HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO] MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 211 3/18
Ferret Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3498
Phone: (772) 462-15.53 Fax: (772) 452-1575
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION,
Address: $1 Spanish Way, Porgy St. Lucie, FL 34952
Legs! Description:
Property Tax ID # P0002329
Site Plan Narye:
Project Name:
Setbacks Front
Commercial
Back: Right Side.- Left Side:
DETAILED DESCRIPTION OF WORK:
AC Change Out. 2.5 Ton 14 Seer 10 KW Heat Package Unit
CONSTRUCTION INFORMATION.
Iditional work to
D HVAC
�Electric
�e oertormed
Gas Tank
0 Plumbing
Total Sq. Ft of Construction;
Cost of n tr t li5500-
a pplylk
500
OWNER/LESSEE:
N am e Edward Ong
under this permit — ehec�
[:]Gas Piping
OSprinklers
apIlk
U Shutters
Generator
Residential x
Lot N o.
Block Na.
Windows/Doors
❑Roof
. Ft. of Fart Floor:
Utilities.. � [:]Sewer septic Building Height:
Address, 81 Spanish 'may
City: Fort St. Lucie State: FL
7ip Code: 34952 Fay:
Phone o. 1 -442-8409
E -Mail:
Fill in fee simple Title Heider on next page ( if different
from the Owner fisted above)
CONTRACTOR:
Name. [dean Staley
Company: Breathe Kleen Air
Address: 735 D Commerce Center Dr.
City: Sebastian State. Fr
Zip : 32958 Fay; 7'72-918-4963
Phone No. 772-918-4708
E -Mail. breathekleenalr@yahoo.com
State or my Li nd CAC 1 4227
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Roof pitch
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
Address:
cityA State:
Zi : Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
City:
Zip: Ph -one:
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
city: State&
Zip: Phone.-
BONDING
COMPANY: _Not Applicable
Name:
Address:
City. -
Zi P .0
Phc)ne:-
OWNER/
CONTRACTOR AFFIDVIT: Application is hereby made to Obtain a permit to da the work and installation as indicated.
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 hoiden to build the subject structure
which is in cfln�lict 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 rye with the approved plans, the Florida Building Codes and St, Lucre County Amendments.
Thee following building permit applications are exempt from undergoing a full concurrent review: room additions
,accessory structures, suvirnrning pools, fences, waiis, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your fail u re to Record a notice of Commencement may result i n 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 word or 9 our Notice of Commencement.
ignature of owner/ Le
STATE OF FLORIDA
COUNTY OF
The for
this t'
e/Conty&asenNtor Owner
oing instrument was acknowledged before me
r day of , 20 by
Name of person making stbtement
Personally Known OR Produced Identification
Type of identification
Produced
Rev. 8J2J17
Signature of Contra cto r/-Ticense
STATE OF FL
COUNTY OF
The for
this �
ging Inst
day of'
went was acknowledged before me
20 1); by
Name of perso0,making statement
Personally Known n V"' OR Produced Identification
t�i
� frtEon
Type of Identification
Produced
HRf Certified Reference Number : 7615278
OIC# TRI Reference Number r
AHRI Tarp : P -
Series - NUTONE P7RE SERIES
Outdoor Unit Brand Name : N T I F
Outdoor Unit Model plumber Condenser or Single Package)
Indoor Unit Brand Name
Indoor Unit Model Number (Evaporator and/or Air Handler) ;
Furnace Model Number
[)ate : 02-09-2018
: P F E --
Model t .tu :Active
Region All (AIS, AL, AFS, AZ, GA, CO, CT, LSC, DE FL, GA,III, ID IL, I , IN, KS, KY, LA f i , I 1 , ME, MI IVIN MO, ISS, NIT NG NDS NE NH�
J. I' 3 NV, NY, OH, OK, OR, PA, ISI) SCI SD. TN' TX, UT, VA, VT. VVA, VVV, W1.; VVY, 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, o1
Beginning July 1, 2016 central air conditioners can only be installed in r fartfor which they meet the regional efficiency.
requirement.
The manufacturer of this NUTONE product is responsible for the rating of this system combination.
Rated as follows in
accordance with
the latest edition of ANSI/AI-RI
. 101240
with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning
Air -Source Heat
Pump Equipment
and subject to rating accuracy
by AHRI-sponsored,
independent, third party testing:
Coaling Capacity (A2) -Single or High Stage {95F}, btuh :2$400
SEER :14.00
EER (A2) - Single or High Stage (95F) : I 1 .Qa
IEER
T"Active" Modei Status aro those that an AHRI Certification P'rogram Participant is currenfiy producing AND selling or offering for safe,- OR now models that.ire be'n
marketed but are not yet being produced -"Production Stopped" ode[ Status are those that an AH -RI Certification Program Partio1pant is no longer producing BUT is still
iii.r� or offering for sale-
Rating
that are acco riierdiete_ar� arrlur�ta , re -rt TI �e published rain i he akr� with the reriou i.. ' rating.
�r _ _.. ----
�. -—.
DISCLAIMER
H' I does not endorse the product(s) listed cii this Certificate and makes no representations. warranties or guarantees as to, and assumes no respoiisib lit 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 tfie product(s), or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
di rectory at www.ahridirecto.ry.org..
TERMS AND CONDITIONS
This Certificate and its coiitents are proprietary products Uf AHRL This Certificate shall only be used for individual, personal and
confid Mktial reference purposes. The contests of this Certificate May not, in whole or in part, be reproduced copied; disseminated:
entered nto a 1L.'o 11out 3 clt base: o1. of I f S (+ Ht11I Pdf 1A 1 11 fo rl1 or 1 J �qn: ipr r h nn 1 d 1in�n or cz t few Lh4r irodar'o 4 AI YId"nit..
Personal aiid Confidential reference.
CERTIFICATE VERIFICATION
The information for the model cited on this certificate carp be verified atw.ah}r� d . recto .or t efic on "Verify Certificate" Iink e T e lift_'Deltei.,m
and enter the AHRI Certified !deference Number an the date on which the c ftifieate was issued,
which is listed above, and the Certificate Filo. which is listed at bottom right.
AIR-CONDITIONING, HEATING,
REFRIGERATION INSTITUTE
U2018Air-Conditioning, Heating, and Refrigeration institute
CERTIFICATE NO.: 131626670122290243