HomeMy WebLinkAboutBrown PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
c' n LL-1 (VLLS
JA4 40 1 "�
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
Q
I PROPOSED IMPROVEMENT LOCATION: I
Address:
u
Property Tax ID #: L-1 I `a- y i_' > OU 2 C4 n60 Lot No. '? �_
Site Plan Name: IR i*� Block No.
Project Name: z - 0'� n UPoi'y
DETAILED DESCRIPTION OF WORK:
to
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
V Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 2LA S-0
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name
Name: kc-c-IC' t [dct-ca a( U
Address: 1 5 3`3 D- - , c ✓\ A,c
Company: ttCQ T" � c__J Si'4 Z X
City: -�er4 S-\ L✓c,Y Stater
Zip Code: k4$� Fax:
Phone No. 77a, 530 7 7T / E-
Ix
Address: 614Z kLi l CIA. spa D1
City: t�o;l �t �r,c[�e State: FC
Zip Code: 34 a g3 Fax:
Phone No 1702-3cf3-75-8
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail kcgoo IS r 1 CD ab 1,
State or County License e?C_ ILk S 7 3 3
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:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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.
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 and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender 2r an attorney before commencing work or recording your Notice of Commencement.
Signature &Contractor - or -Ow er uilder as applicable
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of N
Physical Presence or Online Notarization
this I Li day of MQ,�Cb 203 by
_
Name of person making statement.
i?`^
DYANA PERE I RA
Person Ily Known OR Produced Identification
:`.`':`; Notary Pubic -State o IOli02
Ty e o Identificati n roduced T7 L
p:Commission : Nti OSx.<CO
OF �' My Comm. Expires Oct 22. 202<
(Signatur o at Public- of Florida)
IIState
Commission No. U�0`1�V (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
E
EIVED
E
E
MPLETED
ev
Unta Snact i'CI oVions
S0125 S0145
`rEAh1 HURNE9
Y:
J
S0225 / S0120R S0166R
BTUs
80/80/80
101,000
119,000
�I�
110,000
126.000
('am air,
80/80/63
95,000
112,000
134,000
103,000
120.000
' bwh°dity)
80/50/63
62,000
75.000
90,000
72,000
82,000
C.O.P.
80/80/80
6.5
6.8
6.5
5.5
5.6
0ae1fi°inl M pww,na
80/80/63
6.1
6.4
6.1
5.3
5.3
jmlertemp/amtnentmd
80/50/63
4.0
4.2
4.0
4.0
4.0
.kt"ta d,ty)
Refrigerant
R410A
R410A
R410A
R410A
R410A
Electrical
Heat or Heat & Cool
H
H
H
H&C
H& C
kW Input
4.6
5.1
6.4
5.9
6.6
A - 208-230/6011
Voltage/Hz/Phase
A
A, B & G
A, B, E & G
A & B
A. B, E & G
B - 200-230/60/3
Max. Fuse Size
A - 60
A - 60
A - 60
A - 60
A - 60
E - 380-415/60/3
B - 50
B - 50
B - 50
B - 50
G - 460/60/3
G - 20
E - 30
E - 30
G-25
G-25
Min. Circuit Ampacity
A-40.5
A-42.1
A-42.1
A-38.5
A-42.1
B-31.0
8-33.3
B-31.0
B-33.3
G-14.2
E-18.4
E-18.4
G -16.2
G -16.2
Water Flow
Min./Max.)gpm)
30/70
30/70
30l70
30/70
30/70
A Heater Bypass Kit is mquimd when flow rates exceed the maxinwm
Physical
Weight (ibs)
268
328
328
268
328
Length x Width x Height (in)
34" x 34" x 44'
34" x 34" x 44"
34' x 34" x 44"
34" x 34" x 44"
34' x 34" x 44"
Shipping
Weight nbs)
329
390
390
329
390
Length x Width x Height (in)
38' x 36" x 49'
38" x 36' x 49"
38' x 36" x 49'
38' x 36" x 49"
38' x 36' x 49"
Raw in a ordanoe wlth ARI standard
MID water lemp/ambarn
air/relative humidity
Spedlioebons subjeel to mange
77
.CON
IMDE IM Yet
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
-L, L<_i C C!i-
L " r L , r, Building Permit Application
Planning and Development Services
Building and Code Regu/ctionDivision Commercial Residential
2300 Virginia Avenue, Fort Pierce FI. 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: / v" by l c0
Property Tax ID k: { 22 c4 SD 00Xy Lot No. _.
Site Plan Name: ecz5 n Block No.
Project Name: 'JC>"c� /I (,-�ZAzP
DETAILED DESCRIPTION OF WORK:
? r k Q cdi� lV�r�1 �LaE fi7W�i'iFl
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Tp D Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: ov.LaT Y4
AddresVa Q vin n X�)S
Company:
Yq
G
City: �o r -k- SA- Lt� 0 -t State:
Zip Code: �Q 9 9�--7_ Fax:
Phone No. —77a E-
Address: i \(DI S `L t u.c-4
141
City: t k:id (riGit G/
Zip Code: 3LI -51 Fax: 77t
Phone No 172 — 337--4// 9 7
Stater
33S/G3 f
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail `>'aYwLta{ c� G.6o1�
Ge
State or County License CC-1306 /Z7!
IIIf value of construction is 2S00 or more, a RECORDED Notice of Commencement is required. II
if value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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.
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.
.uc9F County and posted 0h the jobsite before the first inspection. If you intend to obtain financing, consult
mder or an at before commencing work or recording our Notice of Commencement.
Sign u of C&r - to - or -Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF -t) L 1,_ -C' c'
Sworn to (or affir ed) and suhscribed before me of
A + ' �i
Physical Presence or Online Notarization
this day of 2012by
Name of person making statement.
Personally Known OR Produced Identifica�lop
Type Identification P�uced L L-_
��Li—cam
(Signature of Notary Pub c- Sta a of Florida)
ANTONIA SFORZA
Ft;`:
F • Notary Public - State of Florida
}} /. Z.�}i
Commission No.�{ (Seal)
�' 4 Commkslon 0 HH 162239
,{6 My Comm. Expires Auq 8, 2025
Bonded through National Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 1U/1Zj21
----
47
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