HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01119/2018
Permit Number
o
td -
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7241 Maidstone Dr
Legal Description:
Property Tax ID #: 332250501630008
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Replace existing 3.5 ton system with new
Ruud 3.5 ton 16.0 seer w110kw heat
Models RA1642 & RH1t4821
Like for like
CONSTRUCTION INFORMATION:
AcicIMC.irial war to be e11orme un er t is permit — c
WIHVAC Gas Tank flGas Piping
11 Electric ❑ Plumbing 1:1Sprinklers
Lot No.
Block No.
Left Side:
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 4000.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Steven Skorburg Name: Tracy D Steele
Address:4 poral Dr Company: TRACY D STEELE AIR CONDITIONING INC
City: west Chicago State: 11 Address: 2750 SW EDGARCE ST
Zip Code: 60185 Fax: City: PORT ST LUCIE State: EL
Phone No. 630-788-5138 Zip Code: 34953 Fax:
772-336-4171
E -Mail: Phone No. 772-215-1974
Fill in fee simple Title Holder on next page ( if different E -Mail: tdsac@aol.com
from the Owner listed above) State or County License: CAC035553
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
apply:
❑
Shutters
windows/Doors
_
❑
Generator
Roof
�❑
Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 4000.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Steven Skorburg Name: Tracy D Steele
Address:4 poral Dr Company: TRACY D STEELE AIR CONDITIONING INC
City: west Chicago State: 11 Address: 2750 SW EDGARCE ST
Zip Code: 60185 Fax: City: PORT ST LUCIE State: EL
Phone No. 630-788-5138 Zip Code: 34953 Fax:
772-336-4171
E -Mail: Phone No. 772-215-1974
Fill in fee simple Title Holder on next page ( if different E -Mail: tdsac@aol.com
from the Owner listed above) 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: _
Address:
City:
Zip:
Phone:
State
FEE SIMPLE TITLE MOLDER: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone,
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:,
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 the permit holder to build the subject structure
structure. Pleasecconsult w thpyourHome Owners Assoc Association
t on aondrreviewyyour deed ora y restrictions nts that which maty ap. prohibit such
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.
Signature of Owner/ ss C tractors A
agent or Owner Signature of Contrac r/Li se {older
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instru t was acknowledged before me
'
this _ day of PnC S-1 , 20 k_�J_by
TRACY D STEELE
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No
Revised 07/1
REVIEWS
DATE
COMPLETE
INITIALS
(Seal)
DANIEL F STACEY
MY COMMISSION #FF081048
STATE OF FLORIDA
COUNTY
OF STLUCIE
The forgoing instru ent was acknowledged before me
this � _l day of 20 1- o by
TRACY D STEELS
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced identification
Type of identification Produced
Commission No. (Seal)
398-0153
i4 1 qSe R SOR PLANS VEU TAF1
COUNTER REVIEW REVIEW REVIEW REVIEW
MY COMMISSION #FF081098
EXPIRES Februa 23 2018
1.ndaNataryService-
GRO
REVIEW REVIEW
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
AftlawiLl CERTIFIED'between Feb 17, 2005 and Dec 31, 2014.
I
AHRI Certified Reference Number: 7942888 Gate: 9/29/2015
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
outdoor Unit Model dumber: RA1642AJ1
indoor Unit Model Number: RHIT4821STAN
Manufacturer: RHEEM SALES COMPANY, INC.
Trade[Brand name: RHEEM; RUUD
Region:
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
(feat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party testing:
Cooling Capacity (Btuh):
41500
EER Rating (Cooling):
13.00
SEER Rating (Cooling):
16.00
IEER Rating (Cooling):
Ratings followed by an asterisk (') lndicale 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 OF 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 Certiftcate. Certified ratings are valid only for models and configurations listed in the
directory at vvvww.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, he reproduced; copied; disseminated;
entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except for the users individual, AtRAeONVITIGNING, HATING,
personal andconfidential reference_ & REIrRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information far the model cited on this certificate can be verified at www.ahridlreetory.org, click on "Verify Certificate* link we make life buttzk—
and enter the AHRI Certified Reference Number and the date on which the certificate was rssued,
which is listed above, and the Certificate No., which is listed at bottom right. ..r, ,rr r•Y�w carie Ren 1308802766199175
@2€314 Air -Conditioning, Heating, and Refrigeration Institute