HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01119/2018 Permit Number:
® I.
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: 1097 Percival St, Ft Pierce, FI 34982
Legal Description:
Property Tax ID #, 340450100910001
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing 2.5 ton system with new
Ruud 2.5 ton 15.0 seer w/7kw heat
Models RA1630 & RH1T3617
Like for like
CONSTRUCTION INFORMATION:
Additional w_ 3rK to be eorme un 2 is permit—c ec a app y:
WIHVAC Gas Tank []Gas Piping _ Shutters
QElectric Plumbing Sprinklers ElGenerator
Total Sq. Ft of Construction:
Cost of Construction: $ 3500.00
(OWNER/LESSEE:
Name Timothy Pottinger
Addraw 1097 Percival St
City. Ft Pierce State:fl
Zip Code: 34982 Fax:
Phnna Nn_ 772-307-4411
S Ft. of First Floor:
Utilities Sewer E]Septic
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Tracy D Steele
Lot No.`
Block No.
QWindows/Doors
Roof Roof pitch
Building Height:
Company: TRACY D STEELE AIR CONDITIONING INC
AridrPss- 2750 SW EDGARCE ST
City.. PORT ST LUCIE State: FL
Zip Code: 34953 Fax: 772-336-4171
Phnna Nn_ 772-215-1974
E -Mail: tdsac@aol.com
State or County License: CAC035553
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: i Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 thepermit 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 our Notice of Commencement.
(- S
Signature of Own e /Les ontractor as Agent for Owner Signature of Cont star is se Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this IR day of ���� 20 Eby
TRACY D STEELE
(Name of person acknowledging)
r
(Signature of Notary Public- State of Florida )
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrur ent was acknowledged before me
this I day of 20 20 by
TRACY D STEELE
(Name of person acknowledging )
[Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No. ea Commis n. �'_'.. F STA
DANIEL F S ACE1C
MY COMMISSION #FF0810$$
.a ISSION #FFo81C)!9�
EXPIRES February 29, 2018 "'.<oF�°`' EXPIRES February 23. 201$
Revised 0%/1 % -0153 FloridallotarySecvice.0= (407) ase -0153 FloridallotaryService.com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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- Matings
AHRI Certified Reference Number: 7942207 Gate: 4115/2016
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: RA1636AJ1
Indoor Unit Model Number: RHIT3617STAN
Manufacturer: RHEEM SALES COMPANY, INC.
Trade/Brand name: RHEEM, RUUD
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, ID, IL, lA, IN, KS, KY, LA, MA, MD, ME,
M1, 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 2101240-2008 for Unitary Air -Conditioning and Air -Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party testing:
Cooking Capacity (Btuh): 35400
EER Rating (Cooling): 93.00
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 cerate.
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,
AIR-CONDMONING, HEATING
personal and confidential reference. REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahrid Irectory.org, click on `Verify 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 1310519667347608
02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: