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HomeMy WebLinkAboutBuilding Permit Application jj
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ALL APPLICABLE I FOOJUST
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number1 ,i
Building Permit Application j
Planning and Development Services
Building and Code Regulation Division y
2300 Virginia Avenue,Fort Pierce FL 34982 i
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
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PERMIT APPLICATION FOR: Mechanical
Address: 9701 Reserve Blvd, Port St. Lucie, FL 34986 �l
Legal Description: PGA Guard House
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Property Tax ID#: 3327-213-0005-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side: h�
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Change out of AC unit like for like 1 112 ton unit. Replacing with Carrier, condenser 24ABC618AC3,Air
handler FB4CNF024 5 kw heat 15 SEER
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CONSTRUCTION
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AdditionalworKtopenerformedun er t is permit—c ec a apply:
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❑✓_HVAC Gas Tank ❑Gas Piping _Shutters P Windows/Doors
Electric ❑ Plumbing O Sprinklers Generator �'�Roof Roof pitch
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Total Sq. Ft of Construction: S . Ft.of First Floor:
2700.00 i
Cost of Construction:$ lltiiities: _Sew►er i�Sevtic I Bu4zling Height:
42-
Name
Name Name: Keith C. Thompson II..
Address:9701 Reserve Blvd. Company: AC Keith Inc.
City: Port St. Lucie State:FL Address: 690 SW Pueblo Terrace
Zip Code: 34986 Fax:n/a City: Port St. Lucie 11
State:FL
: 34953 l Fax:
Pfrvrre No.f772)626-3876 Zilr Cede
E-Mail: Phone No. (772)519-1351
ackeithl@aft.net
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LRII fee simple Title Holder on next page(if different E-Mail: @ the Owner listed above) State or County License: CAC1813976,County#27079
e of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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uitf°`/ t¢a'�n �2ztith`S
SUPPLEMENTALGONSTRUCTION LIENYrLAW INFORMATION ��� � � ��
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DESIGNER/ENGINEER: _Not Applicable
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MORTGAGE COMPANY: (' _Not Applicable
Name: Name:
Address: Address:
City: State: City: li State:
Zip: Phone Zip: Phone: II
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: ', _Not Applicable
Name: Name:
Address: Address: i
City: City: I;
Zip: Phone: Zip: Phone: ii
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OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the woik and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
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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
comqnerldng work or recording our Notice of Commencement. Ii
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Signature of Owner Less ontractor as Agent for Owner Sig ature of C ractor/L' erise H' er
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STATE OF FLORIP# STATE OF FLORIDA r
COUNTY OF C- COUNTY OF
The oing instrument wa acknowledge before me The f�going instrurn t w�knowledged before me
this day of 20 ' by this 7 day of ,20L 1by
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Name of person making statem t Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of IdentificationL Type of Identification
Produced ��,1 Produced
ANM UFI t I
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(Sign tu'i �. ss��� pfflq9ga) (Signatc1re p' ry Pu IC-
1M HUFF
My Comm.Expires May 27 0t9 *� Notary Public
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ComrrissiQ p a ,,ti ,ten r n�nal Plot.y�Seal) Commis FF 234FT� 1)
My Comm.Expires Ma 30 Bonded through Nat onat oa�v n u y
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA!TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED (!
Rev.8/2/17 i l
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certificate of Product Ratings
AHRI Certified Reference Number: 9168847 Date: 10/6/2017
Product: Split System:Air-Cooled Condensing Unit,Coil with Blower
Outdoor Unit Model Number: 24ABC618A*031*
Indoor Unit Model Number: FB4CNF024L
Manufacturer: CARRIER AIR CONDITIONING j
Trade/Brand name:CARRIER AIR CONDITIONING
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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.
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Series name: COMFORT-16.AC:___
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Manufacturer`responslble for the rating of this system combination is CARRIERIIAIR CONDITIONING
Rated:as,follows maccordance with AHRI Standard 210!240 2008 for Unitary AIIr-iConditionmg and Air-Source
Heat;Pump--,,Equipmeiit and,,subject.to verification,of rating accuracy by'AHRl=sponsored, independent:third
party testing.
Cooling Capacity(Btuh): 18400
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EER_Rating(Cooling): 12.50
'SEER Rating (Cooling): A-5.00 -
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IEER Rating (Cooling):
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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 useor performance of the product(s),or the
unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listetl in the
directory at www.ahridlrectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personaland
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, AM
personal and confidential reference. { AIR-CONDITIONING,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The information for the:model cited�onahis,certificate:can;be:verified:atwryvalaituikitsm v� ,:clicknn VC�aFfyd rt8i�nrad "link �� ItifElbertsr^
and enterthe A14R1:Certified Reference,Numberand the date-on whichAhecertificate:wasiissued,
which islisted above,and the Certificate No.,which:isllistedatfbottomdight y
©2014 Air-Conditioning,Heating,and Refrigeration Institute f CERTIFICATE NO.: 131517721860184530
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