HomeMy WebLinkAboutSUBMITTED PAPERSSCANNED
Date: _ '"� �� 01 BY Permit Number:
St. Lucie County
J
Building � pp Permit Application
Planning and Development Services
Building and Code Regulation'Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1558 Fax: (772) 462-1578 Commercial Residential
I PERMIT APPLICATION FOR: Mechanical
Address:
Legal Description'
Property Tax ID #:
Site Plan Name:
Project Name; ze a,tYl
Setbacks Front Back:
Right Side: Left Side:
Lot No.0_
Block No,
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/-luumonai WorK t0 De Derrormea unaer tnis; permit- cnecK all apply:
❑✓ HVAC Gas Tank QGas piping _Shutters windows/Doors
11 Electric Plumbing Sprinklers []Generator Roof
Total Sq. Ft of Construction: tJ14 I S . Ft. of First Floor: /
Cost of Construction: $ �- .qsI�CIO Utilities:llSewer ❑Septic Building Height:
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Name .i"t r
Name:
Address: ' tV - 4 C-
Company: . _ b-AIR
City: t- 1State.,
Address: 3054 N US HWY 1 ��rrr� •s
Zip Code: r,,L\q 4(S 5 1 Fax:
City: FORT PIERCE State: FL
Phone No.�l'7c�.lP'fJ �ll�OLp
Zip Code: 34946 pax: 772-461-8722
E-Mail:
Phone No. 772461-8711
Fill in fee simple Title Holder on next page (i different
E-Mail; shannagrimesac@aol.com
from the Owner listed above)
State or County License: DO I & % /
IT value of Construction is :�z5uo or more, a RECORDED Notice of commencement is required.
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DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: _ State:
Zip: _ Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name: _
___... -....
Address:
Address:
City:
City:
Zip: Phone:
Zip; Phone:
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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure, Please consult with your Home Owners 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 your paying twice for
improvements to your property. A Notice of Commencement must: be recorded and posted on the jobsite
befq�riqhe first inspg�tlon. if you intend to obtain financing, Siqnsult with le r or an attorney before
co me cine worwor/recardine your Notice of Commence t. 11
of Owner'/ Agent/ Lessee
ature of Contractor/License Holder
'ATE OF STATE OF FL
UNTYOFOI7IDA •UIf� I COUNTY OFORIDA5-1. G/G
The Bing instrument wasacknowledged before me
thi day of ..._�k� — . 20 14 by
L&;ie,5 a«ges
11
(Name of person acknowledging)
(Sig Luonre of Notary Public- State of Florida )
P rsally Known L—{ OR Produced Identification
Type of Identification Produced_....... .
Commission No.
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this day of -- 20__IA by
(Name ' person acknowledging)
(Slgna re of Notary P/ub is -State of Florida )
Per onally Known V _0tPVdyced I�Lenjr iSatian
Type of Identification Prod ce
SANDRA g21R
Notary Public �a e
My comm. Expl as Mar 14, 9018
Ngtary Public - State o1 Florida
allJ§69A. EXPIIei W14.20111
Commisalon N FF 071680
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
6 /Z # ZZLS�9tZLL! 9L9l.Z9ti:0l :Woad; Zt:ZVt L-9Z_0[
AHRI Certified Reference Number: 4584028 Date: 10/23/2014
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: CA16NA024"""«A
Indoor Unit Model Number: FX4DNF025
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER
Series name: 16 SEER PURON AC
Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING
Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -$ounce
Heat Dump Equipment and subject to verification of rating accuracy by AHRI-sponsored, Independent, third
party testing:
Cooling Capacity (8tuh): 24600
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
IEER Rating (Cooling):
Rating$ follOWad by an ealatiag 0 Micals s voluntary rerate orprovlously published data, unieaa accompanied with a WAS, whlth indicatop an Involuntary terate,
DISCLAIMER
AHRI does not ondorso the product(s) listed on this Certificate and makes no reprosentatlons, 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.ahTldtrootory.orl,C.
TERMS AND CONDITIONS
Ibis Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and
eonfltlenllal reference purposes. The contents of this Certificate may not, In whole or In part, be roproduced; cooled; dlsserninatod;
entered Into a computer database: or otherwise utilized, In any form or manner or by any moans, except for the users Individual,
personal and confidential reference. AIR-CnNolYtoNING, NLUTING,
CERTIFICATE VERIi=ICATION & REFNIOCRATION INSTITUTE
The Information for the modal cited on this certificate can be verified at www.ahrldlroctory.org, click on 'Vorrry Cartlficato" link vm makeBrebencr"
and enter the AHRI Certified Reference Number and the data on which the certificate was Issued,
which Is listed above, and the Certificate No., which Is listed at bottom right 130685658775251617
6=4 Air -Conditioning, Heating, and Refrigeration Institute FCF-TIFICATE- NO.•
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