HomeMy WebLinkAboutBuilding Permit Application Sep. 20, 2017 9: 53AM No. 2742 P. 2/4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9"20'2017 Permit Number: 11 -oa3
RECEI% D SEP 2 0 2017
Building Permit Application
Planning and Developmenr Services
Building and Code Regulation Division
2300 VirginigAvenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR; Mechanical
Address: 843 S Kings Highway
Legal Description: First Source Commerce Park Condominium(OR 2522-1715)Unit 13102 Phase 2(OR 3592-1102)
Property Tax ID#: 2311-800-0015-000-5 Lot No.
Site Plan Name: Evergreen Consulting Group Inc Block No.
Project Name: Michael Whiteside
Setbacks Front Back: Right Side: Left Side:
ifl<�, , ,. , Flat 8 u t- i t y �;' y!��li �;•., .r.iuY•:Y
,•ISr.1S.;'�;:.l'8�?�?.e'�r.31Y ,�•7(sI,-t. - _ ° n���'Gt' ;�( �i�,i�� �:��`•i>I
1 YI. i;f:• ,;14,E
HVAC EQUIPMENT CHANGE OUT; MAKE-CARRIER;A/H:FB4CNP025; C/U; CA14NA02400G; 5KW
HEATER; 15 SEER, 2 TON SYSTEM
,l 1 ud X1,1 1F, sttit f;iiliT
3: ( li Y.• 4 t:
Additional work to e e orme un rp this0
rmit—c ec a appy:
HVAC Gas Tank s Piping _Shutters Windows/Doors
Electric 0 Plumbing []Sprinklers ❑Generator ❑Roof . Roof pitch
Total Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 4149.00 Utilities:'nSewer[]Septic Building Height:
1 :IFt. . n Y, F. t _ i a l xllil�,MUM
i• ;
Name EVERGREEN CONSULTING GROUP INC Name: DONALD OBRYON
Address:9439 MEADOWWOOD DRIVE Company: PREFERRED AC&MECHANICAL,INC
City: FORT PIERCE State:F� Address: 1643 DONNA ROAD
Zip Code: 34951 Fax: City. WEST PALM BEACH State:FL
Phone No. _ Zip Code: 33409 Fax: 561-478-0089
E-Mail: Phone No. 561-589-1093
Fill in fee simple Title Holder on next page(if different E-Mail:TRICIA@PREFERREDACMECH.COM
from the Owner listed above) State or County License: CACIB17665
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Feb. 6. 2019 10:37AM No, 2333 P. 2'
PLANNING AND DEVELOPMENT SERVICES DEPARTNI[ENT
BUILDING AND CODE REGULATIONS DIVISION
2300 ERGEN
FL3 9
FORT PIERCE, 82 RECEIVED
(772)462-1553 Fax(772)961-1578
FEB 0 6 2019
PERMIT RENEWAL REQUEST ST. Lucie County, Permitting
PERWr NUMBER 1709-0231 ADDRESS: 843 S Kings Hwy. Bldg A
Donald O'Bryon ,am requesting that the above permit be renewed. I
understand that I must schedule and pass all required inspections for the permit to be finaled. Further, I
understand that this is a ONE TIME RENEWAL and the permit shall expire should I not receive a
passing inspection during any six month period during the renewal period_
Justification Building was sold without permit being closed.Now new owner is willing to schedule inspection.
2161'19
(2ERILDRQZ CONTRACTOR SIGNATURE DATE
r
Donald O'Bryon
Print Name
STATE OF FLORIDA
COUNTY OP Palm 9eech
ACKNOWLEDGED BEFORE 1VI>v THIS 6th DAY or February -'2Q19
onald O' on WHO IS PERSONALLY KNOWN TO ME x ,OR
HAS RO AS IDENTIl~'rCAUON.
SAT 1LLD Co ty f P m Beach *3xp/ TRICIA RADD
w� MY COMMISSION#FF 211687
r'• EXPIRES:July 18,2019
`SBonged:lhruNotery Public Undo
nwdlof5 l A OT
ti
FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get%of open inspections)
Percentage: r
Original permit fee: x%open = _Renewal fez
Example: [15 divided by 23=_65(%)] S175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014
Sep. 20. 2017 9:53AM No, 2742 P. 3/4
u '•_ ft i
DESIGNER/ENGINEER: X_Not Applicable MORTGAGE COMPANY: Not Applicable
Name:EVERGREEN CONSULTING GROUP INC Name:DONALD OBRYON
Add rens:843 3 Kings Highway Address: 9939 MEADOW WOOD DRIVE
City:foRTPIERGE State: City; WE3T PALM BEACH State:
Zip: Phone_ Zip: Phone:
FEE SIMPLE TITLEHOLDER: `Not Applicable BONDING COMPANY: Not Applicable
Name: Name,
Address:1643 DONNA ROAD 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 1 will,in all respects,perform the work
in accordance with the approved pians,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-residentlal 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 you intend to obtain financing,cans ith lender or an attorney before
cornmerldrig work or re di pg your Notice of Commencemepr
111-4,1A—
,216fiat6re of Ow ee Contractor as Agent for Owner Signatu ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF--ASM COUNTY OF----
The forgoing instrument was acknowledged before me The.forgoing instrument was acknowledged before me
this 20TH day of s6PTEMa6Ft 20_ by this 20TH day of SEPTEMBER 20_ by
M1ChwEL WHITEBIDE DONALD O'BRYON
Name of person making statement Name of person making state
P an y` n duced Identification x Person K wn X 0 od ed ldenti 1 ation
T pe f Iden'tific ion Type o 10 ntifi tlo
—u e Produc ra
(7si
Pub I orida j (Signat fFICIAftADD
x _� r = f OMISSION#FF 21150
Co,YP�, ���D Commissio No. �: � �eab�FIFS:July 18,2019
:f COMMISSION#FF:20119
- s�
- ' Bonded Thnr Mary Publk t]nderwri rs
a' EXPIRES:July 18,
SF,r6e0nded Thru Nola Public
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
Sep. 20. 2017 9:59AM No, 2742 P. 4/4
CERTIFIED*4 KADINAimmiLl
Certificate of Product Ratings
AHRi Certified Reference Number: 9192740 Date: 9/20/2017
Product: Split System:Air-Cooled Condensing Unit,Coil with Blower
Outdoor Unit Model Number:CA14NA024*0**A*
Indoor Unit Model Number: FB4CNP025L
Manufacturer: CARRIER AIR CONDITIONING
Traden3rand name. CARRIER AIR CONDITIONING
Region:Southeast and North (AL,AR, DC, DE,FL.,GA, HI, KY, LA, MD,MS,NC,OK,SC,TN,TX,VA
AK, CO,CT,Ib, 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 name:<.;7.4::SEER AC;•;;:,,'::n;'=,!, :i,-,;._.;,::_::'::-.:::,,' -
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IEER Rating(Cooling):
Ratings followed by an astadsk(')indicate a voluntary rerAle of previously published data,unless accompanied with a WAS,which indicates an involuntary rerale.
DISCLAIMER
AHRI does not endorse the product(s)listed on this Certificate end makes no representations,warranties or guarantees as to,and assumes no responsibility for,
the product(s)fisted on this Certificate.AHRI expressly disclaims all liability for damages of any kind arlsinglit of the use or performance of the prod ic4s),or the
unautharized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the
directory at wwwahrEdirectary.mg.
TERMS ANA CONDITIONS
This Certificate and its contents are proprietary products of AHRI.This Certifleate shall only be used for Individual,personal and
confidential reference purposes.The contents of this Certificate may not,In whole or in part,he reproduced;copied;disseminated; MW
entered into a computer database;or otherwise utilized,In any form or manner or by any moans,"toot for the user's individual,
personal and confidential rererence. AtR-4orA1IYI*NING.KCATI146.
CERTIFICATE VERIFICATION &REFRIGERATION IN5TFr=
The informertion for the model cited on this certificate can be verlfled st www.alirldirectory.org,click on"Verify Certificate°link we make 11%better,
and enter the AHRI Certified Refer nee Number and the date on which the certificate was Issued,
which Is listed above,and the Certificate No.,whlch is listed at homm right, rx ;' r ;:r:•" ""`.1 ?'-' -- "`�—�-- -�
' 131.5038.76958447739';:
®2014 Air-Conditioning,Heating,and Refrigeration Institute :tiGERTTFICATE'NO.: :..:.. :::..:.:'