HomeMy WebLinkAboutPermit application NOV-01-2016 MON 09:05 AM CENTRAL SCHEDULING FAX No. 32126861 8 P, 002
Date'.11171lLp Permit Number: ��1 j•� ��3�
.9
Building Permit Application
Planning and Development Services
BuildJng 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
Add ress: Vt
Legal Description:
Property Tax ID#,&623 Lot No.
Site.Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side: _
� •SNAil. .:•. Mit.S o• h ✓ar' n 7 '��i a A 1 +
1
Additional work to be ve Orme un er is permit-c ec a app y:
VAC. Gas lank Gas Piping _Shutters ❑windows/boors
Electric Plumbing Sprinklers 0 Generator Roof
'total Sq.Ft of Construction: _ S11.Ft.of First Floor:
Cost of Construction:$ lftifities: Sewer Septic Building Height- _
7 IA
? x•
Name
Name.- eW
Add Company:
city: Y State: Addr
Zip Code: Fax: City: i —V2- State:
Phone No. Zip Code: Fax: l
E-Mail Phone N 1 - ns-
Fi[1 in fee simple Title Holder on next page(if different E-Mail; Y'\
from the Owner listed above) State or County License:
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required,
NOV-07-2016 MON 09:06 AM CENTRAL SCHEDULING FAX No. 3212686138 P. 003
DESIGNERIENGINEER: 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 holderto build the subject structure
which Is In conflict with any applicable Home Owners Assoc atlon rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Homeowners 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 exemptfrom 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
commencing work or recording our Notice of Commencement.
Signature Al own Agentj lessee Signature of C tract License Holder
STATE OF FLOT{IA \ t { .� FLORIDA V
COUNTY OF �" C� COUNTY'OF �.x
The oing instru e t w s acknowledge efore me The fo going Ins � was acknowledged before me
this I day of 20 Vy this day of� _ 24y
{ e of person acknowledging) (Name of person acknowledging)
(b&, A
t
(Signature of Notary Public-StateUld
ri ) (Signature of Notary
`P�u-b.lic-state Fl❑ a)
Personally Known Ol;Pro Identification_ _ Personally Known ! 0- Pro uced Identification
.Type of Identificati�uced , �,. Type of Identification Produced__
HrM fife Its
Commi'sslon N' �r oDf2FF17237 Commission N . ,�gC 4n#EPf72372
;� irss.0a 28
�
res-t}Ci`3I3,Z01 � y �. pp 28,2018
,� + pONDHDTriRU ., P,,F, '�'' SSTPL0R1DED HRU
P,evised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTCR REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
NOV-07-2016 MON 09:06 AM CENTRAL SCHEDULING FAX No, 3212686138 P- 004
smal CERTIFIED'It
Certificate bf Produ' d Ratings
AHRI Certified Reference Number:7174613 Date: 11/7/2016
Product:Split System.Air-Cooled Condensing Unit,Coil with Blower
Outdoor Unit Model Number: 14ACX-024-230A**
Indoor Unit Model Number:CBX26UH•024.230
Manufacturer: LENNOX INDUSTRIES,INC.
Trade/Brand name:MERIT
Region:All(AK;AL,AR,AZ,CA,CO,CT,DC,DE, FL,GA,Hl,1D,IL,IA,IN,KS,KY,LA,MA,MD,ME,
Ml,MN,MO,MS,MT, NO, ND, NE,NH, NJ, NM,NV,NY,OH,OK,OR,PA,W,SC,SD,TN,TX,
UT,VA,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 reglon(s)for which they meet the regional efficiency requirement.
:M...:.,.......,:..,.,.::................:.,:.,.. ..,vv..,. . ".<.. ..,.. .. . i...
Series nllrlet::
.r.l
fie '°F'SJ•} �%cry,:
a:�i:i'
J.,.t/ ,i'•::n}•:n:....�!:t«•n::::;t, It•'\a•,:..:v t' y' �r'y,
.... ..... .. ..... .... F.}:,k;.,..:.,.....•..n:::ut:e.x.T}•r.!,�:'.'i'i:?:CJ�4::i,;1:.I.,.J.t:.{r t:^(:•i ,a,fa'}i%Y:[t•iJt\oyS•S}.,:e1,i:::<:n.,�:::.i:::;:!.::d',r.:t.^::4}'^ }.^',: ..l�I J:.ti4
• :.: ,F�,;...A..:..:...:..,+.,,:.:.. .:i..,It^.vn::• �:: ,;..�,p„T.! :'.
._ l:Ft:.i,:;v.}:.J.,•nv vs :,.v}.+x:v.:.:••,>,,,,:+,;,qy,/,'.t"Wei\,!S'• i.:Y{%v!•}:t'4�Y:....a:�i}✓}.,«�uu [
F J:.;•q .... .^<u,.,...r,.....t;. .:::::: ,.,.t t<• :r•}.a ....;•,ys,...,.J.:..r .,.. +i Jo',.,,;t,. ::h•;t is isX..
' ...:........:t£.L...£..:,...n.v,..,n,•n:/:..F.�. ..•..i,.,£} ... ..';>a.A..,...... M;+wr::..;x.::•.:.>x,}.Y..
.. y.:..t..:..s:<.r.:a::o.•:::w:....<'.:.:}.,:.+..v:y+..:{v.,...: .,tvn<... :,.}.r..•:,:r:,::}:^..a:s::r:7:w.,: n.sl;
Manu �tur fres o siblefQ'rtheTatm -o,€,ilii$" ate cid p � tTt`;ri( i�EN OXiIN�D.US1'1 1f=a>:IN
e
11 ::4tn
Rated'as fcillnws i o `r= `on bIIIi ' tint'`
,,. -n;Acc .Xtlahcgl:with'aAHRI-b%6'i rd;;x4q!1240- di., ;� Uig ta!y:4).... .dlfl :g;::,. 1„-8Aurce
HeatPulirlp:' qulpmenl:.aril:subj�sx:,tauerificatiorofr{atiti `' CbLlr�cy^b�yyrARisottSbrclS tri epepddnt;third
Y>..: ,:J 'i:OF:':+ t>,a F�
a Sfe
Si:III 'i`:.�.-F,�,:i;}:'
sF' n:4jM:
,+,::>: . ..{,a ::i't''1".1 f.�Fa:6!'�:, ,.1.. sa�c:,h,.}),•'::.:�...,.�.::t- ,:�'t:
+•• �•.. ::' ....... �.I tri' .t.:. ..t..,o
EtR!Raf., 1
�o
i {•�':eJ:e: '
r,yy: ryr •.t
,r ,•_....;.:.:^,':n+'::}:::.e}. .�..y,a Ja":•...h<S}y:s::: ..,M1,••.
::r.1,. ter,}:, ;}h•. .��tt�c ^'.'!;r�;< >:.1:.
ti£�::':< .•£St`s i.`•1� u
:SEEn �Cal'iEr1Y9
):•'• "14::5.x;;;"' nn -
-;�
alA'I: w'.a6'rM AF
iEER Rating(Cooling):
FootNote 11-The AHRI 2101M certified EER ratings are calculated under the same methodology as the EER ratings at T1 condltlons of ISO
5151:2010 and 15013253:2011_
`Retinga followed by an asterlsk(7 Indicate a voluntary(orate of prevlously publlahod date,unless accompanied with a WAS,which Indlcclee oe Involuntary rerate.
DISCLAIMER
AHRI does not endorse the product(s)listed on this Certificate and snakes no representations,warranties or guarantees as to,and assumes no te3ponslbillty for,
tite product(s)113ted on this certificate.AHRI expressly disclaims all uabulty for damage$of any hind arising out of the use or performance of the product(s),or the
unauthorized alteration of date listed on this Certificate.Ce,tltled rafts are valid only for models and eonfiguratlons listed In the
directory at www.ehrldireotory.org.
T9RM3 ANn CONDITIONS
This Certificate and Its contents are proprlotary products of AHRI.This Certificate shall only be used for Individual,personal and
confidential reference purposes.The contents of this Certincate may not,In whole or In part,be reproduced;copied,disseminated;
entered Into a computer databaao;or otherwise utilized,in anyform or manner or by any means,except for the user's indlvldual, AM
persona[and confidential reference. AIR.CONAITIONINn,HEATING,
CERTIFICATE VERIFICATION bt RsmicERAT1oN INsfrfUTE
The information for the model cited on this certificate can be verified at wtvw.ahrldirectory orS,click on`Verify Certificate"link we make life bater,
and enter the AHRi Certified Reference Number and the date on which the certificate was Issued,
which Is listed above,and the Certffloste No.,which is Ilsted at bottom right. •:,�y;.•t :::;• ;'->':"• ,.,-•n:ia'. "' •-
@244.4 Alr-Conditloning, ,Heating and Refrigeration Institute