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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: -- - Building Permit Applicati®n MAY 2 51201 Planning and Development Services PER.14117 1NGSt. Lucie County, FLBuilding and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: `� Address: l Q t o �. r vc Legal Description:. lam► I �5on �dlaM C,1 Lc Property Tax ID#: 5l 1 " �/ " C✓F OQO^ Lot No. Site Plan Name: Block No. Project Name: Green d5e Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: AC, Ch cin c o LJ— C04 r�p lace— rry,-n ioAr CONSTRUCTION INFORMATION: Additional work to a er orme under this permit—check a appy: VAC Gas Tank ❑Gas Piping _Shutters Windows/Doors _Electric ❑ Plumbing ❑Sprinklers Generator Roof Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ Utilities: �ewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ._"I'' _,.. _ Name n�S Address: 0. ��Doi?• Com_pany:' r City: State:FEL,- Address: ;; 7 / l"G 1 Zip:Code:.� _ 1 n Fax:_:: City: �`' Y�1= C, State: �L Phone No.C �9_ ��.. �" r �o) J ��. Zip Code: 3 I� � Fax: E-Mail: '�^ Phone No. Su " /9-7- Fill in fee simple Title Holder on next page (if different E-Mail: 1111S ia7-7h I CAC C1D m from the Owner listed above) State or County License: CAM 4U1513 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ 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: 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 before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commeaqng work or recording our Notice of Commencement. s _Signat a of Owner/Lessee/Agent Signatur of ntra o /License of er STATE OF FLORIDA—p (� M �� STATE OF FLORIDA_ (�� COUNTY OF � COUNTY OF CJLV The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of �I 20by this day of Q� 20/(P- by 01 ark V i rocs Mark V1 n(!;,.s (Name of person acknowledging) (Name of person acknowledging) �Q (Signature of Notary Public-Stat6k Florida (Signature of Notary Public-Sta a of Florid ) Personally Known OR Produced Identification Personally Known_ OR Produced Identification Type of Identification Produced Type of Identification Produced RY PV Lisa Rodriguez Commission No. A. ° ego (�NLPublic-StateotFlori a ommission No. Lisa (iseod)iguez c Comrnission#FF917447sYNotary Public-State of Florida 0-Se -19 c commission FOFF4 "9T Expires 10-Sep-19 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS CERTIFIED 01 Certificate of 'Product Ratings AHRI Certified Reference Number: 8778986 Date: 5/23/2016 tStatus: Active Product: Water/Brine to Air Heat Pump Packaged Unit Model Number: WSVC060*-2*-A Manufacturer: FIRST CO. Trade/Brand name: HYDROTECH 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: Air Flow Rate- Cooling: 1760/ 1760 Air Flow Rate- Heating: WLHP (Water-Loop Heat Pumps) Full Load Cooling Capacity(Btuh) 56000/56000 Cooling EER Rating(Btuh/watt) 13.30/ 13.30 Cooling Fluid Flow Rate(gpm) 15.00/ 15.00 Heating Capacity(Btuh) - 694004 69400- - - - Heating COP(watt/watt) 4.30/4.30 Heating Fluid Flow Rate(gpm) 15.00/_1.5.00 GWH7P(Ground-Water Heat Pumps) , I Cooling Capacit 'Btuh) 58100,/58100-' Cooling EER!Rating(Btuh/watt)_ 18.10/-18.10 Cooling Fluid Flow,Rate(gp'm)� 15.001/ 15.00 Heating Capacity(Btuh)- __- _ -_ 5320.0/53200 . Heating COP(watt/watt) 3.50/3.50 Heating Fluid Flow Rate(gpm) 15.00/ 15.00 (J, GLHP (Ground-Loop Heat Pumps) i 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) Indoor Blower Motor Fan Type: PSC Sold In: USA; `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, A Mm 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 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. 131084808074546032 ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: