating Fluid Flow Rate(gpm) 9.00 Indoor Blower 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. tModels with"Discontinued"Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re-rate. The new published rating is shown alono with the previous(i.e.WAS)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 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.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 confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated; Am 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 &REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we Tnake life better"' 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.: 132197903308259150 CE