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HomeMy WebLinkAboutSUBMITTED PAPERSP p' 1/ Date: I Fee Due: Recei t# Permit # U - c Planning & Development Services Building & Code Regulations Division SC Y/q � 2300 Virginia Ave. Fort Pierce, FL 34982 Sf. (772)462-1553 �UC/� C�Unty SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ Shed ❑ Demolition CjjHVAC ❑ Fence ❑ Gas ❑ Siding Seepage 2 for instructions and additional pgemork required for specialty permits 1. Location/Site Address: g1lDa /y //14 #- cl--;; O'n 2. Pared ID Number: Z/ vl;? 3 - of O - 00 l S- - B De�) -3 Office Lrse Only Section Township Range Map Page Zosieg Load Use Initials 3. Complete Description of Project or Work: _� Won l3 s scle� 4. Owners Information 5. Contractors Information Name: X/,5 -6ho FL Reg/Cert #: Address: /� p /IJ i91.� 7/- 1FC.).? City: State: �-L Zip: Phone: 17 t e 6. Value of Construction: S 411f County Cert#: Business Name: C/i c--// C�J 7s,:3- 11SZl-szto `i Phone: yy Fax: OwNER,S AFFmAvrr: I certify that all of the information contained RTIURE application is correct and at all work will be done in compliance with all applicable laws regulatintruc 'on and g. ( C. S���i PRINT OWNER O CTOR N SIGNOF OWNER OR O R STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME TS DAY OF � \, i'J I .20— � BY C*�. d �4 C D SV1/l T !— HI WHO IS PERSONALLY KNOWN TO ME iC OR WHO HAS PRODUCED INGRYS FA AS IDENTIFICATION. = s"aY °pe.''- Notary Public - State 0t Florida Y ; • My Comm. Expires Sep () 924860 SIGNATURE O NOTARY TYPE O �on National Notary Assn. COMMISSION NUMBER NOTICE TO OWNER FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR itl1IPROVEMENTS TO YOUR PROPERTY. IF YOU MEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. NOTICE TO OWNER: FAILURE .ECORD A NOTICE OF COMMENCEMENT M -_ ZESULT IN YOUR PAYING TWICE FOR IMPROVE rS TO YOUR PROPERTY. IF YOU INTEND OBTAIN FINANCING, CONSULT WITH YOUR LEr4unri OR AN ATTORNEY BEFORE RECORDING YC JOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. INSTRUCTIONS Please complete all information in the space provided. All information must be printed (use black or blue ink only) or typed. This permit application is to be used only for those activities that are not otherwise included under a primary building permit. This application may not be used for any activity that includes structural alteration. The information to be provided with this application includes: 1. Location/Site Address 2. Parcel ID Number 3. Description of Project or Work Activity 4. Owner Information 5. Contractor Information 6. Value of Construction Indicate the street address or general location of property where the building activity is taking place. Indicate the tax identification number of the property where the building activity is taking place. Fully describe the activity to take place. Indicate the name and address of the owner of the property on which activity is taking place. Indicate the State of Florida registration number (if applicable), St. Lucie County contractor license number and the name of the business doing the work. Indicate the total value of the work to take place. Total cost of construction includes all current retail material and labor costs associated with the building/construction activity. Construction value is used to determine the permit fee. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction. ❑ Gas Attach 2 piping schematics with tank size, location, and BTU of each appliance ❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications ❑ Fence Attach 2 plot plans showing location of fence height of fence and type of fence ❑ Siding Attach 2 copies of manufactures specifications [ AVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for new system or full replacement This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce, FL 34982. All permit applications must be filled out completely before submission. No applications will be accepted for processing after 4:30 P.M. For assistance in completing this application, please call (772) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. NOTE: Emergency electric service change out inspections will not be performed after 3: 00 PM without special arrangements and additional fee paid. Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261. This combination qualifies for a Federal Energy! Efficiency Tax Credit when placed in service) between Jan 1, 2006 and Dec 31, 2016 and used ini GLHP or GWHP application point.; Ceftificate of Product Ratings AHRI Certified Reference Number: 567780 Product: Water/Brine to Air Heat Pump Packaged Unit Model Number: EC070-1CF/HZ/VT Manufacturer: FHP MANUFACTURING COMPANY Trade/Brand name: AQUARIUS Date: 8/2/2011 tStatus: Active 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: 2200 / 2200 Heating Air Flow Rate: 2200 / 2200 WLHP (Water -Loop Heat Pumps) Full Load Cooling Capacity(Btuh) 68000 / 68000 0 Cooling EER Rating(Btuh/watt) 13.50 / 13.50 0.00 Cooling Fluid Flow Rate(gpm) 16.00 / 16.00 0.00 Heating Capacity(Btuh) 80000 / 80000 0 Heating COP(watt/watt) 4.50 / 4.50 0.00 Heating Fluid Flow Rate(gpm) 16.00 / 16.00 0.00 GWHP(Ground-Water Heat Pumps) Cooling Capacity(Btuh) 76000 / 76000 0 Cooling EER Rating(Btuh/watt) 19.80 / 19.80 0.00 Cooling Fluid Flow Rate(gpm) 16.00 / 16.00 0.00 Heating Capacity(Btuh) 68000 / 68000 0 Heating COP(watt/watt) 4.00 / 4.00 0.00 Heating Fluid Flow Rate(gpm) 16.00 / 16.00 0.00 GLHP (Ground -Loop Heat Pumps) Cooling Capacity(Btuh) 70000 / 70000 0 Cooling EER Rating(Btuh/watt) 15.20 / 15.20 0.00 Cooling Fluid Flow Rate(gpm) 16.00 / 16.00 0.00 Heating Capacity(Btuh) 53000 / 53000 0 Heating COP(watt/watt) 3.30 / 3.30 0.00 Heating Fluid Flow Rate(gpm) 16.00 / 16.00 0.00 �� �1 �• FILi'c66PY' t Models with an 'Active' status are those that are currently in production. Models with a 'Discontinued' status are those that the manufacturer has elected to stop producing, yet stock is still available. Models with an 'Obsolete' status are those that the manufacturer is required to stop manufacturing due to an AHRI certification program test failure. 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 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 wo v.ahridirectnry.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.ahridareciory.org, ng; Heaiiftg; click on "Verity Certificate" link and enter the AHRI Certified Reference Number and the date on �� * and Refrigeration i0i1 Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2011 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129567845207528970 Property Appraiser - St.Lucie (- r nty, FL Page 1 of 1 PROPERTY RECORD CARD Kristir3 L Green (TR) Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification CO Site Andress: 4400 N A1A 9S ParcellD: "%)JGIE 1423-610-0015-000-3 Sec/1-cwn/Range: 23 :34S :40E �� Account #: 138900 Map ID. 14/23N Land Use: City/Cnty: Condo St Lucie County Zoning Owners rip and Mailing Legal Description Owner Kristine L Green JR) PARAGON UNIT 9S (OR 1210-176: 2993-2002: 3016-462) Addre 4400 N A1A # 902 Fort Pierce FL 34949 Sales Inrormation Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 496400 Land Value 0 Acres: 0.02 9/16/2008 100 01 WD 3016 / 0462 Assessed: 496400 Building Value: 496400 6/20/2008 01 WD 2993 / 2002 Ag.Credit. 0 Finished Area: 2817 SgFt 3/16/1999 1000 01 CT 1210 / 0176 Exempt: 50000 5/16/1997 100 02 QC 1078 / 1126 Taxable: 446400 Taxes: 9482.49 BUILDING INFORMATION lo a m :1 Exterior Features cor 3900 Viev. RoofCover: - RoofStruct: Ocean View Extl X114 - Paragon YearBlt: 1996 Frame Grade XPNA - ParagonCondN EffYrBlt: 1996 PnmeWall: BS - CB Stucco StoryHyht: 0010 - 1 Story No.Units: 1 SecWall- InteriorF-eatures BedRODnls: 3 Electric: - PrmintWall: FullBatn 3 HeatType - AvgHUFI: STD 1/26ath 0 HeatFuel: - Prm.Flors: - %A/C 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond- YrBlt. No. Land Use Type Measure Depth PGAR - Condo GAR Y 1 20000 AV AV 0 1 0400-Condo OF -Unit 0 0 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/prc.asp?prclid=142361000150003 8/8/2011