HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �/ % 7�
LL�CC
Ica
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
PERMIT APPLICATION FOR:
Commercial Residential
PROPOSED IMPROVEMENT LOCATION:
0 t �q / 4� 07
Address: '/ 5 r,4s, ,
Property Tax ID #5It
Site Plan Name:
Project Name:
t
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction:
_Gas Piping
1 Sprinklers
Lot No.
Block No.,
Shutters Windows/Doors Pond
Generator Roof Pilch
Sq. Ft. of First Floor:
Utilities: � Sewer T Septic
Building Height,:
OWNER/LESSEE:
CONTRACTOR:
Name �' e_1•e��
Name: r t
Address. � } 'K Sf
Company:A> � L
City: a rail' State: _/
Address,' C c �' z iv
Zip Code-, %e Fax:
City%(O>/�h-�' State:
Phone No. � 7 z _ �j 2 5- L� �� S
.L
Zip CodeJJ::?5
:.� 7�f Fax:
E-Mail:
Phone No
Fill in fee simple Title Holder on next page if different
E-Mail (22iL n c° �' ��ara
from the Owner listed above)
State or County License :?,<LZZ
If
value
of
construction is
2500 or more, a RECORDED Notice of Commencement is required.
If
value
of
HAVC is $7,500
or more, a RECORDED Notice of Commencement is required.
9
SUPPLEMENTAL CONSTRUCF10
-1EN LAW IN�ORMATInf\iw
UE:N1UNER/ENG1NtER—,—a----
Not i�QRT4"aACE C��f#PA�Y; � �`�� i�Qt APPlieable
�.ddress: lama;C��y: Address:
Stake:City:
Staie:Zi p Phane:
FEE SIMPLE �'iTLE HOLf�ER: �"�lVofi Applica�fe ....................
Name: B��D��lG C�3MPAt�'f: � f�aLAppficab'e
Rc�c�-ess: dame:city: Address:
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ZipPaneZiP: P�oneOVVNER
�'�C�iV7'i��=�'t`�� l4�F�Dr4lIT: Ap;�lica�i�n �s ��rzE�y mare �o obi t certiFjj t��at na ���orl; or ir�stailDt��n �a� commenced prior �a ��e issuance o� �n a permrt ra do the �rrarlc and installation as indicated~
SL. Lucie L�uniy makes too epresen�atian ghat is granting a ermit wi)� apermit.
�+a���cf� is �E� confli�:.xrith art a licabf, �-��me Owner-s,�s p auorise the �Ermi� holder tstruc�ure, €�fPase consult ���th yoL1r Homy O��rners Association and o �uiid thG s�b1ec� struc�ure
5ocl��on rues, byl�►�,rs o�' ar�c� covenants �haF �na�, r�stri�i or,�rc�hioit s���h
Irk �c��t�iC�et-�tiC�it Of th n � � teUf��v your- deed r"ar any restrictions tivhich ma a !� �run�i►�g o, this r�ee�uested a�rmii, ! do herby agree that I tvijl,in aEl respects, Y�A Y•
rr� aeeordance with tf�� a�prov�c# p1�ns, ,he Florida Suilclin� Codes ar�d 5t.Lcacie Caur�ty Ar�endmentsFcr-�orm the work
T�}e f�f�uL���in� buildina ►���•ri,c� .�ww�-__�.
y""�� apEiEEc�tions are ��c�mpi from undergoing a F�,Il conct�rrency review: roam a�#c�itionsaccessory ;�r����r�s, swimmir�g pools, feces, wallssinsscreen rooms arc} aecesso
�LWARNING TO l�Y�PJER: YOjJR FAILiJt�tF �'n �crnr��, � M..�_..___ _ v uses to a�otner r�on-res�dentia� use
o.�nLr. FOR IMPROVEMEN-rs- TO YOUR PROM � a 1Out1GE Off' CCRIMEMCEfiyEhj'�' MAY RIESULT IfU YOUR pAYtNG
POSTED ON THE .SUB Sli'E 6EFORE THE FIRST SP tT10N�lFfYv A Mo OVF�Q!{FPY7-ENDCEMENT MUST RE TO OIBTAJN EtNANr'�wo�rnD AIVD
4�@1;-I YOUR LENDER O�LN AiT�RNfiY ��Fg}Dr 6tECpliDDP1GTIC:` OF COMMENeg
�16"d LUr c or owner/ Lessbe/Contractor as Agent fo
STATE OF FLORIDA
COUNTY OF /0 9 - 77-7�� LLJi
I The fora � -r
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Personally Known `OR Produced [den�i��c��ion
Type of Identification Proo
(Sig�42WI`e of Nota
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DATE
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Signatur
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STATE OF FLORIDA
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Certificate of Product Rat
AHRI Certified Reference Number: 202434538
Old AHRI Reference Number
Product : Water -,to -Air and Brine -to -Air
Model Number: SV030-1VTN-1T/A*D- T G
Brand Name : BOSCH
Date : 05-17-2021
ings
Mode! Status.- Active
Rated as follows in accordance rith the latest edition of ANSI AHRI/ASHRAE/ISO 1325 -1 11 apt r-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:
Full Land - Part Lodi Part Load2 Pam Load3
Air
Flow
Rate -
Cooling: 950
Air
Flow
Rate -
Heating:
VULHP Water -Loop Heat Pumps)
Coaling Capacity (Btuh) 28500f28504
Cooling EER Rating (Btuh/watt) 13.35f13.35
Cooling Fluid Flow Rate (gpm) 7.00
Heating Capacity (Btuh) 31200I31200
Heating Cop (watt/watt) 4.90/4.90
Heating Fluid Flow Rate (gpm) 7.00
GLHP (Ground -Loop Heat Pumps)
Cooling Capacity (Btuh) 29800/29800
Cooling EER Rating (Btuh/Watt) 1 5.80115.80
Cooling Fluid Flow Rate (qpm) 7.00
Heating Capacity (Btuh) 20500f20500
Heating COP (watt/watt) 3.55/3.55
Heating Fluid Flow Rate (gpm) 7.00
Indoor Blower Motor Fan Type - ECM
Sold inn? ; USA, Canada
Where rating shows value valu , the first value is at minimum voltage, the second value is at 230v for a dual volt system.
"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 ."r duction Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is str11
selling or offering for sale.
Ratings that are accomanied by WA indicate an invelunta re -rate. The new Rublished rating is shown along with the reviousi.e. VAS ratin
DISCLAIMER
AHRI does not endorse the product(s) listed on this certificate and maces 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 bind arising out of the use or performance of the products), 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.ahrid'l'rectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHi. 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 rer or by any means, except for the user's individual,
personal and confidential reference.
CERTIFICATE ATE VERIFICATION
The information for the model cited on this certificate can be verified at w . hridirry. rg, click on "Verify Certificate" link
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.
AIR-CONDITIONING, HEATING,
REFRIGERATION INSTITUTE
we make life bettef"A
U R
@�11%ir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: