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HomeMy WebLinkAboutWestling Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Y�Z�I2n� Planning and Development Services 0 Permit Number: Building Permit Application un uprng ana cone Regulation Division Commercia 2300 Virginia Avenue, Fort Pierce FL 34982 Phone,% (772) 462-15 Fax:( 72) 462-1578 PERMIT APPLICATION FOR � PROPOSEDIMPROVEMENT LOCATION.0• Address: 1d2c) roo'o C� r Properly Tax ID #: Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK sic 0 N New Electrical Meter Second Electrical Meter CONSTRUCTION. INFORMATION: � Residential mcto"Iss'i *rM + �F 5 c h f & Lot No. Block No. Additional work to be performed under this permit— check all thpply: Mechanical Gas lank Gas Piping � Shatters Windows/Doors Pond Electric � Plumbing � Sprinklers � Genar Rood Pitch Total Sq. Ft of Construction: Cost of Construction : $ OWNER/LESSEE: Sq. Ft. of first Floor: Utilities: � Sewer � Septic Building Height: Name JUkn nenrl l�f�.i SSCi W P Address: �O�.f,✓ � ���i-�e.�" {�-y, City: fbw K+ P1 e rz e" State: Zip Code: Fax: Phone No. 12) `7 l(p- l�Ug E-Mail: Fill in fee simple Title Holder on next page if different from the Owner listed above) CONTRACTOR: Name: 4nctCc.l y aicy- e, r Company:A C. ��:f�{'�CiY1 Address:! BA'-�J, (,\I! city:'Tbli- a A � Zip Code: Phone No E - M a i I State or County License C-�( 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 Rtotice of Commencement is required. Fax: Ab State: LYYl PRLEMENTAL COtVSTRUCTtON'L L1N INFORMATION: DEStGNFR/FN[;Int�Go_ Name:------ ,_..�.^��••. _,vuL /+ppucapie MORTGAGE COMPANY, Not Applicable Name: Address: Address: City: State: City: Zip: PhonState: --- e Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: cityw— Zip* Phone: BONDING COMPANY: Not Applicable Name: Address,p City: Zip: Phone: 4U1lNERj CONTRACTOR AFFIDVIMI'Application is hereby made to obtain a permit to do the work and installation 1 certify that no work or installation has commenced prior to the issuance of a permit, as indicated,, St. Lucie County makes no representation thatis granting a permit will authorize the ,permit holder to build the sub`ect structure which isin c4nfli�t with any app�icab[e Home owners Association rules bylaws structure. Please cohsu�� ���� your ���eOwners Association and r ., or an�cc�venar��s that may restrict o�- prohibit such 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 Cedes and 5t. Lucie County Amendments,, The following building permit applications are exempt from undergoing a full concurrency review: roam aitiarrs, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use ssWARNINC 70 OWNERO YOUR FAILURE TO RECORD A NOTUCE OF COMMENCEMENT MAY RESULT IN YOU P y TWICE FOR IMPROVEMENTS TO YOUR PROPERTYm A NOTICE QED COMMENcEM qmmww►i �E 17ECt�RDED AND POSTED ON THE JAB SATE BEFORE THE FIRST INSPEC7'1O�1. IF Y�� 111iTE�Va Tti C�Bi'A�N FINANCING, CONSULTWITH YOUR ILEND�`O �D A� R��i�Ei�C%/ __ - -I - b�L�R1r"!t± l�Ie��Ar�was.v ....�._ _ - -- - - — v....a rwz eaeRR �7 ■ ! V��,f�G f �,���n� K��,ca�u�N� TUUR NOTICE OF COMMENCEMENT." - - - [,9 /tr; Owner/Signature of Owerf lessee%C� tractor as Agent for owner Signature o�F �act4r/License Hodder STATE OF FLORIDA STATE OF FLORIDACQUN`T CIF 5 L�'� CO U NTY 0F 6.c,fm-- The forgoing instrument was acknowledged before me The �vrgo�i�ng instrument was acknowledged before m� this �day of t.t.! 2� 2 c7 by this 14= `dad of '�i 1 Zo -� C by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification �,/Jq_ Personally Known OR Produced IdentificationType of Identification Produced......)MC L, Type vfi Identification produced�, C- E -WW (Signatlolf Notary Public- Sta--t—e-o----'-' f Florida) (Signature of ovary Public- State of Florida Commission No. Commission Igo, G� :�i� R •••. AUORE ��MER .'��r ''.. AUORPY SiIfEHMER ;s • ,��,r Notary Public - State of Florida rotary Public -Stare of Florida '� o Commission � GG 317'S44 � Comrnissian � G 317544 REVIEWS FR �°��'.°• �,q xpire �a .... anded th oPAM atin�S.v dt��' ation t i� � � �R PLANS UEGETAo al Nat Assn. CO REVIEW REVIEW REVIEW REVIEWVE DATE RECEIVED DATE COMPLETED Rev, 2/*"7--/-m-19 Eligible for Federal Tax Credit Certificate of Product FZatinas Aid l'I Certified Reference Number: 202868496 Date : -2-22 1 H I Type: H C - -CB (Split System- Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Brand N nne : B SC Outdoor Unit Model Number (Condenser or Single Package).- BQVA-36HDN1-M20G Indoor Unit Model Number (Evaporator and/or Air Handler) : E - N -i 2 The manufacturer of this B SCH product is responsible for the rating f this system combination. Model Status : Active Ranked as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1 Performance Rating of Unitary Air -Conditioning & Air-SourceHeat Pump Equipment and subject t rating accuracy HIS!-� • . � y � nred, independent, third testing: Cooling Capacity 2 - Single or High Stage F , btuh : 34600 SEER: 20.00 EER (A2) -Single or High Stage (95F) : 12.50 Heating Capacity (H 12) -Single or High Stage (47F) : 34200 HSPF (Region !V) : 1 p.50 j " Live" 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 i no to selling r offering for sale. # roger producing BUT is till Ratan s that are accomoanied by WAS indicate are involunt re -rate. The new ou lish d rating is shown alon with the grevious Le. WAS) r ' ng- DISCLAIMER AHEM does not endorse the products) 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 f the roduct(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid onlyfor models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL This Certificate shall only be used for individual, personal onal and Ail onrid ntial reference purposes. The contents of this eritifi ate n ay net, in hole or in part, a reproduced; o ied;.disseminated; _im,. entered into a computer database; or otherwise utilized, its any fora or manner orb . means except for t ]� � p h ue�' individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE E I F I AT I O E F I E RATI O N INSTITUTE The information for the model cited on this certificate can he verified at www.ahridir t r r.or , click o "Verify Certificate„ link and eater the H l Certified Deference Number and the date on whi h the ert�f�t was issued� N�� r �� tt���,� , which is listed above, and the Certificate No., which h is listed at bottom right. - -- �- @2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE 132666001371891169 Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number: 202868497 Date . 5-27-2021 AHRI Type: HC-A-CB(Split System: Heat Pp with Remote outdoor Unit -Air -Source Outdoor Unit Brand Name: BOSCH Outdoor Unit Model Number (Condenser or Single Package) : BOVA-60HDN1-M20G Indoor Unit Model Number (Evaporator and/or Air Handier) : A- 0W 1-i ll The manufacturer of this 130SCH product is responsible for the rating of this system combination. Model Status :Active Rated as follows in accordance with the latest edition of AHEM 21 2 0 with Addendum 1, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, herd party testing: Cooling Capacitor A2 - Single or High Stage F , btuh : 54500 SEE ; 19.00 FER (A2) -Single or High Stage (95F)." 12.50 Heating Capacity (H12) -Single or High Stage (47F): 56000 HSPF (Region IV) : 10.50 fActive" 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. "Produti n Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Latin s that are accomoanied bX WAS indicate n involuntary re -rate. The new oublish d rating is h rr� lore with the rvious ". WAS) r tina, DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties r guarantees as to, and assumes no responsibility for the product(s) listed on this certificate. AHRI expressly discialms all liability for damages of anykind l arising out of the use or performance of the r du t 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 IS l D CONDITIONS This Certificate and its contents are proprietary products of AHRL This certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certfficate may not, in whole or in part, be reproduced; copied; disseminated; tow entered into a computer database; r oth rwise utilized in o � i an form or r�nr�ner or an means, t ► y � a p 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 ww.ahridirect ry. r , click o "Verify Certificate" link . , and enter' th H I Certified Reference Numb r and the date on whi h the certificate w s issued, ��F �� Life- betreem which is listed above, and the certificate No., which is listed at bottom right. - - - @2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132666002624290932