Loading...
HomeMy WebLinkAboutKellyPermitSubmittalALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/15/2017 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: Castle Pines Condominium (OR 1571-492) Phase IV Unit 2312 (OR 1610-2014) Property Tax I D #: 3327-502-0042-000-0 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Lot No. Block No. A/C Change Out same for same. Trane 2 ton 16 SEER 4TTR6024J1000A / TEM6AOB24H / 5kw Heater. Existing Duct Work CONSTRUCTION INFORMATION: A ititiona wor to a er orme un er t ds perrnit — c ec a appy: I'J HVAC Gas Tank ❑Gas Piping _ Shutters LJ Electric ❑ Plumbing Sprinklers I Generator Total Sq. Ft of Construction: Cost of Construction: $ 4659.00 OWNER/LESSEE; Name Address: ci SFt. of First Floor: _ Utilities:Sewer D septic City: I' C) , State: FL Zip Code: 34986 Fax: Phone No. (772)359-1933 E -Mail: Fill in fee simple Title Halder on next page ( if different from the Owner listed above) CONTRACTOR: 0 windows/Doors ElRoof Roof pitch Building Height: Name: ") ,Company: Adam's Air Conditioning Address: M 1;r "" City: State: FL Zip Code: 34986 Fax: (772)878-3951 Phone No. (772)337-6559 E -Mail: Lynette@adamsairconditioning.net State or County License: CAC 1814146 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ate. 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: Castle Pines Condominium (OR 1571-492) Phase IV Unit 2312 (OR 1610-2014) Property Tax I D #: 3327-502-0042-000-0 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Lot No. Block No. A/C Change Out same for same. Trane 2 ton 16 SEER 4TTR6024J1000A / TEM6AOB24H / 5kw Heater. Existing Duct Work CONSTRUCTION INFORMATION: A ititiona wor to a er orme un er t ds perrnit — c ec a appy: I'J HVAC Gas Tank ❑Gas Piping _ Shutters LJ Electric ❑ Plumbing Sprinklers I Generator Total Sq. Ft of Construction: Cost of Construction: $ 4659.00 OWNER/LESSEE; Name Address: ci SFt. of First Floor: _ Utilities:Sewer D septic City: I' C) , State: FL Zip Code: 34986 Fax: Phone No. (772)359-1933 E -Mail: Fill in fee simple Title Halder on next page ( if different from the Owner listed above) CONTRACTOR: 0 windows/Doors ElRoof Roof pitch Building Height: Name: ") ,Company: Adam's Air Conditioning Address: M 1;r "" City: State: FL Zip Code: 34986 Fax: (772)878-3951 Phone No. (772)337-6559 E -Mail: Lynette@adamsairconditioning.net State or County License: CAC 1814146 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not. Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip Phone: FEE SIMPLE TITLE HOLDER: , Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: 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 dome 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 fir nspection. if intend to obtai financing, consult with lender or an atto y before cor mmengil w rk or recd ing your Notice of Vmmencement. `� ure of OViner/ Lessee ntr� -as Age Ow Si re of Contractor/License H STATE OF FLORIDA i STATE OF FLORIDA COUNTY OF Saint Lucie ! COUNTY OF Saint Lucie The forgoing instrument was acknowledged before me this 15th day of November 20_L9_ by Name of perso aking statement Personally Known OR Produced Identification Type of Identification'" (SignAture f Notary Public- State of Florida �Dn�IfllI5Sl0 No. FF948668 LMQT E 14AMIL` ON My COMMISSION # FF948668 EXPIRES„ January 07, 2020 REVIEWS FRONTI ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 The forgoing instrument was acknowledged before me this 16th day of November ZOI by ra Name of person aking`statement Personally Known OR Produced Identification Type of Identification of Notary Public - No. FF948668N; ETTE HAMILTON C NMfSSION # FF948668 ___V SIRES: January 07, 2020 SUPERVISOR PLANS I VEGETATION I SEA TURTLE I MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service L www.ahridirectory.org 'A i between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRi Certified Reference Number: 8626099 Date: 11/1512017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR6024J1 Indoor Unit Model Number: TEM6AOB24H21+TDR Manufacturer: TRANS Trade/Brand name: TRANS Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, ID, IL, [A, 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: XR16 Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source Heat hump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 24400 EER Rating (Cooling): 14.00 SEER Rating (Cooling): 16.50 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; o 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 INSTITUTEThe information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the Certificate was issued, lye inalce life better" which is listed above, and the Certificate No., which is listed at bottom right. @2014 Air -Conditioning, Heating, and Refrigeration institute I CERTIFICATE NO 13155245632679227