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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number COUNT Y Building Permit Application Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Mechanical PROPOSED INPROVEMENT LOCATION: Address: Legal Description: Commercial Residential Property Tax ID ##: _ q"511 , S I L -- Lot No.—&2 ` Site Plan Name: V �(7—� r— ( aT Block No. Project Name: Setbacks Front Back. Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional worK to De nertormed under t is permit — c ec all app y: Z✓ HVAC Gas Tank []Gas Piping Shutters Windows/Doors 11 Electric Plumbing F Sprinklers Generator Roof Total Sq. Ft of Construction: I OM52 Cost of Construction: $ y 1p00 , OC7 OWNER/LESSEE: ; Sq. Ft. of First Floor: _ Utilities: Sewer 0 Septic Name LjQfitph C_DU eiQnCL Address: 1 /,24 SLr) n9ar- �P"�n_s City: r-." State: FL Zip Code: _:.5'c-(gnj p ax: Phone No. -1'I�-.7R5-1 LRR q E -Mail: 0 LCi r'S E4 4 rnQ i j rTJ Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Building Height: Name: DOUGLAS PENCE Company: ABSOLUTELY COOL AIR CONDITIONING Address: 2311 NE 15TH COURT City: JENSEN BEACH State: FL Zip Code. 34957 Fax: Phone No, 772-475-4641 E -Mail: absolutelycoolair@gmail.com State or County License: CAC1815702 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: NGINEER: - Not Appl Name: Address: City: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: ate _ 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 Association permit. St. Lucie Cokes no unty representation that is relapermit build subject is nconfliwith any applicable Home rsbyaws 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 ir p 'n.aying twice for Improvements to your pr � Notice of Commencement must be recorded d pos d on the jobsite before the first inspe If yo Intend to obtain financing, consul 'th lender or an a rney before COmrr;?!7rtg wok or recordi your Notice of Commencemewt. i re q,Y9wner/ Agent/ Lessee STATE OF FLORIDA COUNTY OF _L. L.LAC,4-4e The forgoing instrument was acknowledged before me thi'`1fay of T` 20IL2J by tune of,Qbntractor/License Holder STATE OF FLORIDA COUNTY OF 5+, 1 CA'La' The forgoing instrument was acknowledged before me thi ay of ���� 20a5by (Name of persQfi acknowledging I (Name of (Signature of Notary Public- State of Florida ) Personally Known ✓ OR Produced Identification Type of Identification Produced Commisio i Revis REVIEWS DATE RECEIVED DATE COMPLETED acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known —Z70R Produced identification Type of identification Produced Commission No. DEBORAH RUSSELL Notary Public - State of Florida = �, 4 Commission # FF 179630 r' o?•`' My Comm. Expires Nov 30, 2018 FRONT ZONING SUPERVISOR PLANS VEGETATION COUNTER REVIEW REVIEW REVIEW REVIEW DEBORAH RUSSELL Commission # FF 179630 My Comm. Expires Nov 30. 2018 SEA TURTLE I MANGROVE REVIEW I REVIEW 1b it uo� .,U NON CERTIFIED- www.ahridirectory.org Certificate of Product Ratin AHRI Certified Reference Number: 7493646 Date: 4/25/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1436AJ1 Indoor Unit Model Number: RBHP-21 Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD S 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) 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 eligibners le to be 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): 36000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 15.50 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 alteration 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 A "Imp, 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. CERTIFICATE VERIFICATION AIR-CONDITIONING. HEATING, The information for the model cited on this certificate can be verified at www.ahrid lrectory.org, dick on" & REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued, link ue make life berr,r"' which is listed above, and the Certificate No., which is listed at bottom right. ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131375959540773817