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HomeMy WebLinkAboutscan (23)ALL APPLICABLE] INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: lI 511 Permit Number: w 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: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 7917 Plantation Lake Ln Port St Lucie FL 34986 Legal Description: Reserve Plantation Property Tax ID #: 3321-801-0061-000-9 Site Plan Name: Project Name: Setbacks Front Back Right Side: Left Side: Lot No. 61 Block No. DETAILED DESCRIPTION OF WORK: I A/C Change Out 4 Ton 15 SEER 10 KW RHEEM/ RA1 448AJ1 -outdoor RHEEM/ RH1T4821STAN CONSTRUCTION INFORMATION: CONTRACTOR: Name Gary Stavac Name: James Williams Additional work tobe Dertormed under this permit— check all appy: City: Ft Pierce State: FL Zip Code: 34950 Fax: 772-248-0227 Phone No. 772-621-7050 HVAC L _J Gas Tank Gas Piping Shutters Windows/Doors Electric 11Plumbing Sprinklers OGenerator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ O' Utilities: Sewer 0Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Gary Stavac Name: James Williams Address: 7917 Plantation Lake Ln Company: Above All Air Heating and Cooling LLC City: Port St Lucie State: FL Zip Code: 34986 Fax: Phone No. 848-448-4685 Address: 1321 Orange Ave City: Ft Pierce State: FL Zip Code: 34950 Fax: 772-248-0227 Phone No. 772-621-7050 E -Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E -Mail: Office@aboveallairfl.com State or County License: CAC1818977 IT value of construction is }ZWU 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: Address: City. State: Zip: Phone 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 recordingtyour Notice of Commencement. Rev. 8/2/17 Signature of O er/ Lessee/Contractor as Agent for Owner Signatur o ontractor/License Holder STATE OF F ORIDA4 r COUNTY OF 't STA1F FLORIDA OF C:_,k i.-i'_e, xc.. COUNTY Qj J . The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 15`i"day of " ` 1 +-y' 20L by this LS"�kday of 2011 by Name of p rson making statement Name of person making statement Personally Known OR Produced Identification Personally Known � OR Produced Identification Type of Identificat on T Type of Identification Produced Produced (Signat e of ary Public- State of Florida) (Signatur of otary PubTic- Sta a of Florida ) S�V PSA, _ � ion No.FE f 7194,®3 I e- (SVtC Co sion o. " 1='�� o i �c IENNIFERGINADOIOR7SFF699IFERGINADOLORESCRI MY COMMISSION4031 EXPIRES: May OFR 8, 2020 OMMISSION # EXPIRES: May 18, 20 bR _ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE NOW MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Certificate of Product Ratin AHRI Certified Reference Number: 7492558 Date: 11/15/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1448AJ1 Indoor Unit Model Number: RH1T4821STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD 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: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. 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): 46500 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 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(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 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, JU Ri 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.atiriUlrectory.org, click on -Verify Certificate" link we make lite 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.: 13155230665748681