HomeMy WebLinkAboutPermit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 12,2017 Permit Number:
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Building Permit Application
Planning and,Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fart Pierce FL 34982
Phone: 1772)462-1553 Fax: (772)462-1578 Commercial Residential x.
PERMIT APPLICATION FOR' Mechanical
PRC3P+CSED IMPROVEMENT LQCATIC�'N:
Address: 182 Camino Del Rio. Pura St_Lucie, FL 34952
Legal Description: 27 36 440 THAT Pan of Sec as shown in or 2463-460 being Lot 182 Camino Del Rio
Property Tax ID#: 3427-500-0184-000-8 Lot No.
Site Plan Name: Fernandez,Karen Black No.
Project Name: 182 Camino Del Rio
Setbacks Front_ _ Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
A/C Changeout Like for Like
16 SEER 2.5 ton 10 KW
CONSTRUCTION INFORMATION:
Wi-iona work to a er ormecT under t is permit—c ee a app Y.
ZHVAC 11 Gas Tank DGas Piping _Shutters WindowsjDoors
11 Electric 0 Plumbing Sprinklers �Generator �Roof Root pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 4774.00 Utilities: El Sewer 0Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Karen Fernandez — Name: Frederick Miller
Address: 182 Camino Del Rio Company: Miller's Central Air, Inc.
City: Part 5t.Lucie State: FL Address: 722 SW Biltmore Street
Zip Code: 34952 Fax: City: Part St. Lucie State:FL
Phone No. 772-785-8080 Zip Code: 34983 Fax:
E-Mail: Phone No. 772-785-8080
Fill in fee simple Title Holder on next page if different E-Mail: sa"ndyl-a@rnillerscentralair.com
from the Owner listed above) State or County License: CAC058675
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: —
DESIGNER/ENGINEER: Not ApplicableMORTGAGE 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:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conftict 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:roost 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
Wgnktufe
cl work or recordingour Notice of Commencement.
5
f Owner/Lessee/Contractor as Agent for Owner sign to o nt ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF E 4 . Lutit, COUNTY OF__ i1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_1_,�.day of J u ( ,1 20 abv this_lsc_day of 20 by
(Name of person,acknowledging I (Name of person acknowledging)
(Signature of Notary Public-State of Florida J } (Signature of Notary Public-State of Florida
Personally Known _ OR Produced Identification Personally Known OR Produced Identification
Type of Iden Type of a jv
yid Ncur]+F'srLMerc&raa COfiaidf
Commission : � $8rr0iA t.k!SIM O NuiRry C$tali®I Florida
V1, ,i3G3T0 Commi 1
y� Eapitl+4p1i2r72r yfwOXCDrfMMi�1lA1t309t379
Egwres Otr�'rrdW'
Revised 07115/2014
REVIEWS FRONT CONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE -
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE I E EW
COMPLETE
INITIALS -
This combination qualifies for a Federal Energy
CERTIFIEcr
Efficiency Tax Creddt when placed in service
between Feb 17. 2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference plumber: 8626653 Date: 7/12/2017
Product: Split System: Air-Cooled Condensing Unit, Coil with Slower
Outdoor Unit Model Number: 4TTR603OJ1'
Indoor Unit Model Number: GAF2AOA36M31+TDR
Manufacturer: TRANE
Trade/Brand name: TRANE
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: XR16
Manufacturer responsible for the rating of this system combination is TRANE
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): 28000
EER gating (Cooling): 13.50
SEER Rating (Cooling): 16M
IEER Rating (Cooling):
Ravings tollowed oy an asterisk i*1 indicate a vWuntary rerate of wevlousiy puhushed data,unle"accompanied wen a'WAS.welch raid cares an rnvo untary feraw
DISCLAIMER
AHRI does not endow the product(s)tided 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 Ilabillty for damages of any kind arising out of the use or performance of the productis),or the
unauthorized alteration of data listed on this Certificate.Certttied ratings are valid oniy for models and configurations listed in the
directory at www.ahrldirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI.This Certtflcate shall only be used for intlMdual,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 W manner or by any means,except for the user's indinir..l,
personal and cOnfidential reference, AIR-CONDITTOWN0.NEATW4.
CERTIFICATE VERIFICATION 6 REPRIGERATION IN3TTrtrrE
The information for tho model cited on this certificate ran be verified at www.ehridirectory.org,click.on'Verity Certificate"link
and enter the AHRI Certified Reference Number and the date on which the certificate was issues] u make life Ix iit.,
which is listed above,and the Certificate No.,which is listed at bottom right.
C2014AIrd;onditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 131443422350027971