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HomeMy WebLinkAboutMORRIS CENTURY AC APP 100417ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I ILA 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 PERMIT APPLICATION FOR: Mechanical I PROPOSED INPROVEMENT LOCATION: Address: Legal Description: cif Property Tax ID #: - 5c)5 t a - cc� Lc Lot No. I __7 Site Plan Name: Block No. Project Name: M r f r I ": Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Additional work to be ertormed under this permit - check all that apply: �✓ HVAC 11 Gas Tank ❑Gas Piping Shutters Electric 0 Plumbing Sprinklers Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 5 4 Q(Q Utilities: []Sewer Septic G _moi Windows/Doors Roof Building Height: OWNER/LESSEE: CONTRACTOR: CENTURY AIRCOND Named ( l S Name: JOHN RILEY Company: CENTURY AIR COND Address:qll,-R_771.017pkin `e Address: 3044 SE DOMINICA TERR City: —�_ c` -L 'S-!' LL.LCw State:F� City: STUART State: FL Zip Code: 3 Fax: Phone No. U Zip Code: 34997 Fax: E -Mail: - Phone No. 772-781-3040 Fill in fee simple Title Holder on ne page (if different E -Mail: centuryac@aol.com from the Owner listed above) State or County License: CAC057676 it value of construction is SZSUU or more, a RECORDED Notice of Commencement is required. 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: Address: BONDING COMPANY: _Not Applicable Name: 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 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 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 recording your Notice of Commencement. re 15f Owner,/,/agent/ Lessee Signa nse Holder STATE OF FLORIDA_ STATE OF FLORIDA COUNTY OF am + • L& e— COUNTY ,t'. The forgoing instrument w s acknowledged before me this day of20by (Name of person acknowled ing e�©6, -----7-7>,"4'ILL (Signature of Notary Public- State of Florida ) The forgoing instrument was acknowledged before me thisLlt"day of U0 _tLJX,y 20Qby Cahn 111E _ (Name of person acknowlt g ) 7 (Signature of Notary Public- State of Florida ) RECEIVED COMPLETED Personally Known _j� OR Produced Identification Personally Known OR Produced Identification Type of Identification ro uripd Type of Identification Produced Com s�atiF ' DEBORAH RUSSELL State otkab Commissi . Notary u =' • _ Commission # FF 179630 :o 4?R PUB'4 DEBORAH RUSSELL Oro pt'2 ` ` zNotary Public. State of Florida iif OF F��P`C My Comm. ,y :•, .'_ : r •o; Commission # FF 179630 ked '';FOFF My Comm. Expires Nov 30, 2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION I SEA TURTLE MANGROVE I COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED COMPLETED This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 8936362 Date: 10/4/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4A7A6049J1 Indoor Unit Model Number: TEM6AOC48H41+TDR+UF/HRZ Manufacturer: AMERICAN STANDARD Trade/Brand name: AMERICAN STANDARD 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: GOLD 16 Manufacturer responsible for the rating of this system combination is AMERICAN STANDARD 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): 48000 EER Rating (Cooling): 14.00 SEER Rating (Cooling): 17.00 IEER Rating (Cooling). - * 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.ahridirectory.org. TERMS AND CONDITIONS 04 "12, 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, pme 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 "Verity 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.: 131515963233262460