HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:~Permit Number:_
Building Permit Application
Planning and Development Services
Building 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 here
~B})POSED .IN£ROVEIV1.~~NTLOCATlqN,:"
Address:2/dDD tJ.1I:l
LegA Descr~ption:
fJarlU ,n,."LJ
Lot No._
Block No._
Property Tax 10 #:...L-L-JLL..>.C._-'-"~'--"""""",-~<L...L_s;..::>."""""'---'--_
Site Plan Name:_
Project Name:_
Setbacks Front _Back:Right Side:Left Side:_
Shutters
D Generator
o Windows/Doors
DRoof
Total Sq.Ft of Construction:_
Cost of Construction:$_L(_~_tt::J_o_~_
S'f£!;of First Floor:
Utilities:USewer DSeptic Building Height:_
Name x.3o.ro ueJ \.l.Lrhcnt.
Company:~Pk.e:t -fh~-Veasu(e.aas-t
Address:(PO'S.Narv,e±~
City:F+-.4>lerl-e......State:FG
Zip Code:3\fC\n Fax:17;;).-tJ<oS-LfC1 lJ:S"
Phone No.11J.-Ll<oCS-I(o(jp
E-Mail:a.d~petrrub@ho\-~\.CDh(...,
State or County License:~03C\,(o0l./l1 -~~BS6
eWNER/LESSpE:CONTRACTOR:
Na me el{)pt:::s\clz.
Address:2JPD N.A:LA Apt ~eP\
City:R-.-:rlerce...State:fl
Zip Code:!349lf~Fax:_
Phone No.-z-r;:}-34<0-()C)..~S-
E-Mail:_
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is $2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:_Not Applicable MORTGAGE COMPANY:
Name:Name:_
Address:Address:--:::--:--__
City:State:__City:-=-:-State:__
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structurewhichisinconflictwithanyapplicableHomeOwnersAssociationrules,bylaws or and covenants that may restrict or prohibit suchstructure.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
FEE SIMPLE TITLE HOLDER:_Not Applicable
Name:_
Address:_
City:--=-;--_
Zip:Phone:_
_Not Applicable
_Not ApplicableBONDINGCOMPANY:
Name:_
Address:_
City:_
Zip:Phone:_
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
commencing work or recording your Notice of Commencement.~<~/-:7.a~~IVJ~~7/d~~
.~grfature of Owner/Agent!Lessee
STATE OF FLORI~~t L't,A ~ICOUNTYOF'!(A uae»
Signature of Contractor/License Holder
~IfJ~~Fci~ORI~~'r;1 Lu&~
The for\oing instrument was acknowled~efore me
this 1/4-day of DcAt>ber ,20~by<:I...J)lIrh,z/J{
(Name of person acknowledging)~
(Signature of Notary ~'::~~~~Fr07~
~'l.\)\~_.v--~
Personally Known iifcjj:pr~~(f~!,ication _
Type of IdentificatiofE~c%d 4 ~if ~:.~:::
.~A ••'?,~It ;J1·"0~
Commission No.\~-,<If'".,~-i~)~·.h....~~~~
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Revised 07/15/2014
The forgoing instrument was acknowledged before me
this'Itlday of ~.2ou!,elbyC!lamild T,))ttrhou./
(Name of person acknowledging )~
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ZONING
REVIEW
SUPERVISOR PLANS
REVIEW REVIEW
DATE
RECEIVED
REVIEWS FRONT
COUNTER
DATE
COMPLETED
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
A.~!!ICERTIFIED®
www.ahridirectory.org
Certificate of Product Ratings
AHRI Certified Reference Number:7368714 Date:10/11/2016 tStatus:Active
Product:Water/Brine to Air Heat Pump Packaged Unit
Model Number:TCV041A
Manufacturer:CLIMATE MASTER,INC.
Trade/Brand name:TRANQUILITY 16
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:
Air Flow Rate -Heating:
1125 11125
1125 11125
WLHP (Water-Loop Heat Pumps)
Cooling Capacity(Btuh)
Cooling EER Rating(Btuh/watt)
Cooling Fluid Flow Rate(gpm)
Heating Capacity(Btuh)
Heating COP(wattlwatt)
Heating Fluid Flow Rate(gpm)
Full Load
36500 I 36500
13.20 I 13.20
10.00 I 10.00
45700 /45700
4.30 14.30*
10.00 I 10.00
GWHP(Ground-Water Heat Pumps)
Cooling Capacity(Btuh)41400 141400
Cooling EER Rating(Btuh/watt)19.70 119.70
Cooling Fluid Flow Rate(gpm)10.00 110.00
Heating Capacity(Btuh)38000 I 38000
Heating COP(wattlwatt)3.70 I 3.70
Heating Fluid Flow Rate(gpm)10.00 110.00
GLHP (Ground-Loop Heat Pumps)
Cooling Capacity(Btuh)·38000 I 38000
Cooling EER Rating(Btuh/watt)14.80 114.80
Cooling Fluid Flow Rate(gpm)10.00 110.00
Heating Capacity(Btuh)30100 I 30100
Heating COP(wattlwatt)3.20 I 3.20*
Heating Fluid Flow Rate(gpm)10.00 I 10.00
Indoor Blower Motor Fan Type:PSC
Sold In:USA;Canada
•Ratings followed by an asterisk (*)indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate.
AtR·CONOITIONING,HEATING,
&REFRIGERATION INSTITUTE
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CERTIFICATE NO.: