Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: L% Permit Number: •11 Ligdoom Building Permit Application Pionning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Mechanical PROPOSED INPROVEMENT LOCATION: Address: Legal Description: -I g�� r y�e b� lK �c ryte' Commercial Residential x Property Tax ID #: 3 2 - --Z p1 Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: itiona worK toe orme un er 0 LLL Right Side: Left Side: - cneck all VJAt app y HVAC Gas Tank UGas Piping U Shutters Electric Plumbing Sprinklers 11 Generator Total Sq. Ft of Construction: I to 3t) Sq. Ft. of First Floor: _ Cost of Construction: $ L} 9 n - OC , Utilities: 0Sewer oSeptic OWNER/LESSEE: Name 7 Address:R City r4- G+- State: FL Zip Code: C?S'-?, Fax: Phone No. Lpq.2 - 5 7 5 Q E -Mail: - Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: PATRICK FLETCHALL Lot No -13 - Block No. 44 -IC_ Windows/Doors Roof Building Height: Company: COOL & RELIABLE AIR COND Address: 1051 NE SANTA CRUZ DR City: JENSEN BEACH Zip Code: 34957 Fax: Phone No. 772-692-5750 E -Mail: r_cool@bellsouth.net State or County License: CAC058567 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. State: FL SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: -11un/ a.wry r r%mv-r vn mrriuvi I : 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 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 CommpnrPmpnt of Owner/ Argent/ Lessee re of Contr"itor`%License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF f i ' L. eA'e-,, COUNTY OF 5-_. L LWA'� The for oing instrument was acknowled d before me th day ofTAT 20 by (Name of person acknowledging ) (Signature of Notary Public -.State of Florida ) Personally Known ✓/ OR Produced identification Type of Identification Produced Com s�t�'-( H RUSSELL l) :?:• ® = Notary Public • State of Florida 4Comm Expires Nov 30. 2018 The for oing instrument was acknowledged before me thj day of A429A Z 20Q by (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known L—""OR Produced Identification Type of Identification Produced_ Commi o osfllo''p"", DEBORAH RUSi11 _ • • ` "= Notary�P�ub"lic State of Flofida =' •'= ion # FF 179630 SEA TURTLE My Comm. Expires Nov 19, TU7 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED CERTIFIED° www.ahridirectory.org This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Product Ratings AHRI Certified Reference Number: 5617715 Date: 4/28/2017 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: P5RF-X36KA Manufacturer: WESTINGHOUSE Trade/Brand name: WESTINGHOUSE 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: WESTINGHOUSE P5RF SERIES Manufacturer responsible for the rating of this system combination is WESTINGHOUSE 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): 12.00 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 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 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. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verity Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, «'e 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.: 131378556752954375