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BUILDING PERMIT APPLICATION
30-Dec-2021 20:43 From: +12014556135 p.1 AN APPUCAeLE INFO MUST BE[oMpLEMD FOR APPLICATION TO BE ACCEPTED �( Permit Number. � � �'.-_----= Date: 1 -30-Z. . RECENED ��7 C tJ11(f,B JAN 0 $.2022 Building Permit App ri�ation st.t-I6iqR County,P®rmittlnq Planning 0na Devekprnent se^*Os Residential Building and code RegukdOn DfWWOR Commercial 2300 100nin AvenM xort Pkxc ft 3402 Phone.(772)462-1553 Fax:(772)462-1S78 PERMIT APPLICATION Ft�R: . . . 'PRO# Address: .,� _ � q i�t No._. PropertyTax iD Block No. Site Plan Name, .tl U.�'� Y! Prccdect Name: i . ......... .Tlii}rt IN. R. C I.P OECA1i:�0�?ES ..::> :..:... ....:.: . ..... . Ot Ic- New£iectrical Meter Second Electrical Meter • fl :I�lr R� N.- CT t3I�TRL� A110 Additior.9 work to he performed under this permit-check all that apply: j 9echanical „_Gas Tank _Gas Piping ,r Shutters Windows/Doors Pond - r plumbing ^Sprinklers _Generator Roof Pitch iota!Sq,Ft of Construction: 5q.Ft,of First Floor: Cost of Cobtruction::$ Utilities: —Sewer _Septic Building Height: WNTR1.: R; Na 1e eA n lub o i2 Name: hiJ S A ess: N Company: tf r City: State, Address; Zip Code::" �� Fax: City.: State. Prone No. t 25-- 3331 Zip code- Ua a Fax: E-mail.: 1a C rt40 J ,trr.-._� €�,r'° Phone No FM in fee skii�eTitle HoWeroa next pager(If different E•Mail Umle ,in-0 Q'Irdom i)C, Cep M'l from the Owner ftW above) State or County License it vatueofcmdrrtction b 2MOf none,a RECORM"Ice of Commencement Is required. if Palm of HAVC Is$7,5ao or mote,a REWIMED Notice of Commencement Is required. y of R ©/r.. r:hanrnp nr it 30-Dec-2021 20:44 From: *12014556135 p.2 ------------ ......T* FORMATIW UENIAW".1" TRUCTION. Name:DESIGNER E GINEER: Not Applicablp�' MORTGAGE COMPANY: Not Applicable Name., Address: City- Address.-. State: City-, State:. Phone Zip: Phone. FEE'SIMPLE TITLE HOLDERP 'Name- —Not Applicable BONDING COMPANY.- Not Applicable Name;. Address: Address, City;_ City: Zip-• Phone: Zip,_Phone: OWNER/CONTRACTOR AFFIDVff-.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,tulle Coun makes no representation that is granting a permit will authorize the )ermil,holder to.build the subject structure Which is-in icov%ktwith any-applicable Home Owners Association rules,bylaws oran coirenants that may,restyjcteit prohibit such structure.Please consult vAth your Home Owners-Association and review your deed or 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 withthe approved plans,the Florida Bullcling,todes 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 Pon-residential use WARNING TO OWNER-.Your failure to Record a Notice of Commencement may result in paying twice for improvements 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 lendeDor an attorn efore commencing work or recordinK Your Notice ofXommencement- x�z nfo'd a Signature f o%vrwl Less lie7Contractor as Agent for-owher Signature ffiense Holder d" ,Vwreo,FLOR, STA FL01114M aVe_A COUTMOF C01INWOF_ .14312rAq& sworj)4o tor affirmed)-and subscribed before m of .5wo,"for affirmed)and subscribed before me of online Notarization _h or—online Notaritallon W11':PhV51Cai.P ce..or 20# by this day of 2024 by this of Ala L rstm-mating statexnent. Name of Pe of person making.statement. Name V1_ ersorta IlyKnown OR Produced identification Pe IV Known v P ' OR Produced Identification T. e dentification T.- of rttification Pr d roduc of Not a) (Sig (Siva r commi on NO. • (seat) Co rn s.*AO ROUE G SUPERVISOR PLANS VEGETATI EVIEW REVIEW EW REVIEW REVIEW REVIEW 51 DATE RECEIVED ........ I DATE COMPLETED V. Air. ('.h;1nr1P 01 It 30-Dec-2021 20:45 From: +12014556135 p.3 � I r■�tIISl4gltlltw Certificate of Product Rate an s AHRI Certified Reference Number:204S 3190 Oate:12.2&2024 Model Status:Active Old AHRI Reference Number ; Product :W8ter40.*Jr and Brine-to-Air Model Number:SVg60.1VTC=••p•0..T1Q Brand Name :BOSCH Rated as follaws in accnrdenee with the latest edition of ANSNAHRI/A8NRAE/i30132804 Wster-source heat pumps--Testing and rating for pQrforttfasce Part 4:Water-to�it and Brine-to-alr heat pumps,and subject to rating accuracy b AHREas third pa►tytesttng: Y ponsorad,Indep endent, Full Load Part.Load1 Part Air Flow Rate-Cooling. Part Load3 Air Flow Rate-Heallnngg: 1900 WLHP(Water-Loop Heat Pumps) Cooling Capacity(Bttih) 3.6 Cooling EER Rating(BfuhAvatt) 1 0 Fooling Fluid Flow Rate(gpnt) g•60113.f30 3100 Heating Capacity(Stuh) 7780W 0t7781N?Heatin Heating F.7uid Flaw Rate(gPm) 4: ag•:::::::•:.:.:::<:::•::•:. .......::x.::>:,`?;:rs;>:•:>::::,;>:;•::.,,•:..�.:............ GLHp(Ground-Loop Heat pumps) Cooling t o C atuhg( Cocing EER Ratio Btubmatt) 616=61600 15:80l15.80 Cooling F1uid:Ffav�32atetgpn►1'::...,.....:::<..,.... Heating Capacity(Stuh) 3401�• ,........ .......... , ,..... ,....... ........,. ......... ......... ....... ... Heating COP(waNwati) 53 513.75400 ........... Heating Fluid Flow Rate 15.0 3.7S (gptn} 15.00 Indoor Slower Motor Fan Type :PSC Sold 1n? :USA !'RcRt' Model$tatus are those Me that an AHRI Cedf cation P vttttage,the second value is at 211hr fora'duai volt system marketed but am not yet betrsg produced."ProducUon S mMod Pamtupa r fe Cunrntly producing AND sefiing or oftf tg for care:OR new models that are n9 for sale ePpod'6lfodel Status are those that an AHRI Cerflltoatlan Prog�Pamaipant is hais n' IUn &P�ttairtg BUT is sUl! tf,SCfJ11M>kR ra �O °n w rev e AM does not endorse the aroduegs tasted An thin COMOOta and makes no repreaentatrons wareantias ar guarentoee ea to.and the Vradud(el Uged an 06 aertirteate.AMU exp►essiy diaWafms all Nebllity for dams, ft onepdrodwd ettcrudbn of date tit;ted on tAis Cerutfcote.Certteed rattnge era vatltl'only for�rtm od Rona tslaig=of the use ed In ed thet th��tllry �to+y el WWw.shridbeetory.ofg, Vmduet(a}or the TERMS AND CoNp,TtaNS This Cefuhcate and ns contents ere proprietary produm of AM!!!.This Certlucato Shall aMY be used ref indlvlduelole or In p, ,perSenat antl rxr MenUal raferefrca purposq&The W%nteo!'Ws CeftMc$10 entered into a contpoter datebwe:or0ftfwtse ut0bed,in any rm or menn 1164 In ar o by any mea�rgeeteadpc h&u"d Inem", ed; Pbr-mal and corfld (W rafa+enca. Dept for the users 1nwvGiunt. Z><RTAF7CATS VERIFICATION A Ico"ITWHING,NfATWti the if&1rnatiort tar the medatoltad on thla certipcate Art be verified qt www.andollrectoty.wJ6 eftk en•UirF Corti i RBFRWt]L1TtOtt tafStTnfrE and entttt:the AHRI Cediaed Retaenm Number and the date on �y treats,'Brtk wbxh Is J'"'above,and(he C*fM&to No.,which is lleted'at Catt�omil�ttcerN{lcata wars INuad, �r ntak�'tifi,l+ettcr^ ��tiAir•Cartdit(orting,Heating,and RBfrlgtrratian ittstiflite , ERTfFICATE NO.: 132ESS7U45740ta73.t•;.