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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / Date: ala°1/6 Permit Number: /f 7® 1'e/ yo� 0 ME L1'YJ_, C COV ® Building Permit Application JAN 0 6 2097 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 arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: _5' —7,),04-- Legal Description: �7S'Z- _0 'bwit4,S do C, Property Tax ID#: 11,15 - - d 7— Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: �ESCR�IPTION.GF WORK: DETAILED D eCeSe�, 5 j- A/ /3 SE69 - HEhr►�,i CONSTRUCTION INFORMATION: Additional wor to be performed under this permit—ch ec a LJ0appy: HVAC Gas Tank F]Gas Piping _Shutters Q Windows/Doors Electric ElPlumbing Sprinklers 11 Generator E] Roof Roof pitch Total Sq. Ft of Construction`: Sq. Ft.of First Floor: Cost of Construction: $ 00 Utilities: L_ISewer ElSeptic Building Height: OWNER/LESSEE.:- iCO'NTRACTOR: Name logo (L.07.Ek Name: �T% L Sd'Is;L/�i� L/,/�r�v� Address: O S. b"*) ��, 1405 Company: .S el'C S d etr City: - ENSv�'J State:-ILL4 Address:L0 Zip Code: 34%7 Fax: City: e e State: Phone No. Zip Code: _3�3 W_r' Fax: E-Mail: Phone No.J__&/ Fill in fee simple Title Holder on next page (if different E-Mail: ? from the Owner listed above) State or County License: 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 commencvj work or recording our Notice of Commencement,--I s Signature of Owner/L s e/Cont c or as Agent for Owner Signa ure ot Contracto License older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF / , t ,e COUNTYOF VAI-H $C-Ack CouNTY The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this��day of / � 20 iby this�r ay of 7914-7-6— 20 by 1 � i( tC A, 44 �c" /V Vel (Name of person cknowledging (Name of person acknowle . g) (Signatureo otary Public-State of FI rida ) (Sig re of Notary blic-State of Florida ) Persona ly K wp OR Produced Identification Personally Known OR Produced Identification Type of ntification Produced Type of Identification Produced 1� Commission re v"!%m •, WARD(OWPORD Commission G���P°" P�`' DWARD� ORD FF077427 >::; • '•€ MY COMMISSION# `.: :.�, .� MY COMMISSION#FF077427 Fa ,... 01 FOF ecem er 17,2017 Revised O FloridallotaryService.com (407)39M153 FloridallotaryService.com REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS � o imal Certificate of Product Ratings AHRI Certified Reference Number: 8778986 Date: 12/20/2016 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(Btu h/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) 15:00115.00 GWHP(Ground-Water Heat Pumps)- s)� Cooling Capacity(Btuh)�_� 58100/58100 Cooling EER`Rating(Btuh/watt)' 1-8:10 i/ 18:10 ��. -� Cooling Fluid"'Flow,Rate(gpm)� i e 1'5:00�/ 15f.00, ', j ;\ i Heating CaD' paclty(Btuh)_� lY_4_T 5320.OL5320d�: �= _' 1, L ! _ _ Heating COP(watt/watt) 3.50/3.50 T Heating Fluid Flow Rate(gpm) 15 �j :00/ 15.00�j(, y r a � ,j, GLHP',(Ground=Loop Heat Pumps) Cooling Capacity(Btuh) % Cooling EER R`ating(Btuh7watt)—___—_ 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 IN- 1101 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 on`Verify Certificate"link %%v 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. 131267116992008918 ©2014 Air-Conditioning,Heating,and Refrigeration Institute FCERTIF-ICATE NO.: