HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 200 N. ELMAR DR All 03, JENSEN BEACH FL ,.! =�
Legal Description: BEACH CLUB COLONY CONDOMINIUM BLDG A APT 103 (OR 3697-189)
Property Tax ID #;
Site Plan Name:
Project Name:
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
LIKE FOR LIKE AC CHANGEOUT: 2 TON 15 SEER RHEEM R410A COMPLETE SYSTEM WITH 7
KW HEATER
CONSTRUCTION INFORMATION:
A ttiana wor to je�e Orme un er t is permit— c ec a app y:
HVAC j_ J Gas Tank ❑Gas Piping OGenerator Shutters
Electric Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction:
OWNER/LESSEE:
Name Edward A Karvanick Dawn M Karvanic
S. of First Floor: _
Utilities;n Sewer E]Septic
Address: 200 N. ELMAR DR Al 03,
City: JENSEN BEACH State: EL
Zip Code: 34957 Fax:
Phone No. 908-310-5548
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name. LUKE WALKER
Windows/Doors
Roof Roof pitch
Building Height:
Company: TREASURE COAST AIR CONDITIONING
Address: PO BOX 460
City: JENSEN BEACH State: FL
Zip Code: 34958 Fax:
Phone No. 772-692-1701
E -Mail: TCAC1990@ATT.NET
State or County License: CAC058476
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE
Name:
Address:
City:
Zip: Phone:
Not Applicable
State
MORTGAGE: COMPANY: Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY:
Name:
Name:
Address:
_
Address:
City:
City:_
Zip: Phone:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
—Not Applicable
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 tender or an attorney before
commencing work or recording our Notice of Commencement.
s
as Agent for Owner sig tureontractor1License Halder
STATE OF FLORIDA
COUNTY OF mARTlN
The forgoing instruRient.was acknowledged before me
this I d day of 20 I_ _2by
LUKE WALKER
(Name of person acknowledging)
Notary Public- State of Florida }
Personally Known x OR Produced Identification
Type of Identification Produced
Commission
Revised 07
REVIEWS
DATE
COMPLETE
INITIALS
STATE OF FLORIDA
COUNTY OF N RTm
The forgoing instr meet was acknowledged before me
this it� day oft 1 _ 20 i7 _by
LUKE WALKER
(Name of person acknowledging }
Ccs �
(Si r o Notary Public- State of Florida }
Personally Known x OR Produced Identification
Type of Identification Produced
f3Y Pf)IIRD Commission
;� R, i ommission # GG 621 74 # i
MCommission Ex iros
January 14, 2021
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FRONT" ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
.JOY POLI 74
ommission #
My Commission Expires
SEATURTLE �MANGROVE
REVIEW REVIEW
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AHRI Certified Reference Number: 7493626 Date: 12;'712015
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: RA1424AJ1
Indoor Unit Model Number: RBHP-17
Manufacturer: RHEEM SALES COMPANY, INC,
Trade/Brand name: RHEEM; RUUD
Region: Southeast and North (AL, AR, DC, DE, FL, GA, Hi, KY, L4, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, Wl, 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 region(s) for which they meet the regional efficiency requirement.
Series name:
Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC.
Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
parlay testing:
Cooling Capacity (Btuh): 24000
EER Rating (Cooling): 12.50*
SEER Rating (Cooling)_ 15.00*
IEER Rating (Cooling):
Ratings Wowed by an asterisk r) indicate a voluntary mrate 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
directoryat
TERMS AND CONDITIONS' y V
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and
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 fora or manner or by any means, except for the users individual,
personal and confidentlai reference, U v
blit -GOND TICNIN0 HEATlNe,
CERTIFICATE VERIFICATION & REMMEPATION WSTfTUTE
The information for the model cited on this certificate can be verified at :_.s t.;fericiEi°e:,vr:r.crf„ click on "VeFify Certificate' link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, wv make life better -
which is listed above, and the Certificate No., which is listed at bottom right. 7 -- ---
@2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE (1101.: 130939807067685304