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HomeMy WebLinkAboutVanGelderPermitPacketAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: COUNTY Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: Permit Number: Building Permit Application Commercial Residential PROPOSED IMPROVEMENT LOCATION: Address: Lk PropertyTaxlD#: 3LI0C )3 (ju,-,4 000 Lot No.Qr ;L a3 _ � Site Plan Name: �1► Cti � Van e,1 P � r �, ABlock No, %) I Project Name: !, ` c�- r,- \ I r-, �; ( DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: _ _Mechanical _ Gas Tank _ Gas Piping — Shutters Electric Total Sq. Ft of Construction: Cost of Construction: $ OWNER/LESSEE: Plumbing — Sprinklers — Generator Sq. Ft. of First Floor: Utilities: _ Sewer _Septic Name Wt Jl tca Addressjo'�'d-1 C.,lnc,s 5—r City: V4 Q 1 C f C C State: F I Zip Code: 3 9 9 Fax: Phone No. 1 r ' E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Windows/Doors Roof Pitch Building Height: Name: Company: r-1c� e i7"1 Address: r (Ai City: r C State: Zip Code: 3L-I C1 V�` Fax:-1-10- q(Ap-1g3�` Phone Nott E-Mail l c, At- Ctlt - L-1 QJ {Y "i 1. C, F State or County License T -, [ Ip 3 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 I 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 bylaws rules, 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of wner/ Les ntractor as Agent for Owner 'Signature of Contrait&rKicense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 1 4- f. u c.,i C COUNTY OF i� () The forgoing instrurpetlt was acknowledged before me The forgoing instrgq ent was acknowledged before me this _ - day of , ► l 201,�by this day of _ _ J 20 by zrct I�qC 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 Identification Produced Produced L�yni 1l l .z, lF'`.�. n (Signature of Notary Public- State of Florida (Signature of Notary Public- State of Florida ) Commission No. ay a1 rJ ` - _ (Seal) Commission No.''. ` f L�1 Sc�— (Seal) N Putilic Stlte d Wile No REVIEWS F unbertyLarge °202 J IrRVI R PLANS Kimberly Larg on G VEGETAT "ion 0 °' 12 02 C REVIEW REVIE REVIEW DATE RECEIVED DATE COMPLETED Rev.2///19 Coll�ectcir Rating Search Page I of I FLORIDA SOLAR ENERGY CENTER" FSEC Collector Search Instructions, Fill In as many values as desired to select partial or Fuji listings and click on Show Selections. FSEC Xd: c0mPany: . .......ollector TYPL.' cOl A Inc. eled CdleclorfyTe- -show'sefecti.ops. Ratings SuMmary Of FSEC Certified Collector, 01/28/2013 Click on a FSEC Number to see the rutl Page Collector report. Collectors Thermal Thermal Gla:tinij Absorber Gross PelfOrrnanco Thermal Performance Performance Low Tntermadlata Area Temperature 1-11911 TharmoslPhon Company l'4,6e2 FSEC Te Rating MPemture Temperature Or ICS RSttn_q Rating Nurn No xy-pq 9-9- 1ItL,/o1y1t�/ftzatU/Da . ft Hellocol USA, Inc, TC 30 Q9Qj_4C: y '3tu/(t2 etu/DaV Btu/ftZ Net Heat PD[Ypropylene finer Loss 0 None With UV "One 29.42 2!i()O() 850 roeff stabilization 9700 330 Hallocol USA, Inc. TC 40 Rl-10-19 0 PDJypropVILne () None HelloCol with UV NOIC 41.-Il 3ff2op 1350 IB700 330 stabiliZatio,, 0 ChrOMagen I USA, Inc. CA110 0 7ernpereal Copper tubes i low Iron Welded to Helfocol Selectfve 25.48 24400 glass Copper (Ins 96D 19100 750 5500 220 Tempered Copper D 32 -qQ 2 g. USA, Inc. MO2.9 tubes i low Iron welded to mellocol 91EISS copper fins Selective 31-118 3090() 970 24200 760 70i)o 220 7—pered USA, In,:. MOM 4C) Q02,3a Copper tubes I low Iron welded to glass COPPer rim Selective 40-06 3050o 960 3DIoo 750 8700 220 . TC so 9701Q USA, Inc Polypropylene 0 None with UV Heffocol None 48,6 413()o 850 stabilization 16100 130 0 USA, InC. HolloCal 36 p0012 I) D Polypropylene V None with UlZatibn Heltocot Stith None 16.68 3510D 960 12600 30 0 if.10 USA, Inc, HelfOCOI 40 pf)pLg 0 lhy None Pro Ylene ��'O'tNone 40.69 36900 960 14000 310 stabilization 0 •Hellocal USA, Inc. Hellocof sa � 0 0 O Polypr PYIbne None Hellocol Sun Miser with Uv None 48.23 4r>100 stablif-tiot, 960 16500 340 a a USA, Inc. 40 9DD-1 7 C 0 '."' Pyfene None U0. with None 40.69 3S90C) 960 5tabifization 14000 340 Heliuml Sun Miser USA, Inc. So PJOQ� 0 & None p,01th""ropylene - Hello, 1 'tat)lllxatlon None .8-23 46100 960 16500 340 0 a USA, Inc,.1i"Ol 3() 00f)j I Polypropylene None with uv "One 29-35 27900 960 stabifizatron 10000 340 0 11 LIPS �i ':"'ec-urCdb.fsec.L1Cf edu/"ep/co"ectOr—scarc]iL?action=search&sho��oPtions=I&debti... . - N � O*V'' SOf,-4R POGLHEgTIM�E G! C . i fir"'a AV 7�7' "meet the of f 1 Vacuum Breaker 1 !I a TO SOLAR CO f REr� LL��TO� � RETURN l (COOL) FROM SOLAR COLLECTOR (WARM) rPressureI_ ROOF= SENSOR j Test Itit 1 i HC-Pry iised here tO pressure t•etst the system, i AUTO f .•..__.. CONTROL Bap Valve { (HC-5210) Ball Valve (Optional) I (HC-5210) �f - Three Way Valve�qEVV PLUMS s- ' (F1C-3344} ING EXIS T UNG P�w 19d4friE9 Check Valve qG (HC-1760) f I f PUFILTER M&�. V L. �.i, ;•7•_ -: :�..ti`, ter' r� .... . •� sr s . r Ip ! S �, �11;Y E 4hors 54 y hi,Y?i rA'4�1,.'�• > e �:�5' ice• SQa� � tad, r; ! �r'S3.,�1., .s �� t- f '�`i•,'� � j' -4 :�s�:l�� • .�.. � � ' }• r:�i. �• �%Q . ✓:t 3. �sr'�felt-sx �:l:s r�,��ry y :1�. SLi�_l�;ra.� ...i. _ _ .'r"'{.'"r.'iS �!♦! }r.Sf �� �[N t'!. L'3.w. �'.l �•. s.'I•�F"4� S - - �.��`_.-=�•'�I- iF aJ off •t'���ri ,�y}N�r�A�'yyy`�,,iiy/e•�:�:-'4nr FlCi 72.7 I VAWL CONTROLLER POOL SENSOR install after this point, Chlorinator ° Heater Other pool accessodas (optional) 19 soLRR ENERGY SYSTEMS ESTIMATE and PROPOSAL An,<nergy Managemerrt Company��_ 0160 Smallwood Ave. Florida State Certified Solar Contractor #CV 0056637 Ft. Pierce, Florida 34982 Martin Co. Indian River CO. state / 66 464-2663 288.0442 562-8999 1-800-330-7657 DATE [ 20 F NAME F ONE CELL MAIL -- - ADDRESS —..- . CITY STATE ZIPCOAE R -��� _ lass SPECIFICATIONS: Solar Energy Systems offers to furnish and install: 0 SOLAR HOT WATER C] SO SOLAR WATER HEATING SYSTEM O # Collectors X O + Tank Size Serial # © �, Pump Type Q Over 60 Foot Run © Tilt C Roof Type D _ _ _ 2 Story Q 2 Tank Tie In 0 � _ 10 Year Warranty TOTAL. $_ PUMP INFO load Center Type Breaker Req" A Wire Gauge A Distance to Service- 220 Service Needed Slab Needed Service to be supplied by owner Yes No INSTALLATION DATE Customer Can Buy At This Price Until: (DATE) LAN POOUSPA HEATING 0 HEAT PUMP O GAS HEATER SOLAR POOUSPA HEATING O Collectors 4 x 6 4 x 10.5 O Heat Pump _ $` O Manual 3 Way valve $ Mr Automatic Control $ Cl Pool Blanket (x) $ • Pool Blanket Roller $ O Additional Piping Over 601 C) _X $ O Replacement Pump (HP) $ • Trenching $ • Spa Tie-in $ • Roof I] Pump HP $ TOTAL $ eto S Iu e ^ /is; �t tV r-x I U X& t., it Lie t41%41% Legal Description: Parcel - ID # LOT BLK _ SUB. 0 INDICATE SOUTH I understand that this is only an estimated date, and that I will be contacted prior to this date to schedule actual installation. Building / Pool Contractor: ,,PEML INSTR 1ffAI nta "POOL BLANKET REQUIRED FOR OPTIMAL PERFORMANCE" APPROVED BY Submittej By: We hereby propose to furnish labor & aterials - Complete installation to existing premises in accordance with above specifications, for the sum of: TOTAL —Twee- 1 °Ae-- DOLLARS $ With payments to be made as followsZ%q5tPOSIT $ -'-f'�= ,g BALANCE $ >1111�PON COMPLETION O TO BE FINANCED All system components meat FSEC standards, All work is to be completed In a workmanlike manner according to standard practices. Any alteration or devietton rom attove speolrieattons Involving extra costs, will be executed.only upon written orders, and will become an extra charge over and above the estimate. Alt agreements are contingent upon sulk , accidents or delays beyond our control. The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payment will be ade as Payments not made upon completion subject to late fees after 10 da t . 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