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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: F. - ` L- Building Permit Application Planning and Development Services Building and Code RequiatronDivision Commercial Residential >(1 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: I PROPOSED IMPROVEMENT LOCATION: Address: <1( 456 73 t C4.'srlr' D- !� i-`I r Property Tax IU #: Wiutz- 61(j � = � tot No. Site Pian Name: Block No. — Project Name: DETAILED DESCRIPTION OF WORK:-- 1fY I SVC 3d New Electrical Meter Second Electrical Meter-- __ (Affidavit required) s CONSTRUCTION INFORMATION: Additional work to oe performed under this permit- check all that apply- ?Mechanical — Gas Tank — Gas Piping ^ Shutters Windows/Doors _ _ Pend -- Electric — Plumbing _ Sprinklers _ 6enerator _ _ hoof — Pitch Total Sq. Ft of Construction: _-- - Sq. Ft. of First Cos: of Construction: $ Utilities- � Sewer — soptic 6uilaing Heighr.- — �- OWNER/LESSEE: � � TcONrRacToR: �---------- - Name_ , 'I ;i 4j �.F._ _ i, ..f�.�,.:_ -- Name: MAY OL Address:_ '-SA4Aje►"I �!. Company: CI COL �-y A'I f OG j}Me*ri LA City:. _ , t� `: b y State: ' AddrEss. 6 Zu u t �U�_ ti _�V + Zip Code: t o i a Fax: �_ ;L- J %.'� r ik. City: _ MITCAIYr State: Ft - Phone No. 9� '? °� {�= : 7 a Zip Code: _ MOB - Fax: '- i it "t c+: ., t^ : ;' =. � ' _ ;,. i rFe No `b00 ?5,37 q 10 Fill in fee simple Title Molder on next page ( if different E-Mail_a i from the Owner listed above) State or Lounty License l-hkL-A Zo Z D If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. - w 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 MORTGAGE COMPANY: _ Not Applicable Name: Warne: _ Address: — Address: City: State: City: State: Zip: _ Phone Zip: _Phone: FEE SIMPLE TITLE MOLDIER Name: Address: City: Zip: Phone: Not Appficable BONDING COMPANY: —Not Applicab°e Nance: Address: — City:_ _ _ Zip: Phone: OWNER/ CONTRACTOR AFFI©VIT: Apptication s. !tie_reby made to obtain a permit co do the work and installation as indicated certi€y that no work or instaiiation has commenced prior to the issuance of a permit - St. ! de Courty makes no representation that is gran*ing a permit tvdt authorlte the permit holder to bLAd the subiect structure which is in conflict with any applicable Home Owners Association rules, bylay.s or and covenants -hat may restrict or prohibit sdch structure. Please consult with, your Home Owners Assooatson and, eview your deed for any restrictions which may apply. In consideration of the granting of this requested permit t do hercby, agree tnat i will, in ail respects, perform the vvork !n accordance with the approved plans, the Fforida Build>ng Codes and 5t. Lucie County Amendments. The following building permit applications are exempt from undergoing a ft: i toncurrency review: room additions, accessory structures, swimming pools, fences, wags, signs, screen rooms acid accessory uses to another non-residentlai 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 obtain financing, consult with lender or an attorney before cornmertcing work or recur riling your Notice of Commencement. 518natur6 of owner, Lessee Contractor as Agent for owner STATE OF 1"LOi� DA COUNTYOF 13cc,lyalc Sworn to {or affirmed} and subscribed before me of Physicai i-esence or ,y( Online Notarization this 30 day of JLI I .2020 by 'game of person ma-ung statement. Personally Known — OR Produced identification _ZL Type of Idertt"hcation Produced L-1 Le If1S (Signature of Notary Public- State of Flor"*t—T ---- Nory Public 5teteafFlordaCnmmissio^ No. Seal{)LUISMIERY7ERAV My Cmuii"m HH 128078 qorNK Expe25 REVIEWS FRONT ZONING I SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER ; REVIEW REVIEW REVIEW 1 REVIEW REVIEW REVIEW DATE RECEIVEQ DATE-- •---__-._-'� -- -- ----- --- -- _ _ —---_-__ _-w---- _.._ ----� --.. —�- - -- --- .. --- -- , COMPLETED Certificate of Product Ratinas AHRI Certified Reference Number: 203055993 Date: 07-30-2021 Model Status: Active Old AHRI Reference Number : Product : Water -to -Air and Brine -to -Air Model Number: WSVCB030"-2 Brand Name : HYDROTECH Rated as follows in accordance with the latest edition of ANSIIAHRUASHRAEASO 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) GWHP (Ground Water -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 li 930 26000/26000 13.00/13.00 7.50 30000130000 4, 30/4.30 7.50 29800/29800 18.00/18.00 7.50 25600/25600 3.60/3.60 7.50 Where rating shows valuelvaiue, the first value is at minimum voltage, the second value is at 230v for a dual volt system. t"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."Prod uction Stopped- Model Status are those that an AHRI Certification Program Participant i5 no longer producing BUT is still selling or offering for sale, Ratinus that are accomoanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the orevious fre. WAS1 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 productls). 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.ahr!direetory.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 INSTITUTE 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. ©�19Air-Conditioning, beating, and Refrigeration Institute CERTIFICATE NO.: 1327213Q173Q533587