HomeMy WebLinkAboutscanemailsharp@gmail.com_20211001_143051All APPLICAB E INFq MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L2 \ Permit Number:
it ° i 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:- avoce
I'
PROPOSED IMPROVEMENT LOC
ION:
Address:
Property Tax ID
Site Plan Name:
Project Name: _
IWINOWWWRAN
pv e�7Lr .lib- M
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter.
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $`I lip - W Utilities: —Sewer Septic
Lot No.
Block No.
Building Height:
Pond
Pitch
OWNER LESSEE:
CONTRACTOR:
Name K
Name:
_ i� 1
Address: I k
Company:r
City: %1 G State:
Zip Code: Fax:
Phone No �� Z �-%'a' �J1� �51
E-
Addre
(.
City: c�1
Zip Code:. CIS
Phone Ixo
L'1 State: 2�
Fax: 1Z"u
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail t Ui f
9LNf ' I
- 'r
State or County License
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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of er/ Lessee/Contractor as Agent for Owner
STATE OF LORIDA
• COUNTYOF L IACAP
Swor to (or affir a and subscribed bef re me of Physical Presence or Online Notarization
— —
this ay of 1 2Q�f by
�� PXa lY1c�rC e�
Name of person making statement.
Personally Known OR Prp�y I, dpfulfitca7`io
TMIdeation Produced � �y3Lk��
(Signature ofNoottaryPublic- StateofFlorida) CATHERINE MILLER
State of Florida -Notary Public
Commission N G Seal
_
c CommissionSGG 273315
My commission Expires
November 01, 2022
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Rev 5/20/11
Certificate of Product Ratin
AHRI Certified Reference Number: 205767542 Date : 10-01-2021 Model Status: Active
Old AHRI Reference Number :
Product : Water -to -Air and Brine -to -Air
Model Number: TCHN024A*WIK
Brand Name : Climate Master
Rated as follows in accordance with the latest edition of ANSI/AHRI/ASHRAE/ISO 13256-1 Water -source heat pumps --Testing and rating
for performance-- Part 1: Water-tosir 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 (walt/watt)
Heating Fluid Flow Rate (gpm)
GWHP (Ground Water -Heat Pumps)
Cooling Capacity (Btuh)
Cooling EER Rating (BtuhlWatt)
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)
CoolingFluid Flow Rate (gpm)
Heating Capacity (Btlh)
Heating COP (watt/watt)
Heating Fluid Flow Rate (gpm)
Indoor Blower Motor Fan Type : ECM
Sold In? : USA, Canada
Full Load Part Loadl PartLoad2 PartLoad3
800
850
23600123600
13.50/13.50
6.50
27500/27500
4.80/4.80
6.50
27000/27000
21.50/21.50 -
6.50
23500/23500
4.30/4.30
6.50
24500/24500
16.00/16.00
6.60
18600/18600"
3.50/3.50
6.50
Where rating shows valuetvalue, 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 "Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Retinas that are accompanied by WAS indicate an involumary re -rate. The new oublished refine is shown alone with the Drevious (i.e. WAS) ratlna.
DISCLAIMER
AHRI 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 of the produchs), 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;
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, Mn
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.a h rid i rectory. org, click on "Verify Certificate" link we make life barter—
antl 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.
OD 21IT Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132775747432599305