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HomeMy WebLinkAboutSUBMITTED PAPERSDate: ❑ Electrical ❑ Shed Fee Due;;",, Recei t# Permit # Planning & Development Services Building Code Regulations Division 2300 Virginia Ave. SCA Fort Pierce, FL 34982 y IZL7 (772)462-1553 St. Lucie 0oUny SPECIALTY PERMIT APPLICATION ❑ Plumbing AHVAC ❑ Fence ❑ Demolition ❑• Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 10 4 1 d - • dGD-y xa-. h1r 41` � 03 2. Parcel ID Number: 1 1 —1& 14 Ooo -5 -O Township. Range Map Page Zoning Land Use Initials Office Use Section Only 3. Complete Description of Project or Work: tad„ Q ids y l.� D O 4. Owners Information 5. Contractors Information Name: hA v r i> � tit c l �A 1 o c,J FL Reg/Cert #: �,p Gf7 s 1 0 Address: Z*),5LQ,-L —'s LJC L%) .(2KCounty Cert#: .14 JA 1 City: !Pi::. l OA C-L -fir*!,I, State: Business Name: CJL- 1.-Sy u ra3- f &I Zip: 3 4 G OLO Phones-7SI - 3 O 4d Phone 116 1' 3 0140' Fag: 6. Value of Construction: $ 4 i oa OWNER'S AFFIDAvrr: I certify.that all ofthe information contain, this appy_ - on is correct and that all work will be done in compliance with all applicable laws regula ` co'-` ' and zoning'. c1 n_PRINT OWNER OR CONT ORNAIVIE SIG URE O 0. OR CONTRACTOR0c' OF FLORIDA, COUNTY OF,``,ACKNOWLEDGED �oSTATE BEFORE ME THIS DAYOF 20 \, A .'BY� mWHO F19P IS PERSONALLY KNOWN TOME %/OR WHO HASPRODUCEDr�`AS ID NTIFICATION.(SeSI)NNATURE FNOTARY TPE OR PRINT OF NOTARY F cam. COMMISSION NUMBER E � dS b KCk% NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EffROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE <RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04/26/2010�p �� 1 Certificate of Product Ratings AHRI Certified Reference Number: 7162285 Date: 5/29/2014 tStatus: Active Product: Water/Brine to Air Heat Pump Split System Model Number: LV030-lCS*= ****A Indoor Model Number: LV030-1AV/AH*-***T/A*A Manufacturer: FHP MANUFACTURING COMPANY Trade/Brand name: BOSCH Rated as follows in accordance with ANSI/AHRI/ASHRAE/ISO Standard 13256-1 for Water -to -Air and Brine -To -Air Heat Pumps and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Air Flow Rate: 950.0 / 950.0 Heating Air Flow Rate: 950.0 / 950.0 WLHP (Water -Loop Heat Pumps) Full Load Cooling Capacity(Btuh) 26400 / 26400 Cooling EER Rating(Btuh/watt) 13.00 / 13.00 Cooling Fluid Flow Rate(gpm) 7 50 / 7..510., Heating Capacity(Btuh) 296Q0 / 29600 ;; f s Heating COP(watt/watt) 4`30`J 4 30 Heating Flwd Flow Rate(gpm) y 7 50 / 7 50 G { GWHP(Ground Water Heat Pumps) ;i l. Cooling ,Gapacity'(Btuh ), , CoolingrEER�Rafing(Btuh/watt) �� { � t � � '� i Cooling Fluid Ftow.Rate(gpm) ; 4 < i I Heating .Capacitj�(Btuh). �� r # ti Heating COP(watt/watt) z �� `' � � K 13{ ',i )r-PumpsGLHP, Ground LoopHeat F C00/27900oolin 'a acit,(Btuh Cooling EER_ a" Rating(Btuh/watt). 14:30 / 14:30 ; . Cooling Fluid "Flow Rate(gpm) 7.50 % 7.50 Heating Capacity(Btuh) 19500 / 19500 Heating COP(watt/watt) 3.20 / 3.20 Heating Fluid Flow Rate(gpm) 7.50 / 7.50 ' Ratings followed by an asterisk r) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER. AHRI does not endorse the product(s) listed an 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; 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 malce 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 Ilsted.at bottom right ©2014 Afr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO. 130458424247198155Y AHRI Certified Reference Number: 7162285 Date: 5/29/2014 tStatus: Active Product: Water/Brine to Air Heat Pump Split System Model Number: LV030-1CW-*****A Indoor Model Number: LV030-1AV/AH*-***T/A*A Manufacturer: FHP MANUFACTURING COMPANY Trade/Brand name: BOSCH Rated as follows In accordance with ANSI/AHRI/ASHRAE/ISO Standard 13256-1 for Water -to -Air and Brine -To -Air Heat Pumps and subject to verification of rating accuracy by AHRI-sponsored, Independent, third* party testing: Cooling Air Flow Rate: 950.0 / 950.0 Heating Air Flow Rate: 950.0 / 950.0 WLHP (Water -Loop Heat Pumps) Full Load Cooling Capacity(Btuh) 26400 / 26400 Cooling EER Rating(Btuh/watt) 13.00 / 13.00 Cooling Fluid Flow Rate(gpm) 7.50 / 7.50 Heating Capacity(Btuh) 29600 / 29600 Heating COP(watt/watt) 4.30 / 4.30 Heating Fluid Flow Rate(gpm) 7.50 / 7.50 GWHP(Ground-Water Heat Pumps) Cooling Capacity(Btuh) Cooling EER Rating(Btuh/watt) 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) 27900 / 27900 Cooling EER Rating(Btuh/watt) 14.30 / 14.30 Cooling Fluid Flow Rate(gpm) 7.50 / 7.50 Heating Capacity(Btuh) 19500 / 19500 Heating COP(watt/watt) 3.20 / 3.20 Heating Fluid Flow Rate(gpm) 7.50 / 7.50 * Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. 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 discialms 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.ahrldirectory.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, personal and confidential reference. CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verified at www.ahrldirectory.org, click on 'Verify Certificate' link 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 -- ---- ---_•, ___ _� ...__ y..a fi AIR-CONDITIONING, HEATING, & REFRIGERATION INSnTUTE Ave make fife berm- ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130458424247198155