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HomeMy WebLinkAboutBuilding Permit Application ALL AiPPL4C LE;NFw,MUST BE>COMPLETED FOR APPUCATIOAI.TC1'BE ACCEi1�7 EQ Permit Number. ae 1 ,.,. i' Bluildng Permit;Application Pldaning and,Development Sertrttes 8u#Jong pnd Cade Regulgtjon DWsfon 2300 Virgrn►o i4venue,Fort Pierce FL.94982 Phone:(772)462-1553. Fax-(772.)4624.57$ Commercial', Residential PERMIT APPLICATION FOR: Ivlechanicai . PROPOSED=IN 00' "vEMENT L ?CATIO.[V; .Address:: : Q1l ,� t Legal Description: x-1ii 1�x'01C_ Lot No. g:�;� Site Pian.Narne: Block No Project Name:'?.1b5 Setbacks Front Backf Right_Side: Left Side:: DETAILEDDESCRIPTION t}F W13RK : ._ �XC�►C k r'�1C�C.�'cv'�iC�-r� p� o� � �� 1`--E.-'►�. ��c�- ., U`,-)i-�ir"� C7l �.- 'LLD C(3NSTRUCTiQN,INFORMATION. Additional wor a orme un er is permi =c ec a .appy: HVAC Gas flank ❑Gas Piping LjShutters ❑.Windows/Doors Electric Plumbing:: Sprinklers O;GeMrator, Fittoof Total 5q.Ft of Construction. (mon S .Ft:of First Floor: Cast of Constructiori;,$15� UtilitiesSewer Septic Building.Height; NEER/LESSEE CONTRACTQR: Fme �i -Name: CfWr-PAWFREVL Addre.ss:�l i ,O�-� 1- C- Company .AMtEK AIR CONDITIONING Cityrt State Pi- Address. 571 MERCANTILE PL#8-12 Zip Code:�-i�- �C Ca Fax.-- City: PORT ST:LUCIE State:FL Phone:Now 1`� Zip Codec 34986 Fax; &Mail; - __" Phone No..772-861:=3465 Fill In feesimple Title Holder.on next page(lf different E-Mail:. amtekac@gmail.com frorn.the Owner listed above) State or County.License:cac1818B39: if value:of.construction is.$2500 or:more,a RECORDER Notice of Commencementls required>_ " upLEMI:NT � +L ?isTRJGr�onr l.tE1 LAvu iN # RtV�ATIaN { , 4 ..r , p ✓n 1 '«'C t tY- _C;;?..t, i pp- COMPANY: Nci `Applicable- .DESIGNER ENGENEER: �,Not A livable MORTGAGE t Name: Name: Address: Address: City: State: City: State:. Phone: Zip: Phone: Zip,' , FEE SIMPLE TITLEHOLDER: Not Applicable SONDING.COMPANY: Not Applicable Name. 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 Countyy.makes no representation that is granting a perinitwill authorize thepermit holder to build the subject structure which is in confiict`with any applicable Home Owners Association rules,bylaws orand.covenantsthat:may restrict or prohibit such structure.Please consult with your Home Owners Association and review yourdeed any:restrictions which may.apply. In consiideration.of the granting.of this requested-permit,:I do hereby agree.that 1.will;in all respects,perform the work in accordance with.the approued,plans;,the:Florida Building.Cades and St.Cucte 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:Cammencerherit may result In yourpaying twice for improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite beforeAhe first insporection...if you intend to obtain financing consult with fender or an attorney before commencingwork recording our Notice of Commencement. Signator" of Owner/Agent/-Lessee. Signature of C.. tractor/Llcense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Z c.�C%�Q COUNTY OF � t- L_.4.t.C.t_e_ The forgr�ii�nginstrument was acknowrteiiRea before me The for tng instrument was acknowledged-before me this lV day of 20 by this ay of� r,20®by (Name of person acknowledging) - (Name of pers&n Jicknowlediging) {Signature of Notary Public-State of Florida;} (Signature of Notary P blic-State of Florida) Personally Known OR'Produced 1dentifiaation Personally Known OR Produced Identification. Type of ldentification.Produced Type of Identification.Produced Commission No. at"""r. J}tAN RUSSELL Commission No - Hyl Ilt;;}, D"IT RUSSELL Notary Public-State of Florida ;'r'�'.": Notary Public-State of Florida z . _ , •'c My Comm.Expires Nov 30,2018 o`er Commission# x b;� oo-� Commission#FF 179630 ��;For F�O4``�� Bonded through National Notary Assn. Revised 07/I5/20�:4 ''� Bonded through National Notary Assn. REVIEiittS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGRQVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED s CERTIFIED L 90%1 ON IL www.ahridirec tor y.org Certificate ®f Product Ratings AHRI Certified Reference Number: 7919510 Date: 2/1/2016 Product:Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number: 4A7A3024H1 Indoor Unit Model Number:GAM51301330M21 Manufacturer:AMERICAN STANDARD Trade/Brand name:AMERICAN STANDARD Region: North(AK, CO, CT, ID,IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH,OR, PA, RI,SD, UT,VT,WA,WV,WI,WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to-January 1,2015,are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016,central air conditioners can only be installed in region(s)for which they meet the regional efficiency requirement. Series name:.SILVER 13 _ 1 r Manufacturer iresponslble for the rating of this system combinatlon is AMERICAN STANDARD Rated as follows in accortlanceiwitt�AHRI Standard 21;0/240 2008 for Unit'a'ry Air-Conditioning antl Ai'*'Source Heat Pump Equipment and subJect t6-venfication of rating accuracy by AHRI sponsored, independent,third Party testing �� * i t } J, Cooling Capacity(Btuh) r 25000 r 9 f L u c r7 EER Bating"(Cooling) 12 50 , ' ' f ,' ` �� SEES Rating{Cooling) 14 75 � t....�s.,.-„.....a �.. .�.4 r.._ .«�...._.._c ..,.,. -...t._.. �. ........ ..z..,w....� .....�..� ...5....,a, A..__'......-a....,..,e.. ,._.,i......_ .-.$... ......v x. IEER Rating'(Cooling) •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 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 an"Verify Certificate”link we make 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 listed at bottom right ©2014 Air-Conditioning, Heating,and Refrigeration Institute YCERTIF'ICATE NO.; 130988078617641499 r �