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HomeMy WebLinkAboutpermitAll 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 Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: )ale qkLq� Ul— _ PROPOSED IMPROVEMENT LOCATION: Address Residential 13 Property Tax ID #: J`"l S_ 1 U y — U ! J 00 O ~ Lot No. Site Plan Name: gu I YIYI Block No. Project Name: Ll C n )'1 DETAILED DESCRIPTION OF WORK: SC)ukr6 Ck 9 �l' / ran /6t I -�- i Vr �'r 11 V, ���r }� �. 1D� I-) New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additi%nal work to be performed under this permit— check all that apply: V Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ sal �� Utilities: —Sewer —Septic Building Height: OWNER ESSEE- CONTRACTOR: Name Li4, U'01 P1 Address: d N hv;Li Name: � Company: kir G,S Address: SU-40 (� ` City: &-i StateR ZipCode: �2)2& �L_ Fax: Zi City; :61 - pl -eA C State: Zip Code: G5 Fax: Phone No.�f � �-3�7 E-Mail. f� G lit. Fill in fee si le Title Holder on next page ( if different Phone NoC-7 7A I 3 `- `2 7 E-Mail 10 U C �—� C" from the Owner listed above) State or County License 62,41 2- If value of construction is 2500 or more, a RELURutu NOtice or commencement is requires. If value of HAVC 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: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name:_ Address: City:_ Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: 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 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to ob#,ain financing, consult with lender or an attornev before commencing work or recording vour Notice of Commencement. Signa retarobvner/ L4sse�Contractor as Agent for Owner ST TE OF FLORIDA COUNTY OF. ,' vv� � a Swor to (or affirmed) and subscribed before me of Physical Preseyrce or Online Notarization this 1� . day of j 2020 by Name of person making statement. Personally Known -�OR Produced Identification Type f Identification P r d u d Signature of C�6ntra ctor/ Lice n se Holder STATE OF 1-ORIDA COUNTY OF -:(:WbIA0 !Whysical (or affirmed) and subscribed before me of Presen a or Online Notarization this 2,O day of s 2020 by Name of person making statement. Personally Known '� OR Produced Identification Type of Identification ---N (Sig e �1 >���y� f ' GWENDOLYN I. EEl L f (SignatuUn t (cF }c : 7055t t� l71RENIS: lSSION # GG .MY %"`be� COMMISSION # G ��0� 1 RLQ. .= Q A R camber 25, 2021 Commiss ��. :<=Decern znCommissio! 'TFOF Public uncle b<= EX : BDndf-d Thru Not9ry PUbl{o UnJewitem F�°� Bonded ThN Notary REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Certificate of Product Ratings AHRI Certified Reference Number., 7849826 Date: 04-20-2021 Model Status: Discontinued Old AHRI Reference Number : Product :Water -to -Air and Brine -to -Air Model Number : SVO36-1VT/CF/HZ'-;*;P'B Brand Name : BOSCH Rated as follows in accordance with the latest edition of ANSVAHRI/ASHRAEASO 13256-1 Water -source heat pumps — Testing and rating for performance — Part 1: Water -to -air and Brine -to -air heat pumps and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Air Flow Rate - Cooling: Air Flow Rate - Heating: WLHP (Water -Loop Heat Pumps) Cooling Capacity (Btuh) Cooling EER Rating (Btuh/watt) Cooling Fluid Flow Rate (gpm) Heating Capacity (Btuh) Heating Cop (watt/watt) Heating Fluid Flow Rate (gpm) GLHP (Ground -Loop Heat Pumps) Cooling Capacity (Btuh) Cooling EER Rating (Btuh/Watt) Cooling Fluid Flow Rate (gpm) Heating Capacity (Btuh) Heating COP (watt/watt) Heating Fluid Flow Rate (gpm) Indoor Blower Motor Fan Type : PSC Sold In? : USA, Canada Full Load Part Load1 Part Load2 Part Load3 1200 37900/37900 14.70/14.70 9.00 41800/41800 4.60/4.60 9.00 39900/39900 16.90/16.90 9.00 26900/26900 3,50/3.50 9.00 Where rating shows value/value, the first value is at minimum voltage, the second value is at 230v for a dual volt system. tModels with "Discontinued" Model Status are those that an AH RI Certification Program Participant no longer produces AND is no longer selling or offering for sale. Ratinas that are a comoanied by WAS indicate an involuntary re -rate. The new published ratina is shown aiona with the previous (i.e. WAS) ratina. 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.ahridirectury.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 INSTMTE 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. 132634000672366516 ©2021 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: