HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED
FOR APPLICATION TO BE ACCEPTED
Date: tP 2zZ-0Permit
Number:
Planning and Development Services
Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: '5-7 C) [ uo <h
I Vj.
Property Tax ID M.3 fC 02- ' }�
n (�(�j �°j (� ~ (
Lot No. 2-3
Site Plan Name:
Block No. �Q
Project Name:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to be performed under this
permit -check all that apply:
'X/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: $ p _ Utilities: —Sewer —Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Address: 5—o ( wis<fi F I y-el
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.hQ
Company: f'ni�<�
Address: i �{ �'� �, `,Thi
[A2ne t 2—
JI`wt�r� Di-
r'Zip
City:
City: P State: L
Zip Code: 21Lf Z_ Fax:
City: 'JP5L
State:17—::i-
Phone No. S - �CI(e
Zip Code:
Fax:
E-Mail:
Phone No L
-
Fill in fee simple Title Bolder on next page ( if different
from the Owner listed above)
E-Mail I
State or County License_
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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 INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City_
Zip: Phone:
Zip: Phone:
I certify that now ork or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize thepermit 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 jobsite
before the first inspection. If you intend to obtain financing, consult with tender or an attorney before
commencing work or recordine vour Notice of Commencement.
__. 7�-
r s
ntractor as7gent for Owner Signature ofContractor/Licekse Holder
SOFFLORIDA 9 1FLORIDA
C aUNUNTY OF f" L COUNTY OF- a, L—L'c i
The forgoing instrum nt was acknowledged before me
this H!i y of X ;f, 20 t2�aby
.aS1-I M A,� inn t�
(Name of person acknowledging) ..
(Signatu a of Notary Public- State of Florida )
Personally Known OR Produced identificati n
Type of Identification Produced Ci
The forgoing instru ent was acknowledged before me
s' Cla
thiy of 20 2-0 by
(Name of person acknowledging)
G-
D.
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identificatio Produced
Commission No. (Seal)
Commission No. l`1- 1 0� 3 G (Seal)
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CUOMPLETEATE
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INITIALS
Certificate of Product Ratinas
AHRI Certified Reference Number: 9831019 Date: 06-26-2020 Model Status: Active
AHRI Type: RCU-A-CB
Series: 14 SEER AC
Outdoor Unit Brand Name: BRYANT HEATING AND COOLING SYSTEMS
Outdoor Unit Model Number (Condenser or Single Package) : BA14NA048`0"'A'
Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNP048L
Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL,
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S.
Territories)
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 BRYANT HEATING AND COOLING SYSTEMS product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSIfAHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh :43500
SEER :14.50
EER (A2) - Single or High Stage (95F) :12.00
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.
Platin s that are aecom anted b WA indicate an involunta re -rate. The now aublished ratma is shown alona with the previous i.e. WAS ratio .
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.ahridfrectory.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 any form or manner or by any means, except for the user's individual,
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITIITE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make 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. 1 32376720141104918
02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: