HomeMy WebLinkAboutbuilding pemit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/14/2017 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 X
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION
Address: 17802 Bridle Way, Port Saint Lucie, FL 34987
Legal Description: Carlton Country Estated (PB 46-29) LOT 17 (5.132AC) (OR 3141-2723)
Property Tax ID##: 3211-701-0019-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
A/C Change Out - Same For Same _ (2)Amana Units 1.5ton 116 Seer I ASX160181 1 ASPT25B14 /
5kw & ASX160241 /ASPT291314 / 8kw with existing duct work
CONSTRUCTION INFORMATION:
Additional work to be nerfo—rmed uncler this permit—c eckall app y:
In
�HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric Plumbing O Sprinklers E Generator hI Roof Roof pitch
Total Sq. Ft of Construction: S Ft, of First Floor:
Cost of Construction:$ 7282.00 Utilities: Sewer OSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Lee Ann Alderman Name: Adam Emanuel
Address: 17802 Bridle Way Company: Adam's Air Conditioning
City: Port Saint Lucie State: FL Address. 582 NW Mercantile PL
Zip Code: 34987 Fax: City: Port Saint Lucie State: FL
Phone No. 772-489-0106 Zip Code: 34986 Fax: 772-878-3951
E-Mail: Phone No. (772)337-6559
Fill in fee simple Title Holder on next page(if different E-Mail: info@adamsairconditioning.net
from the Owner listed above) State or County License: CAC1814146
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
ff S�UPKEMEN1A CONSTRUCTION LiCITLAW. INFORMAT1C N
DESIGNER/ENGINEER: y 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:
1 certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no represe�tation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicalale Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure_Please consult with your Horne 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 tWifte 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 reco_rdiri __our-Notice of-Commencement.
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Signature,6f 04(n 1 Agent/Lesse t Signature of Gontractor/License Hal
5ZAi E OF FLORIDA : STATE OF FLORIDA
`OOUIVTY OF C,h yCOUNTY OF = L_1. C
The for ng instri nt ajs ar�knowledged before me The for t instr u►a 'acic nwledged before me
this., ay o Zfl.,�,.,,' by this `cfay of {✓ 24,__ _ by
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(Name of person acknowledging i (Name of person acknowledging)
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(Sig atur of Notary Public-State of Florida) (Signatu e o Notary Public-State o Florida)
Per nally nown 'lam OR Produced Identification Personal own I
Tyke Nibficati n Produlcp li Type of identification
L'YNN ETTt tJAM IL 1 VIN W conMSSIO v a FF948W
Commission No. VOW
SSION*FFIA8668 Commission No. EXPRUS:J Q7,2020
EEO ZaNy 07,2020
oFr7.
Revised 0711512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
M DATE
COMPLETE
INITIALS
"IMP o This combination qualifies for a Federal Energy
AM CERTIFIED Efficiency Tax Credit when placed in service
r irectary,rr
between Feb 17, 2009 and Dec 31,2016,
Certificate of Product Ratings
AHRI Certified Reference Number: 8245655 Date: 7/11/2017
Product: Split System: Air-Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: ASX160181F*
Indoor Unit Model Number: ASPT25B14A*
Manufacturer: AMANA HEATING AND AIR CONDITIONING
TradelBrand name: AMANA
Region: All (AK,AL, AR,AZ, CA, CO, CT, DC, DE, FL, GA, Hl, 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: ASX16
Manufacturer responsible for the rating of this system combination is AMANA HEATING AND AIR
CONDITIONING
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(13tuh): 18000
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
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 tho 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.ahridirectnry.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.ahridirectary.org,click 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.: 131a42655i56382429
CERTIFIED Q This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
www.aliridirLctary.org
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 8245658 Date: 7/11/2017
Product: Split System: Air-Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: ASX160241F*
Indoor Unit Model Number:ASPT29B14A*
Manufacturer: AMANA HEATING AND AIR CONDITIONING
Trade/Brand name: AMANA
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: ASX16
Manufacturer responsible for the rating of this system combination is AMANA HEATING AND AIR
CONDITIONING
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): 23600
EER Rating (Coaling): 13.00
SEER Rating (Cooling): 16.00
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 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 AHRL 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"Verify Certificate"link we„rake life better-
which
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.
OO 2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 131442664256700764