HomeMy WebLinkAboutPermit SLCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
Building Permit Application
Planning and DevelopmentServices
Building and Code Regulation Da vision
2300 Virginia Avenue, Fort Pierce FL 34982
Phone. (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: A f c
PROPOSED IMPROVEMENT LOCATION -
Ad d re ss: 36<AO /J AW tj P + T SB
Property Tax I #: j qZ-S- - 75G-60 ! -00 ' 1 Lot No.
Site Plan Name:
Project Name: 1i.ic re I
f:1E.T.I.1MM
DETAILED DESCRIPTION OF WORK: I
0 4i8 P, C=r
CONSTRUCT10N INFORMATION:
Additional work to be performed under this permit -check all that apply:
_&Mechanical _ Gas Tank — Gas Piping _ Shutters Windows/Doors
Electric
Total Sq. Ft of Construction:
Plumbing _ Sprinklers
Cost of Construction: $ S800
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name l
Name:
00
Address 0 Alh S6
Company: Q-
City: Find 101P� State: EL
Zip Code: N61417 Fax:
Phone No. 3-
Address: SW 4
City: Stater
Zip Code: Fax:
Phone No M-3 Y i --(2
E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
F-Mail J
State or County License t
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requ[reo.
If value of FIVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE .SOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY EEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
AAZ'd A
/�Vz�
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA pp
COUNTY OF M r-h I�
STATE OF FLORIDA
COUNTY OF frl
In
r
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 3-1 — day of M6[lr i 120 a by
this 3L- day of WaLrjn . 20,� by
m
Name of person making statement.
Name of person making statement.
Personally Known X-- OR Produced Identification
Personally Known )c OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Nota1r
(Signaturrof otary Public- Sta e of F o i a
Notary Public State of F1 a
�•s41k Notary Public State of Ftoridacommissiaeal) Commission No. Kevin0 CoglSeal)M
Commission GG 349462
d4i FLU [xp�res 06,'2T12023
'ExpMy �es 06127112Q2349452
or n
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
Certificate of Product Ratinas
AHRI Certified Reference Number: 3383118 Date : 03-31-2020 Model Status: Discontinued
Did AHRI Reference Number :
Product : Water -to -Air and Brine -to -Air
Model Number : TCHIVD48AG
Brand Name : TRANQUILITY 16
Rated as follows in accordance with ANSIIAHRIIASHARE1tSQ 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:
Air Flow Rate - Cooling:
Air Flow Rate - Pleating:
WLHP (Water -Loop Heat Pumps)
Cooling Capacity (Btuh)
Cooling EER Rating (6tuhlwatt)
Cooling Fluid Flow Rate (gpm)
Heating Capacity (Btuh)
Heating Cop (wattlwatt)
Heating Fluid Flow Rate (gpm)
GWHP (Ground Water -Heat Pumps)
Cooling Capacity (Btuh)
Cooling EER Rating (Btuh/Watt)
Cooling Fluid Flow Rate (gpm)
Heating Capacity (Btuh)
Heating COP (watt/watt)
Heating Fluid Flow Rate (gpm)
GLHP (Ground -Loop Heat Pumps)
Cooling Capacity (Btuh)
Cooling EER Rating (BtuhlWatt)
Cooling Fluid Flow Rate (gpm)
Heating Capacity (Btuh)
Heating COP (wattlwatt)
Heating Fluid Flow Rate (gpm)
Indoor Blower Motor Fan Type
Sold In? : USA
Full Load Part Loadl
1.600
1600
47700/47700
13,30113.30
13.00
55900/55900
4.70/4.70
13.00
54300/54300
20.50120.50
13.00
46500/46500
4.1014.10
13.00
49000149000
14,70114,70
13.00
36400136400
3.4013.40
13,00
PartLoad2 Part Load3
Where ratinq shows valuelvalue, the first value is at minimum voltage, the second value is at 230v for a dual volt system.
?Models 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 ❑ubti€shed rating is shown along with the previous 0.e. WAS) ratin
DISCLAIMER
AHRI does not endorse the products) listed on this Certificate and makes no representations, warrantles or guarantees as to, and assumes no responsibility for,
the prod uct(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the prod uct(s). or the
unauthorized alteration of data listed on this Certificate. CertTie d 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 tar 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, except for the user's Individual,
personal and Confidential reference. AIR-CONDITIONING, BEATING,
CERTIFICATE VERIFICATION & REFRIGERATION iNSI FUTE
The information for the model cited on this certificate can be verified at www.ahridirecto ry,org, click an -Verify Certificat e° Ilnk n.Jhe tin hecrer
and enter the AHRI Certified Reference Number and the date on which the oertificate was issued,
which is listed above, and the Certlfcate No., which is listed at bottom right. 132301335041118833
*2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: