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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L"_ Date: Permit Number: J _ • 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 PERMIT APPLICATION FOR: Mechanical PROPOSED INPROVEMENT LOCATION: Address: Commercial Residential Legal Description: V eUl+11l CE Q.-{- —�J -I n �"���i� Property Tax ID #: L4$/1- SfQ DO -7 3 - CCXD Lot No.S -7,21 Site Plan Name: Block No. Project Name1 , i l l O Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional work to � orme under this permit - check a � app y: ZHVAC Gas Tank ❑Gas Piping Shutters Windows/Doors 11 Electric F1 Plumbing Sprinklers Generator L1 Roof Total Sq. Ft of Construction: =1 &3 Sq. Ft. of First Floor: _ Cost of Construction: $ C-{ L-{ ob, no Utilities: []Sewer 0Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: DOUGLAS PENCE Address: or Company: ABSOLUTELY COOL AIR CONDITIONING City: State: FL Address: 2311 NE 15TH COURT Zip Code: Fax: - City: JENSEN BEACH State: FL Phone NJ -13Z L4'2 S - L & L(I Zip Code: 34957 Fax: E -Mail: Phone No. 772-4.75-4641 Fill in fee simple Title Holder on next page ( if different E -Mail: absolutelycoolair@gmail.com from the Owner listed above) State or County License: CAC1815702 If uein [ 1rn �, vw vwnnncimcment Is requlrea. A 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: BONDING COMPANY: _Not Applicable Name: Address: City: Address: City: Zip: Phone: Zip: Phone: uwrYCK/ LUN I KALI VK AtIriUV1I: 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 Budding 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 i r paying twice for improvements to your pr iA Notice of Commencement must be recorded d pos d on the jobsite before the first inspe n. If yo "intend to obtain financing, consulywilth lender or an a rney before comme�tflg wor or fecordifAyour Notice of Commencement.f � ture 9FAwner/ Agent/ Lessee ture of flbntractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF A L..(.(.&! 110- COUNTY OF S-%, L4&ie, The forgoing instrument was acknowled ed before me The for oing instrument was acknowledged before me this day of 20� by this day of 20a]by �Qc Lpe n CIP-_ (Name of pers cknowiedging (Signature of Notary Public- State of Florida ) Personally Known _�.�OR Produced Identification Type of IdentlIficyioiP (Name of p@tjin acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known OR Produced identification Type of Identification Produced do ra B�'�; DEBORAH RUSSELL Commission • y Publici59?Jfe of Florida I Commrssio N "' • t/� Commission # FF 179630 Revised 07 "BORAH R ld Notary Public - State of Florida My Comm. Expires Nov 30, 2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE GROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED I DATE COMPLETED Certificate of Product Ratings AHRI Certified Reference Number: 8215489 Date: 7/5/2017 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: PA4ZNA030000-- Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Trade/Brand name: BRYANT HEATING AND COOLING SYSTEMS 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 BRYANT HEATING AND COOLING SYSTEMS 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.ahridlrectorv,.; TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and A - "n 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, dick on "Verify Certiflur ' link 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. 131437332471419599 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: