HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date_ Permit Number:
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 EI Mar Dr Apt 8204 Jensen Beach, FL 34957
Legal Description: BEACH CLUB COLONY CONDOMINIUM BLDG B APT 204 (OR 3666-1121)
Property Tax ID ##: Lot No.
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:.
LIKE FOR LIKE AC CHANGEOUT: 2 TON 15 SEER RHEEM R410A COMPLETE SYSTEM WITH 7
KW HEATER
CONSTRUCTION INFORMATION:
Additional wor to e e orme under t is permit – c e7���il
❑HVAC 11 Gas Tank Gas Piping_ Windows/Doors
LJ Electric ❑Plumbing Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $�(� �'�
— . f } Utilities _ Sewer ❑ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Michael A Dayger Name: LUKF WALKER
Address: 200 N EI Mar Dr Apt B204 Company: TREASURE COAST AIR CONDITIONING
City: JENSEN BEACH State: FL Address: PO BOX 460
Zip Code: 34957 Fax: City: JENSEN BEACH State: FL
Phone No. 772-528-5850 Zip Code: 34958 Fax:
E -Mail: Phone No. 772-692-1701
Fill in fee simple Title Balder on next page ( if different E -Mail: TCAC1990@ATT.NET
from the Owner listed above) 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:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City:. State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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
commencing work or recording your Notice of Commencement.
Signature of wner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF MARTIN
The fgrgoing instru92,ent was acknowledged before me
this day of 1, 20 I7 by
LUKE WALKER
(Name of person acknowledging)
(Si#wafurkoj Notary Public- State of Florida }
Personally Known x OR Produced Identification
Type of Identification Produced
s
Sign ture of actor/License Holder
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
this i� day of G:r� X i � 20 !�� by
LUKE WALKER
(Name of person acknowledging)
Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
JOY POLLAR❑
Commission No. Ccmrtitin # GG 62174 Commission
MV commission Expires
14, 2021
h, ,a
Revised 07/15/201
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
COMPLETE
INITIALS
10Y POLLAIRC01)
C4n1Misgiorl 0 GG 62174
My commission Expires
Januory 14, 2021
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW
AVW&
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AHRI Certified Reference Number: 7493626 Date: 1217/2015
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, LA, 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, 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 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
party testing:
Cooling Capacity (Btuh): 24000
EER Rating (Cooling): 12.50*
SEER Rating (Cooling): 15.00"
LEER Rating (Cooling):
'Ratings followed by an asterisk(*) indicate a voluntary rerate of previously published data, unless accampanied 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 at 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 .-, sr:.7t„ ;,`,my-org-
TERMS AND CONDITIONS
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 form or manner or by any means, except for the user's individual,
personal and confidential reference. 5+t2 eGA1�i1TioFil�dt;. tTtaC.
CERTIFICATE VERIFICATION REFRIGERATION i %'SiHUIE
The information for the madel cited on this certificate can be verified atv click on "yurif y GertificaM-link
and enter the AHRI Certified Reference 'Number and the date on which the certificate was issued, we make illi better
-
which is listed above, and the Certificate No_, which is listed at bottom right. - - - - --- -- -
02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1ZD939807067685304