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HomeMy WebLinkAboutBuilding Permit ApplicationAL1. A: PPLIC BLE INFO MUST' BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: j fj j' Permit dumber: Building PermiLAP lication Commercial Residential Planning and Development Services Building and Code Regulation Dlvislon 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462.1578 Address: Property Tax lD #: Site Plan Name: Project Name: Setbacks Front_, Back: Right Side: Left Side: DETAILED DESCRIPTION OF Wb RK: V-\ i CONSTRUCTiON INFORMATION: stun or to e e orme un er t ss perm , ee a 'PIP,,y: HVAC Gas Tank E]Gas Piping _ n R Shutters Electric E-1 Plumbing Sprinklers Generator Total 5q. Ft of Construction: Cost of Construction: $ 5Ft• of First Floor. Utilities: Sewer Septic OWNER/LESSEE: CONTRACTOR: Marne Addre- D Name: 11 City: (� U �orrip 4i' (is State' �� ddr' Zip Code: L Fax: Phone No, 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 N •cs Lot No. Block No. a� L`l Windows/Doors Roof Building Height: City: i -A 114'', }- t11, 1 L� -� t State:iEL Zip Code' Fax: Phone No. -Mail:1')mc CLr State or County License: F Commencement is req ui d. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: STATE OF FLORIDA"' w t„ In DESIGNER/ENGINEER: Not Applicable "' fj1t�� Name: ` MORTGAGE COMPANY: Not Applicable Address: Name: City: Address: State: Zip: Phone. Cit y' State: Zip: �� Phone. FEE SIMPLE TITLE HOLDER: 4 Not Applicable Name; BONDING COMPANY: Not Applicable ` Address: Name: City: Address: Zip: Phone: City: 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 appiicabie 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 a first ins ection. If you intend to obtain financing, consul co enci r or reevr I ur Notice of Commencem n attorney before Signature of Owner/ Lessee/Agent STATE OF FLORIDA"' w t„ In COUNTY OF "' fj1t�� Jv r 1E 3 The far oing instrument was acknowledged before this T ay of —lby n ..9 9.. Q � . t I Ir, Z0 ( ignature of tary Public- State of Florida) (Name. f person acknowled ing) (Signature of Notary Public- State of Florida ) Personally Known I�l OR produced Identification Type of Identification Produced Commission No.6 ; �_/ (Seal) Revised 07/15/2014 REVIEWSFRONT ZONING COUNTER DATE REVIEW COMPLETE INITIALS Signature of Contr for/License STATE OF FLOR QA . COUNTY OF _ �j �- The forgoing instrument was acknowledged before m `' this LE day of nue' 20 i „'� C by Jv r 1E 3 x L= (Name of? rson acknowledging) ( ignature of tary Public- State of Florida) Personally Known L1�013 produced Identification Type of Identification Produced Commission No. { (seal) SUPERVISOR I PLANS I VEGETATION SEA TURTLE I MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW AMMOERTIFIED" www,ahridirectory.org • AHRI Certified Reference Number: 7425624 Date: 1/10/2017 tStatus: Active Product: Water/Brine to Air Heat Pump Packaged Unit Model Number: TCH1V048A 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 party testing: accuracy by AHRI-sponsored, independent, third Air Flow Rate - Cooling: 1600/1600 Air Flow Rate - Heating: 1600 / 1600 WLHP.(.]A/ater - um s Cooling CaPaclty(Btuh) p _u .... --_.__ 47700 Cooling EER Rating(Btuh/watt) Cooling Fluid Flow Rate(gpm) 13.30 / 13.30 13.001 1300 Heating Capacity(Btuh) Heating COP(watt/watt) 55900155900 4.7014.70 -H—eating Fluid Flow Rate(gpm) GWHP(Ground- 13.001 13.00 atiL,i-rH-i!�at P 1z),s--- Cooling Capacity(Btuh) 54300 154300 Cooling EER Rating(Btuh/watt) Cooling Fluid Flow Rate(gpm) 20.50 120.50 13.00 Heating Capacity(Btuh) Heating COP(watt/watt) / 13.00 46500146500 Heating Fluid Flow Rate(gpm) 4.10/4.10 13.001 13.00 GLHP (Ground -Loop Heat Pumps) Cooling Capacity(Btuh) Cooling EER Rating (Btu h/watt) 49000 / 49000 14.70 i 14.70 Cooling Fluid Flow Rate(gpm) Heating Capacity(Btuh) 13.00 / 13.00 Heating COP(watt/watt) Heating Fluid Flow Rate(gpm) 36400136400 3.40/3.40 13.00 / 13.00 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 rerata 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 disciafms all liability for damages of any kind arising out of the use or perform ror the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations fisted in the ance of the Product(s), it directory at www.ahridirectory.org. TERMS AND CONDITIONS confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner ur by any means, except for the user's individual, personal and confidential reference. � CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING, The information for the model cited on this certificate can be verified at www.ahridirectory.orgclick on "Verify Certificate" link & REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issu which is fisted above, and the Certificate No., which is listed at bottom right. we make lice better 02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131285367386993195