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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO BE COMPLETED FOR APPLICATION TO BE ACCEPTED -7MUST Date:LL—— Permit Number: Building Permit Application Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential_ PERMIT APPLICATION FOR: Mechanical PROPOSED INPROVEMENT LOCATION: Address Ll I .-I I � (� Legal Description: Property Tax ID #: cDr)-7 0 — rpm)_ Lot No. L I Site Plan Name: Block No. Project Name: , I Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Y-147� CONSTRUCTION INFORMATION: Additional work to biiDertormed un er this permit - c ec ✓HVAC Gas Tank ❑Gas Piping a app y: I _Shutters Windows/Doors Electric Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: ,���-{ Sq. Ft. of First Floor: Cost of Construction: $ L6 19 7. CC Utilities: 11Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: CENTURY AIR COND Name ; ' Cc C Name: JOHN RILEY Address: 1 S i Company: CENTURY AIR COND City: Q?o E (d State: Address: 3044 SE DOMINICA TERR Zip Code: q . 7 -7�? [-o Fax: City: STUART State: FL Phone No. -� 'L - -7 3 Q t-( O Zip Code: 34997 Fax: E-Mail: '�— Phone No. 772-781-3040 Fill In fee simple Title Holder on next page ( if different E-Mail: centuryac(paol.com from the Owner listed above) State or County License: CAGO57676 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Name: _ Address: City: Zip; (NEER: — Not Applicable Phone: FEE SIMPLE TITLE HOLDER: Name: Address: _ City: Zip. Phone: State: Not Applicable MORTGAGE COMPANY: Name: Address: City: State: Zip: Phone: Not Applicable BONDING COMPANY: Name: Address: City: Zip: Phone: _Not Applicable 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 cornMencing work or recording your Notice of Commencement. I Owner/,Agent/ Lessee OF FLORIDA TY OF ` A The forgoing instrument wa acknowledged before me this day of ("1/' 20 r by ::L L I —:::Pf, lrc� (Name of person acknowledging)) (Signature of Notary Public- State of Florida ) Personally Known _ OR Produced Identification Type of Identification Produced nse Holder STATE OF FLORIDA COI) NTY OF The forging instrumerlt;�w,aass acknowledged before me this day of L(' 1 i 20 � � by t (Name of person acknowledg'n (Signature of Notary Public- State of Florida ) Personally Known -)- OR Produced identification Type of Identification Produced Commission No. DE ill RUSSELL I Commission No. Notary Public • State of Florida �' My Comm. Expires Nov 30, 2018 Revised 07/15/ O14 'DEBORAH RUSSELL Notary Public - State of Florida My Comm_ Expires Nov 30, 2018 REVIEWS FRONT ZONING I SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE L COMPLETED This combination qualifies for a Federal Energ, Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 201E Certificate of Product Ratinas AHRI Certified Reference Number: 8858434 Date: 10/31/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4A7A6061J1 Indoor Unit Model Number: TEM6AOC6OH51+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: SILVER 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): 58000 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(&) listed on this Ceetlficate. AHRI expressly disclaims all liability for damages of any kind allsing 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 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.ahridirectory.org, click on "Verity Certificate" link we make life herter, 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 131539318475861154 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: