HomeMy WebLinkAboutlBuilding Permit ApplicationAll APPLICABLE INFO MUST SE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: hermit Number.
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BWWog PerMft APPUCation
Planning and DevefopmentServices
,Building and Code RegufnVan Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone. (772) 4G2-1553 Fax_ (772) 452-1578 Commercial Residential
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PROPOSED III,i[PROVEN
Address_
PropertyTaxlD#
Site Plan Name:
Project Name: i
T 1.oa(,
QT LOCATION:
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59 (0 bD0__1,
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DETAILED DESCRIP I ION OF WORK:
4 Seer
CONSTRUCTION INFORMATION:
'_I'S f51 v
DDD
2. fin]
�5K LAJ
Additional workto he performed under this permit—check all that apply:
Mechanical Cas Tank —Gas Piping—Sh=ers
_ Electric Plumbing „—Sprinklers _ Generator
Total Sq. FL of Construction: Sq- Ft_ of First Floor:_
Cost of Construction: $ " ( Utilities: _Sewer Septic
Lot No.
Block No.
Win dows/Doors
Roof Pito
Building Height:
OWNER/LESSEE:
I CONTRACTOR-
Name l f Y r
Address: 1- lD a -0C f t ! R SkzgRg
'Name. D q
Company:/6K_
(.�T1 t /06-
City: 7 State: A
Zip Code: 303a Fax:
Phone No.
Address-cap/A - ffivao-hu
City. W P 6
Zip Code: � 9'
Phone No 5b l _3 P25
f�'��7tatL —
j State:
Fax: 50. 15
Q��I ()
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E Maii � � C DCL I--ro
State. or County License
1r vdiue or conskruciaon is 4)tz�uu or more, a KtWKI]tU IMOVCe Ot COMrilencernent is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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UPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
wr-01qJ1vtK/r:ivC IIVEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE MOLDER: -Not
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY. Not Applicable
Name;
Address:
City:
ZiP: Phone:
UUIINER/ CONTRACTOR AFEIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
St- Lucie Coun y 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 exemptfrom undergoing full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO TOWNER: FOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENT's TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT iVIUST BE RECO AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND EM OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDRuc vniip itinrrrc nE.-narur_o.rP.e, ..g
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFFAumaEACH
The forgoing instru ent was acknowiedged,before me
this clay of ( 2C 4-ly
RORYPWciiARAN
Marne of person making statement.
Personally Known x OR Produced Identifica.
Type of Identification
Produced
(Signature ❑f Notary Public State of Florida)
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Commission No. FF1 J (P (Seal) ��a
4
CD
REVIEWS IFRONT I ZONING
COUNTER REVIEW
DA
REVIEW
l
Signature of C Tactor/License Holder
STATE OF FLORIDA
COUNTY O F PALM BEACH
The for ing instru ent was acknowledged before me
this day of A I
_ _ _ 2 -QW by
RORY RAMCHARM
Name of person making statement.
Personally Known x OR Produced identi
Type of Identification
a�
'4y
Produced
b
M
(Signature of Notary Public- State of Florida)
Commission No. FP qq(
5
PLANS VEGETATION SEA TURTLE
p
REVIEW REVIEW REVIEW
REVIEW
d Ilk 4 "Ittius-0
NMI ff- f rept I r-YOT i U -M
AHRI Certified Reference Number. 9478882 Date: 04-14-2020 Model Status: Production Stopped
AHRI Type RCU-A-CS
Series: 14 SEER N SERIES R410A AC
Outdoor Unit Brand Name. TEMPSTAR
Outdoor Unit Model Number (Condenser or Single Package) : NXA418(A,G)KC"`
Indoor Unit Model Number (Evaporator and/or Air Handier): FMA4Pi8**A*
Region : Southeast and North (AL, AR, DC, DE, FL, GA, Hl, 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, SIS, 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) fpr
which they meet the regional efficiency requirement
The manufacturer of this TEMPSTAR product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning 8, 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 : 17000
SEER: 14.00
SEER (A2) - Single or High Stage (95F) : 11.50
?"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.
Ratinos that are aocomoanied by WAS indicate an involuntarv_re-rate. The new published rating is shown alor34q 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;
entered into a computer database, or otherwise utilized, in any form or manner or by any means, except far 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.ahridirer-tory org, click on "Verify Certificate" link
we ,Hake 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
10ERTIFICATE
132313586091764900
92020Air-Conditioning, Heating, and Refrigeration Institute
NO.:
AHRI Certified Reference Number: 9478882 Date: 04-14-2020 Model Status: Production Stopped
AHRI Type: RCU-A-CB
Series: 14 SEER N SERIES R41 OA AC
Outdoor Unit Brand Name : TEMPSTAR
Outdoor Unit Model Number (Condenser or Single Package) : NXA418(A,G)KC"*
Indoor Unit Model Number (Evaporator and/or Air Handier) : FMA4P18*W
Region : Southeast and North (AL, AR, DC, DE, FL, GA, Hl, 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, Rl, 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 TEMPSTAR product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSIfAHRi 210/240 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 : 17000
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.50
?"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. _
Ratinos that are accomoamed by WAS indicate an Involuntary re -rate- The new ratinggis shown along 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;
gowin"—
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 malty 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
-
FCERTIFI.CATE
- 09
132313586f7649At]
Q2020Air-Conditioning, ideating, and Refrigeration Institute
NO.: