HomeMy WebLinkAboutBuildilng permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED: IMPROVEMENT LOCATION:
Address: �p� o '�� � �.,,ri�r �r . �� L L 3� c18(.
Legal Description: )i 6 �Irk -5 LOT 39 1400 -1 3)
Property Tax I D #: ;3 3 2_2- - 10 D - Q o ±4 -Do_o ` 77
Site Plan Name:
Project Name:
Setbacks Front Back. Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. —
Block No.
15 Sur )0 1_w kakr-
CONSTRUCTIOWNFORMATION.-
Additional work to be nerformedunder this permit - check all apply
HVAC Gas Tank E]Gas Piping Shutters Windows/Doors
_
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S of First Floor:
Cost of Construction: `� $ 5�� � . Utilities:Ft. Sewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name_Ejw 1'rd ),,CkC1 l; ,:��f�n
Name:
T-)Ig V, Inznr2.%Z
Address: (f71'Q Ea Qn6 r', Pi-
Company-: A I
Address: 3qCA w'
City:. � 5 L State:
Zip Code: 'Y GIN Fax:
Phone No. L-1-7-L 1-7 - iA—S
City: S i< State:h
Zip Code: 3`1 � ty Fax.
Phone No. U LIA � Z-Y - + 4C1 Z.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: (l r GLLQ ac Xio-er+-S a� 6) l -
State or County License: CPS l?i_J`1GI L0
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: of 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:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
1_� s
Signature of Contractor/License_Holder
STATE OF FLORID ICOUNTYOF
STATE OF FLORIDA
COUNTY OF -�C. 'S I • L i,� ,i „•„
The for oing instrument w s acknowledged before me
this— ay of 202 by
ctne)U T
(Name of person acknowledging j
0.
(Sign Lure of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identificatio Produced
The forgoing instrument was acknowledged before me
this )0 y of AS 4 20 2b by
�p<' jL uZrU �Z T
(Name of person acknowledging)
JG� D '(__
(Signatu a of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
7 IM1111!!!►��
Commission No. �'i �`1� (Seij�►t111111+++lri, Commission No. G�n�'I'�30Gi (5 ��
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Revised 07/15/2014
REVIEWS
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COMPLETE
INITIALS
This combination qualifies for a Federal Energy Efficiency Tax Credit when
placed in service between 1 /1 /2015 and 12131 /2020.
Certificate of Product Ratinas
AHRI Certified Reference Number : 204841630 Date : 08-10-2020 Model Status: Active
AHRI Type: HRCU-A-C8 (Split System: Heat Pump with Remote Outdoor Unit -Air -Source)
Series : 14 SEER HP
Outdoor Unit Brand Name: BRYANT HEATING AND COOLING SYSTEMS
Outdoor Unit Model Number (Condenser or Single Package) : BH14NBO48P0"A`
Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CNBO06L
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 AHRI 210/240 with Addendum 1, 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 : 47000
SEER: 15.00
EER (A2) - Single or High Stage (95F) _ 12.50
Heating Capacity (H12) - Single or High Stage (47F) : 44500
HSPF (Region IV) : 8.50
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''
for sale.
Ratin s that are accom anied by WAS indicate an involunta re -rate. The new laubifshed rating.is shown alona with the previous i_e. WAS) ratin .
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 alln
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, BMW XWWW1
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.ahridirectGry.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.
132415542372537825
02020Air-Conditioning, Heating, and Refrigeration instituteCERTIFICATE NO.: