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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 04-17-2017 Permit Number: e Building Permit Application Planning and Developmen t 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: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 4017 GREENWOOD DR Legal Description: Property Tax ID #: 242170200410003 Lot No. 2 Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace existing 5 ton system with new Ruud 5 ton 15.0 seer sytem w/10kw heat Models RAI 660 & RBHP25J11 Like for like [CONSTRUCTION INFORMATION: Additional workto e per Orme un er t is permit — c ec ILJ�I a appy: E] Ir' (HVAC Gas Tank F]Gas Piping Shutters Windows/Doors 1-1 Electric 0 Plumbing []Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: []Sewer E]Building Height: Cost of Construction: $ 4900.00 Utilities: Septic OWNERAESSEE: CONTRACTOR: Name Richard James Name: Tracy D Steele Address: 4017 Greenwood Dr Company: Tracy D Steele Air Conditioning Inc City: Ft Pierce State: Fl Address: 2750 SW Edgarce St Zip Code: 34982 Fax: City: Port St Lucie State: FI Phone No. 772-828-1907 Zip Code: 34953 Fax: 772-336-2448 E -Mail: Phone No. 772-215-1974 Fill in fee simple Title Holder on next page (if different E -Mail: tdsac@aol.com from the Owner listed above) State or County License: CAC035553 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 commencin,q work or recording your Notice of Commencement. Signature of Own/Les e ontractor asAgent for Owner STATE OF FLORIDA COUNTY OF ST LUCiE The forgoing instrument was acknowledged before me this L_ day of (At✓ , 20 LLby TRACY D STEEL (Name of person acknowledging ) Signature of CQi trac�License Holder STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrument was acknowledged before me this 7 day ofl L 20 �= ►� by TRACY D STEELE (Name of person acknowledging) (Signature of Notary Public- State of Florida) (signature of Notary Public- tate of Florida ) Persona x rgdµt , I}� t fic tion Per E}a#ky �C own 0 P e� tification y' 4' At T STA T I nt natioI� ro uc d� Y Type of k& at on c Yp RAY C MMI5910 MY COMMI 1098 :- aY,r o , EXP#RES February 23, 201 Commis ioir EXPIRES February 2�S?908 Co (eaa39e m 7) 393os53 FloridzNotatyService, c6m lo. IS al) (407) 3940153 FloridatJotaryService.com Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratings AHRI Certified Reference Number: 7943546 Date: 9/2912016 Product: Split System. Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1660AJ1 Indoor Unit Madel Number: RBHP-25 Manufacturer: RHEEM SALES COMPANY, INC.. TradelBrand 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) 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 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): 56000 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 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 DiSC1.AIMER 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.ahridlrectory.org. TERMS AND CONDITIONS al and This Certiftcate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, person,., 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, AIR-CONDITIONING, HEATiNC, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectery.org, click an "Verify Certificate" link we make life better - and enter the AHRI Certified Reference Number and the date an which the certificate was Issued, which is listed above, and the Certificate No., which is listed at bottom right. j 1311962553439749547 ©2014 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE N©,: