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BUILDING PERMIT APPLICATION
A4 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: oELCu Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: a 0A 4-S P t+r'\ : rc k S} Property Tax I D #: a, a 1 - O a 00 CD 6"O a Lot No. \ o Ertl Site Plan Name: Block No. LO Project Name: Cae-,:sX �rJ DETAILED DESCRIPTION OF WORK: G r� - . New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: AMechanical Electric Gas Tank Plumbing Total Sq. Ft of Construction: Gas Piping Sprinklers _ Shutters Generator (Affidavit required) _ Windows/Doors Pond Roof Pitch Sq. Ft. of First Floor: Cost of Construction: $ SI CI S to . i `d Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: Name Address: City: �p�k Qt�c-�� State:�� Zip Code: 3Lk4�, % s Fax: Phone No. E- Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) CONTRACTOR: Name: a-QQ tiSL Company:\]C -\)-CMU-Q- Gtr-�aa Address: SLKAO W . 5&f—A * QL City: 0" State: Jl��-* Zip Code: 3 83\ Fax: 31iS -❑%-f4 Phone No S LI - Q.T\ - �] tt ❑ E-Mail ee-v- -i V'rll UGC. Ova (-N State or County License CMG - in-STI -f a 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Name: Name: Address: Address: _ City: State: City: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: Not Applicable BONDING COMPANY: Name: Address: _ City: Zip: Phone: Not Applicable State: Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 a osted on the jobsite before the first inspection. If you intend to obtain financing, consult with lend ttorney before commencing work or recording your Notice of Commencement. ovl"� of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF I:s a� Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this Q t5 day of PLU"t& , 20.AJ by Name of person making statement. V Personally Known x OR Produced Identification E_. �''� Notary Public State of FloridaType of Identification Produced Stadi@ PaguraMy Comrhission GG 150367�0+ Expires 02i0212022 (Signature of Notary Public- State of FI a) Commission No. a a.1 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE f I RECEIVED _ DATE COMPLETED Eligible for Federal Tax Credit Certificate of Product Rating AHRI Certified Reference Number: 8863198 Date : 04-16-2021 Model Status : Active AHRI Type; RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: LX SERIES Outdoor Unit Brand Name: YORK Outdoor Unit Model Number (Condenser or Single Package) : YCG30B21 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE30BX21+TXV Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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 YORK product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, 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 : 27800 SEER: 17.00 EER (A2) - Single or High Stage (95F) : 14.00 The AHRI 2101240 certified EER ratings in Btu/h/W are calculated under the same methodology as the EER ratings at T1 conditions of ISO 5151:2017 and ISO 13253:2017 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 "Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS lndlcate an involuntary re -rate. The new published ratinv Is shown alonq with the Drevious (i.e. WAS) ralinv. 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; �. `■ r 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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132630725346920645 1/4/2021 Florida BuW tg Code Online �.� 7.�`.f.�v�• `�t'�r • rat'Aim. sw Name l tog In userR aeon HatTopks s%&mRswdeme Stets a real ; NAkayms coma us ; um sm KV U ft Wssard, f dUpr > FL # FL14239-RS Application type Revision Code Version 2020 Application Status Approved Comments Archived Product Manufacturer BMP International Inc Address/Phong(Email 4710 28th Street N St Petersburg, FL 33714 (727) 4S8-0S44 benmeng8fyahoo.com Authorized Signature )lanbin Meng benmeng8®yahoo.com Tedinical Representable Address/PhonWErnall Quality Assurance Representative Address/Phone/Email Calory Structural Components Subcategory Anchors Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardc opy Received Florida Enginccr or Architect Name who developed the Frank L Bennardo, P.E. Evaluation Report Florida License PE 0046549 Quality Assurance Entity National Accreditation and Management Institute QuaRyr Assurance Contract Expiration Date 12/32/2021 Validated By Ttoy Bishop, P.E. Varidation Cheddlst - Hardeopy Received Certificate of Independence R A!renced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code Standard ASTM D1761-88 Ronda Licensed Profcss;flnal EngineerorArchitect Year 20M Product Approval Method Method 1 Option D h4sJMrww_fl0ridabufffding.0rg/pr/pr app dtlasWpararn--WGEVXOwtDquD6lErtOSCeiRuPjHIQ1CoAtbhlDp2whFQdlmZGSDdvg963d%3d 1/2 1/4/2021 Florida Building Code Online Date Submitted 10/08/2020 Date Validated 12/21/2020 Date Pending FBC Approval 10/26/2020 Date Approved 12/22/2020 Surrunaa of Products FL * Model, Number or Name Description 14239.1 Slotted Steel Tie -Down Clips, 1' and 2- Models Limits of Use Approved for use in HVHZ. Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: N/A Other! This design prnyides allmyabie capacities For the system. The required site -specific design pressure (demand) shall be calculated by others tar use with this deslgn, Steel Tie -Down Cllp System (For Use with Mechanical Units at Roof or Grade) Installation Instructions ELL 239 95 ll t)wG nits= Verified By: Frank L Bemhardo, P.E. OD46549 CG--ttrd by Independent Third Party: Yes Evaluation Reports F1 -14239 R5 AF __ s- Al Ii Created by Independent Third Party: Yes �dadcl �Neztl Contact :: 2601 Bia1L, nc Raa}�, TdRlhtrs�te R 3�_�99 ohmu�: ASfl..ap Y7_itne The St3te of Honda is an ANCEEo employQ UWId r Ratrda taw, email addramm are puWC recmlfz If yw"nut boot Your �l address: re}easm Itr mall to v+s milky. M-,Md, canta4 ncQ &MM by 0. orby vradlsiohW URYL 0wr ymars am go omw, p� � ase a.57.1�3ssras:hu-unnx m semon nJorlda StfUtas,-Yw:ttm Omrh.Y 1, 2012, LI-MIZ 5-10d under t hW1 455, FS, oust pnmdde the t van an ensa7 ad&vm If"hm one The emtil4 pmrldad MY be AGM for offi[W eonxnunfcaNun rnur the Imo, Kow_%tr eman adia � are pubU remrd, u Yvu dp rest wish m supply s FeWrkd addmss, pose Provide the OePw Wnt wim an er6t addjpss wh!dh c be made avall7bk m mC pabSr- Tn dLtumine if Wu am a ll: mn anger C7upbr 455, FS„ piCssC ddc I,&,. Product Approval Accepts: ®® ® eyrY.r Credit Cwd Safe hUW-ll vwwfloridabulding.orglpdpr app_oaSPI?P�"�NGEVXQwtDquDEJErtOSCeiRuPjHIQ1CoAU*Mp2whFQxUmZG6Ddv9%3d%3d 2/2 ENGINEERING ENGINEERING EXPRESS® PRI]DUCT EVALUATIDN REPORT September 15. 2020 Application Number. FL #14239.1-R5 FLB Project Number. 20-30157 Product Manufacturer. BMP Intemational Manufacturer Address: 4710 28th Street North St. Petersburg, FL 33714 Product Name: Slotted Steel Tie -Down Clips, 1" and 2' Models Product Description: Steel Tie -Down Clip System (For Use with Mechanical Units at Roof or Grade) Scope of Evaluation: This Product Evaluation Report is being issued in accordance with the requirements of the Florida Department of Community Affairs (Florida Building Commission) Rule Chapter 61 G20-3.005, FAC_, for statewide acceptance per Method 1(d). The product noted above has been tested and/or evaluated as summarized herein to show compliance with the Florida Building Code Seventh Edition (2020) and is, for the purpose intended, at least equivalent to that required by the Code. Re-evaluation of this product shall be required following pertinent Florida Building Code modifications or revisions. Substantiating Data: • PRODUCT EVALUATION ❑OCUMENTS FLB drawing #20-30157 titled `Mechanical Unit Steel Tie -Down Clip: At -Grade and Roof -Top Mounted Applications", sheets 1-5. prepared by Engineering Express, signed & sealed by Frank Bennardo. P.E. is an integral part of this Evaluation Report. TEST REPORTS Ultimate test loading structural performance has been tested in accordance L ASTM D1761-88 test standards per test report(s) #TEL 01970387A and #TEL 0197Q387B by Testing Evaluation Laboratories, Inc. Signed and Sealed by Lyndon F_ Schmidt, P.E • STRUCTURAL ENGINEERING CALCULATIONS Structural engineering calculations have been prepared which evaluate the product based on comparative and/or rational analysis to qualify the following design criteria: 1. Minimum Allowable Unit Width 2- Maximum Allowable Unit Height 3. Minimum Unit Weight 4. Maximum Allowable Unit Surface Area 5. CUP Configuration and Anchor Spacing 6. Anchor Capacity for Various Substrates 7. Maximum allowable roof -top heights for various installation wind speeds No 33% increase in allowable stress has been used in the design of this product_ 160 SW 12T" AVENUE SUITE 106, DEERFIELD BEACH, FLORIDA 33442 (954) 354-0660 1 (866) 396-9999 TEAM@ ENGINEERINGEXPRESS.CON ENGINEERINGEXPRESS.COM ENGINEERING t.: Page 2 of 2 BW International — Steel Tie Down Clips Impact Resistance: Not applicable to this product. Wind Load Resistance This product has been designed to resist wind loads as indicated in the design schedule(s) on the Product Evaluation Document (i.e. engineering drawing). Installation The product listed above shall be installed in strict compliance with the Product Evaluation Document (i.e. engineering drawing), along with all components noted therein. The product components shall be of the material specified in the Product Evaluation Document (i.e. engineering drawing), Limitations & Conditions of Use: Use of this product shall be in strict accordance with the Product Evaluation Document (i.e. engineering drawing) as noted herein. All supporting host structures shall be designed to resist all superimposed loads and shall be of a material listed in this product's respective anchor schedule. Host structure conditions which are not accounted for in this product's respective anchor schedule shall be designed for on a site specific basis by a registered professional engineer. All components which are permanently installed shall be protected against corrosion, contamination, and other such damage at all times. This product has been designed for use within and outside of the High Velocity Hurricane Zone (HVHZ). Respectfully, Frank Bennardo, PE ENGINEERING EXPRESS® 4PE00465491 Cert. 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