HomeMy WebLinkAboutBuilding Permit Application (10316477)ALL 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 _ X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 963 NETTLES BLVD
Legal Description: NETTLES ISLAND INC A CONDO SECTION II PARCEL 963 AND PRO -RATA SHARE IN COMMON
ELEMENTS (OR3689-1151)
Property Tax ID #: 4502-501-1150-000-4 Lot No.
Site Plan Name:
Project Name: FOLK
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
2 TON
(i� SEER
5 KW
Block No.
CONSTRUCTION INFORMATION:
Additional work toa er orme under this permit —check a appy:
HVAC E] Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric ® Plumbing Sprinklers Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: 712
Cost of Construction: $ 3450.00
S Ft. of First Floor: _
Utilities: oSewer Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name DONALD FOLK
Name: MARK A VINES
Address: 963 NETTLES BLVD
Company: AZTIL
City: JENSEN BEACH State: _
Zip Code: 34957 Fax:
Phone No. 678-362-8526
Address: 2540 S MILITARY TRAIL
City: WEST PALM BEACH State: FL
Zip Code: 33415 Fax:
Phone No. 561-433-2197
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: PERMITS@AZTILAC.COM
State or County License: CAC049253
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIONZ-
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 bp, recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, cons ith lender or an attorney before
commencing work or recordina vour Notice of COmmenceme A
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of , 20 _by
1
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
Revised 07/15/2014
re(of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me
this a day of Aucusr , 20 by
MARK A VINES
(Name of person acknowle ing )
gnat of N ar i ate f Florid
Personally own OR Produced Identification
Type of Id ntific Ion Produced
Commission N
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
AHRI Certified Reference Number: 7490963 Date: 8/8/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: RA1424AJ1
Indoor Unit Model Number: RH1P2417STAN
Manufacturer: RHEEM SALES COMPANY, INC.
Trade/Brand name: RHEEM; RUUD
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA, RI, SD, UT, 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
as fol
combination is RHEEM SALES COMPANY, IN
>t:
Cooling Capacity (Btuh): 24000]1{ pt )f o
EER Rating (Cooling): 11.50
'`SEER-Ratirt ('Cooling)• -- 'T'4TOn---- "
IEER Rating (Cooling):
I Air- ours
dent, third
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_oM
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, mim
personal and confidential reference. AIR-CONDITIONING. HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for 16 model oiled 66 Ali &&tti$&'At& &'AN BA V&rifiod 91 WwAhridilrsdtoly.olg, ellek on "Wily Coltiflestn' link ive 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
02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1314666895268802: