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HomeMy WebLinkAboutCARPENTER CENTURY AC APPALL 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_ PERMIT APPLICATION FOR: Mechanical I PROPOSED INPROVEMENT LOCATION: Address: __ i O F S/ ��. G C eea n 12)r -7 Legal Description: r-'" 1 a ago - Property Property Tax I D #: 450 - as O C)('tD --7 Lot No. Site Plan Name: Block No. Project Name: QC b!fr Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional work toe e orme under this permit -Check a [hn appy: ✓HVAC El Gas Tank ❑Gas Piping Shutters El Windows/Doors Electric 7 Plumbing Sprinklers FIGenerator 7 Roof Total Sq. Ft of Construction: _ , Cost of Construction: $ :5 RyC • CG Sq. Ft. of First Floor: _ Utilities: Sewer Septic Building Height: er OWNER/LESSEE: CONTRACTOR: CENTURY AIR COND l ,, Name_1hy�rWS iaoc( 01`roct- C��� i>�� Name: JOHN RILEY Company: CENTURY AIR COND Address: I CK5( '5 b!- LL"f 7 Address: 3044 SE DOMINICA TERR 2/OZ2&an City: 5�SPrI I?x;eac h State: FL Zip Code: '34q.5 -7 Fax: City: STUART State: FL Phone No. '—I R\ - .3C.) Lf C Zip Code: 34997 Fax: E -Mail: _- Phone No. 772-781-3040 Fill in fee simple Title Holder on next page ( if different E -Mail: centuryac@aol.com from the Owner listed above) State or County License: CAC057676 IT value oT construaion is 715uu 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: City: State: Zip: Phone: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: BONDING COMPANY: _Not Applicable Name: Address: City: City: Zip: Phone: Zip: Phone: 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 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 Commenceme%. Signature) fOwner/,Agent/Lessee STATE OF FLORIDA COUNTY OF s t The forgorpg instrument was acknowledged before me thi��`day of �(�20[] by Signature t5f Contractdr%License Holder STATE OF FLORIDA COUNTY OF L u_e' e' The forgoing instrument was acknowledged before me thik2_3r1ay of 20=by (Name of person acknowle ng) (Name of person acknov0 ging ) (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Personally Known vl'*' OR Produced Identification Type of Ide ti is o O1PR�'PUB�-�� DEBORAH RUSSELL Commissio -blic - St�IFtl)Florida 1Fril ; e' Commission # FF 179630 Revised Personally Known I/ OR Produced Identification _ Type of Identifica 'o r d e - DEBOJt6,� ISSELL Commission No. :o .': c otary Public • Slate of Florida Commission # FF 179630 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED I r ---I CERTIFIED- www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 7492873 Date: 5/23/2017 ! Product: Single -Package Air -Conditioner, Air -Cooled 3 Model Number: WJA430000K**OA Manufacturer: GRANDAIRE Trade/Brand name: GRANDAIRE 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: R410A AC SPP Manufacturer responsible for the rating of this system combination is GRANDAIRE 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): 28600 EER Rating (Cooling): 11.50 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 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 "12, This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and 04 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.ahrldirectory.org, dick on "Verify Certificate" link we make life better" and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No.. which is listed at bottom right ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13�aoo2o�asst/3oes