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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Budding 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: Mechanical I PROPOSED INPROVEMENT LOCATION: Address: I U I S I 7-� U 064an p(- ?5 O Legal Description: l/ 37 41 rrOI77 S(,) [rte e, -C- SBC 1.2 -37 - 4i ,dun Al Property Tax ID #: _ L -f 511 ' L ( - M 3 5 Q C�0 ' Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK:LY,=a .� �-� )Q� 7� �-�`f' D n i is) 44 Lip ham#' CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all appy: ❑✓ HVAC Gas Tank []Gas Piping _ Shutters Windows/Doors Electric Plumbing O Sprinklers El Generator Roof Total Sq. Ft of Construction: 1-1 I a So- Ft. of First Floor: Cost of Construction: 5 59 Dp . C"C" Utilities: Sewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name (v (v , Name: JOHN BROWNING i Address: 4`1 _7r__GI-C-t 1A t La Company: JB"S AC & ELECTRIC Address: 1535 NW QUAIL CIR City: LA9State:R Zip Code:Dl 6 Fax: Phone Notzoe) 3'1-2 - a 3 1 e City: STUART State: FL Zip Code: 34994 Fax: Phone No. 772.934-6778 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: lbrowningac@gmail.com State or County License: CAC1816319 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION- DESIGNER/ENGINEER: Name: Address: City: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: Not Applicable State: — Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: _ Phone: BONDING COMPANY: Name: Address: City: ZIP: Phone: _ Not Applicable State: _Not Applicable 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 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 reviews 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 COrnme9cing work or recordingour Notice of Commencement. f Ownec/lWgent/�Slgn`=tur, Lessee STATE OF FLORIDA COUNTY OF --L. L c_t C4,lp_ The forgoing instrur ent was acknowled ed before me this day of 20by (Name of person acknowledging 00 (Signature of Notary Public- State of Florida ) Personally Known __VOR Produced identification Type of Identification Produced -- Commission No. ;;a. °�a ., DEBOR&btflPSSELL Notary Public -State of Florida o[nmiso� son # FF 179630 �'OF F` 1, My Comm. Expires Nov 30, 2018 Revised U7/1 i "t REVIEWS I FRONT ZONING COUNTER I REVIEW I S REVIIEWOR DATE RECEIVED D LCT G nature of Contractor/{ cense Holder STATE OF FLORIDA COUNTY OF_':S+,, Lc,Le�-e_ The for oing instru ent was acknowledged before me this day of 20Mby n nr.7ni n4 (Name of person acknowledging } (Signatu�oto�taryblic- Sta�oforida ) Personally Known AOR Produced Identification Type of Identification Produced Commission No , DEBOR�0"9SELI ®. Notary Public - State of Florida My Comm. Expires Nov 30, 2018 PLANS I VEGETATION SEA TURTLE I MANGROVE REVIEW I REVIEW REVIEW REVIEW •l on sl CERTIFIED" tvww.alit idii ectory.org This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Product Ratings AHRI Certified Reference Number: 7942207 Date: 2/10/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1636AJ1 Indoor Unit Model Number: RH1T3617STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioRegion Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be can only be installed in region(s) for which they meet the regional efficiency requiremners ent. Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 35400 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): " 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 altaratlon 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 w "NMI 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. Alnu personal and confidential reference. CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING, The information for the model cited on this certificate can be verified at www.ahrldirectory.o,i , click on" & REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued, link uv make life beitcr' which is listed above, and the Certificate No., which is listed at bottom right. ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131312308802012911