No preview available
HomeMy WebLinkAboutPermit ApplicationALL APPLICABLE I NFO MUST BE COMPLETED FOR APPLICATIOr I TO BE ACCEPTED Date: / Permit Number: 6"r-Amle! '""` Building Permit Application Planning and Dev ?lopment Services Building and Code Regulation Division 2300 Virginia Ave iue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commerl ial Residential PERMIT APPL CATION FOR: To Select from dropbox, click arrow at the end of line -- F , Address: Legal Descriptioni K v Property Tax ID # - O p(-1 ( -" O �.0 Lot No. Site Plan Name: Block No. Project Name: 6(-2 Setbacks Froni Back: __ Right Side: Left Side. DETAILED DE:>CRIPTION OF WORK: 0 ( C­, s To r­) ILkSir CONS TRUCTI�)N INFORMATION: A Its--TworTC to e er 0rme under this permit — c ec a app y: ❑ Windows/Doors Gas Tank Gas Piping _Shutters _HVAC Electric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construcl ion: $ Utilities: _ Sewer Septic Building Height: _ CONTRA OR: OWNER/LESS EE:011 .,. Name S G,,F� if t1r -C 4'1 i - ame: _-CpIn) 6-rf-c(A ' Address: �Y1P1P,i L�1rl _ mpany: .IOL/.D 1111 d City: e � L,rk wy jA-f- � `-I State: dress: 50 N F n /-CLC Zip Code:,ati P Fax: city: s I-uarf Stater Phone No. i "-VA 1 ©� rL c'� p Code: ! cgcl-f Fax: %72-41(e1-20GS- E-Mail: _ hone No. Fill in fee simple Title Holder on next page ( if different Mail: �" (a A� L • C ar Yl from the Owner listed above) State or County License: XAe 1 `iS 6 -7 ct 3D If value of construction is $2500 or more, a RECORDED Notice of Commencement is re.,uired. DESIGNER/ENGINEER: _ Not Applicable Name: M RTGAGE COMPANY: _ Not Applicable N me: Address: A dress: City: State: Zip: _ Phone: FEE SIMPLE TITI E HOLDER: _ Not Applicable Name: Ci y: State: Zi Phone: BONDING COMPANY: Not Applicable N me: — Address: City: A dress: Ci y: — Zip: Phone: Zi Phone: o I certify that no we rk or installation has commenced prior to the issu4nce of a permit. St. Lucie County mi kes no representation that is granting a permit wil authorize the permit holder to build the subject structure which is in conflict ivith any applicable Home Owners Association rule, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and rev ew your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby gree 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 undergo' 'g a full concurrency review: room additions, accessory structurE s, 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 I 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 commencing work or recording our Notice of Commenc gment. _ Signature of Owner/ Lessee/Agent STATE OF FLORID COUNTY OF G r" i n The forgoing instr a ent was acknowledged before me this JI day of G' 20 tQby Gl. (Name of person acknowledging) C (Signature of Not;iry Public- Sta of Florida } Known ✓ OR Produced Identification ntification Produced_ No.W_ 07/15/2014 (Seal) License Holder TE OF FLORIDA 1NTY OF_m Ce ✓-4-t to forgoing instrument was acknowledged before me / day of 1' U 20 1 Li_ by (N me of person acknowledging) 0 0 Ce N O u. N O u. AA �__ FRONT ( gnature of Notary Public- StatA of Florida) o / W Z w Personally Known ✓_ OR Produced Identification 5_ T e of Identification Produced N z a REVIEW = U W ��( C mmission No. �.�35r u (Seal) t) 2 ` U z c.Ri6V S FRONT ZONING SUPERVISOR LANS VEGETATION SEA TURTLE MANGROVE 4 Z REVIEW REVIEW R VIEW REVIEW REVIEW REVIEW C_COUNTER @l TE _ I NIM FAL This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Jan 1, 2006 and Dec 31, 2016 and used in GLHP or GWHP application point. Cefti irate of Product Ratings AHRI Certified Reference Number: 4547268 ate: 8/16/2016 tStatus: Active Product: Water/Brine to Air Heat Pump Packaged Unit Model Number: CFX041 Manufacturer: COLDFLO INC. Trade/Brand name: DUAL AIR Rated as follows in accordance with ANSI/AHRI/ASHRAE ISO Standard 13256-1 for Water -to -Air and Brine -To -Air Feat Pumps and subject to verification of ral ing accuracy by AHRI-sponsored, independent, third party testing: Air Flow Rate - Cooling: 1400 Air Flow Rate - Heating: 1400 WLHP (Water -Loop Heat Pumps) Full Load Cooling Capac ty(Btuh) 41000 Cooling EER Rating(Btuh/watt) 16.00 Cooling Fluid Flow Rate(gpm) 10.50 Heating Capac ty(Btuh) 47000 Heating COP(vfatt/watt) 4.80 Heating Fluid Flow Rate(gpm) 10.50 GWHP (Grout id -Water Heat Pumps) Cooling Capac ty(Btuh) 47000 Cooling EER Fatmg(Btuh/watt) 21.40 Cooling Fluid Flow Rate(gpm) 10.50 Heating Capacity(Btuh) 37500 Heating COP(watt/watt) 4.10 Heating Fluid Flow Rate(gpm) 10.50 GLHP (Ground -Loop Heat Pumps) Cooling Capac ty(Btuh) 44000 Cooling EER Fating(Btuh/watt) 17.20 Cooling Fluid Flow Rate(gpm) 10.50 Heating Capacity(Btuh) 26500 Heating COP(watt/watt) 3.60 Heating Fluid Flow Rate(gpm) 10.50 Indoor Blower Motor Fan Type: ECM Sold In: USA; Ratings followed by asterisk (') indicate a voluntary rerate of previously published data, DISCLAIMER AHRI does not endors,, the product(s) listed on this Certificate and makes no represent the product(s) listed of i this Certificate. AHRI expressly disclaims all liability for damagi unauthorized alteratio i of data listed on this Certificate. Certified ratings are valid only directory at www.ahri.ilrectory.org.. TERMS AND CONDI—IONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall confidential reference purposes. The contents of this Certificate may not, in whole or in entered into a compul er database; or otherwise utilized, in any form or manner or by ai personal and confider tial reference. CERTIFICATE VERB ICATION The information for the model cited on this certificate can be verified at www.ahridire and enter the AHRI Certified Reference Number and the date on which the certificate v which is listed above, and the Certificate No., which is listed at bottom right. ©2014 Air -Conditioning, Heating, and Refrigeration Institute accompanied with a INAS, which indicates an involuntary rerate. Ions, warranties or guarantees as to, and assumes no responsibility for, of any kind arising out of the use or performance of the product(s), or the r models and configurations listed in the ly be used for individual, personal and art, be reproduced; copied; disseminated; means, except for the user's Individual, ry.org, click on "Verify Certificate" link Issued, CERTIFICATE NO.: i AIR-CONDITIONING, HEATING. & REFRIGERATION INSTITUTE: we make lite bettev 131158592216753290