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HomeMy WebLinkAboutBuilding Permit application'1 APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:��I Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Dlvision 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical PROPOSED INPROVEMENT LOCATION: Address: I ,�(� N [✓ T�l h!e� fi4 Legal Description i �%f= r �i Gt r k 1 n f" Property Tax) D #: `1} 19 - T70 Ci ! D,-,? — Q>t-, -.2 Lot No. Site Plan Name: Block No. Project Name: _T,i r a e) y Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: r „ , -k- -- -, i — _ _J__ — r, CONSTRUCTION INFORMATION: itiona wor to a orme un er this permit -check all apply: ✓HVAC Gas Tank E]Gas Piping _ Shutters Windows/Doors Electric 0 Plumbing E Sprinklers Generator Roof Total Sq. Ft of Construction: - I C-)5 . Ft. of First Floor: _ Cost of Construction: $ 4 V V U • O Utilities:] Sewer ESeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name an Cin l rief 6c -)" Name: MARK DEJARNETTE Address:(, �� (�LiY)/'r Company: FLORIDA AIR COND City::( % -� C. e State: FL Address: 814 SW SAIL TERR Zip Code: 4572 Fax: City: PORT ST LUCIE State: FL Phone No. 1 E _2 Zip Code: 34953 Fax: E -Mail: Phone No. 772-344-5787 Fill in fee simple Title Holder on next page (if different E -Mail: florida.airconditioning@yahoo.com from the Owner listed above) State or County License: CAC1814359 IT value or Lonsxruaion is >zsw or more, a KtwKutu notice of commencement is required. P� OWNER/ CONTRACTOR AFFIDVITcommlenced pis rioeto tthe ssuanceobtain of a permit it to do the work and installation as indicated. I certify that no work or installation has p St. Lucie County makes no representation eat is gra ing aaU nr rulest will , bylaws or authorize nd covenantermit s that may buirestrict boe prohict bit such which is in conflict with any app structure. Please consult with your Home Owners Association and review your deed for any restrictions which may appy. In consideration of the granting of this requested permit, I do hereby agree that 1 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 our Notice of Commencement. '.�,.=-- Signature of Owner/ Agent/ Lessee S' nature of Contractor/License Holder STATE OF FLORIDA_ STATE OF FLORIDA COUNTY OF ___D COUNTY OF ?::::) t' Ci The forgoing instruas acknowledged before me thisaay of /entw200 by 1)lzirjy (ft I ✓�� � (Name of person acknowlie*ing ) (Signature of Notary Publ'c- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commissio Ng.`""""' BE ORAH R{SStL)L o ` Notary Public -State of Florida The forgoing instrur ent was acknowledged before me this aay of 200by (Name of person acknowledging) ( ignature of Notary Public- State of Florida ) Personally Known y__1 OR Produced Identification Type of IdentLficion P oduc d Commission ' 4—° My Comm. Expires Nov 30, 2018 Revised 7/�f2Yif4 REVIEWS TFRONT_ZON_ING SUPERVISOR PLANS COUNTER REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED a',`aSPa DEBORAH F(��L i Notary Public State o Florida ' Commission # FF 179630 s. .,. r i .; y „omm xpires ov VEGETATION SEA TURTLE MANGROVE REVIEW I REVIEW I REVIEW LIEN LAW INFORMATION: SUPPLEMENTAL CONSTRUCTION Not Applicable Not Applicable MORTGAGE COMPANY: — DESIGNER/ENGINEER: — Name: Name: Address: State: Address: State: City: Phone: City: Zip: ----- Zip: Phone: BONDING COMPANY: Not Applicable SIMPLE TITLE HOLDER: Not Applicable FEE Name: Name: Address: Address: City: City: Zip: Phone: Zi • Phone: P� OWNER/ CONTRACTOR AFFIDVITcommlenced pis rioeto tthe ssuanceobtain of a permit it to do the work and installation as indicated. I certify that no work or installation has p St. Lucie County makes no representation eat is gra ing aaU nr rulest will , bylaws or authorize nd covenantermit s that may buirestrict boe prohict bit such which is in conflict with any app structure. Please consult with your Home Owners Association and review your deed for any restrictions which may appy. In consideration of the granting of this requested permit, I do hereby agree that 1 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 our Notice of Commencement. '.�,.=-- Signature of Owner/ Agent/ Lessee S' nature of Contractor/License Holder STATE OF FLORIDA_ STATE OF FLORIDA COUNTY OF ___D COUNTY OF ?::::) t' Ci The forgoing instruas acknowledged before me thisaay of /entw200 by 1)lzirjy (ft I ✓�� � (Name of person acknowlie*ing ) (Signature of Notary Publ'c- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commissio Ng.`""""' BE ORAH R{SStL)L o ` Notary Public -State of Florida The forgoing instrur ent was acknowledged before me this aay of 200by (Name of person acknowledging) ( ignature of Notary Public- State of Florida ) Personally Known y__1 OR Produced Identification Type of IdentLficion P oduc d Commission ' 4—° My Comm. Expires Nov 30, 2018 Revised 7/�f2Yif4 REVIEWS TFRONT_ZON_ING SUPERVISOR PLANS COUNTER REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED a',`aSPa DEBORAH F(��L i Notary Public State o Florida ' Commission # FF 179630 s. .,. r i .; y „omm xpires ov VEGETATION SEA TURTLE MANGROVE REVIEW I REVIEW I REVIEW Certificate of Product Ratings AHRI Certified Reference Number: 8175449 Date: 4/26/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: ES4BE-036KA Indoor Unit Model Number: B6BMM042K-B Manufacturer: NUTONE Trade/Brand name: NUTONE 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: NUTONE ES46E Series Manufacturer responsible for the rating of this system combination is NUTONE 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): 35000 EER Rating (Cooling): 12.20 SEER Rating (Cooling): 14.00 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 products) 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 unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the of the product(s), or 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 confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; w �� 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. AIR-CONDITIONING. HEATING, CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, dick on "Verity Certificate' link & REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better which is listed above, and the Certificate No., which is listed at bottom right ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131376809409439572