Loading...
HomeMy WebLinkAboutlBuilding Permit ApplicationAll APPLICABLE INFO MUST SE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: hermit Number. fj o a 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 1- c.€ ` �rtivif ri`z- ,1 PROPOSED III,i[PROVEN Address_ PropertyTaxlD# Site Plan Name: Project Name: i T 1.oa(, QT LOCATION: �E_ 59 (0 bD0__1, &u u4 _T4 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. E 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) ( o 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.: