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HomeMy WebLinkAboutBuilding Permit Application Feb, 28, 2018 10:46AM No. 6475 P. 2 I i i ALL APPLICABLE IN 0 M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED - �( Date: Permit Number: 110 2-.,RECEIVED Building Permit Application FEB 2 9 2018 Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division _ 2300 Virginia Avenue,Fort Pierce fL 34982 Phone:(772)462-1.553 Fax:(772)462-1578 Commercial X Residential PERMIT APPLICATION FOR: Mechanical LAI ,-�� ~ � IVT� C I,I'O, A 1 C- '.i l� � tir r 4• ' Jf ,t;:. Jnr.`b-.k'a� r lt�,'t ��,; - ,. Address: 5910 S us HWY 1 Legal Description:WHITE CITY SID 10 36 40 N 1/2 OF LOT 259-LESS W 13 FT AND LESS CANAL R/W-(4.14 AC)(MAP 34110s)(OR 3249-1871) Property Tax ID il: 3403-502.0344-000-0 Lot No. Site Plan Name: PS 25744 Block No. Project Name: Setbacks Front Back: flight Side: Left Side: sy DETA ";� MaY` •.:.°S'':',+tir'.v:`:w:;�itir� r �i: ti 3 7�,a y5fkt c ILED DECRIpT10 QFOaK,,,, _ EXACT AIR CONDITIONING REPLACEMENT OF SPLIT SYSTEM FOR UNIT#JB1. C) :. i J. 1a7 ."'>7 < .,1f 4 �'°V•.. ` i C,�OfST�4TGT11N INbRpTLQN M�ona WOr o e r orme un er s perm —c ec a app y: RjHVAC Gas Tank ❑Gas Piping _Shutters F]Wlndows/Doors ElClectrlc Q Plumbing USprinklers 1:1 Generator l Roof Roof pitch Total Sq. Ft of Construction: Sq.Ft.of First Floor; n 1 Cost of Construction:$ 3741.00 Utilities: _Sewer[]Septic Building Height: Q�A�Al [• ii a ix a ,`-`�"`sil.-=t`'a`t� `r'"�'.Y���IaA 1 V} � .� t;,a l '-`F � �.7. i� ?:' \! /�.J�I:�. 4 J. - .� �:c - : ..� "'..1 ,.S'.,r. `rF h:r. �•31,,.'.A• w. - Name �^ Name: Addres : USTMOM, Company: 90me, 'V1 es , City: a e.. State: Addres i so k ( i ZIP Code: Fax: City: State�� i Phone No. ZIp Code: Fax: E-Mail: Phone No-5, orD i Fill In fee simple Title Holder on next page(If different E-Mail: 17 V o meAi a CA M from the Owner listed above) State or County License: (✓ �' ` If value of construction(s$2500 ar more,a RECQROED Notice of Commencement is required. Feb. 28. 2018 10:46AM No. 6475 P. 3 I i i OI�STRUCTiQ1VfN Li4W IfVFQRMAI'�QN' DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: ,Not Applicable Name: Name: Address:otos us my I 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. 1 certify that no work or Installation has commenced prior to the Issuance of a permit. St.Lucie County makes no representation that Is granting apermit will authorize the permlt 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 mus recorded and posted on the jobsite before the first inspection. If you intend to obtain financing,cons it 'th lender or an ttorn y before commencin k or recordingour Notice of Commencement. S gnature of Owner/Lessee/Contractor as Agent for Owner Signa re of Cantr for/license Holder' I UAS STATE OF STATE OF FLO A COUNTY OF QIUY) COUNTY OF The�Q� ing Instr ent was acknowledge before me The f oing instrument was acknowledged before me j this 1"L day of 2 t!ult?LV/, 2011 by this�day of 26AR by Name of person making statement Name of person making statement i Personally Known ✓ OR Produced Identification Personally Known ✓ oR Produced Identification Type of Identification Type of Identification i Produ ed Produced �11�111111I f 111/�� j � `\���`\���S JOYCF��i� I X 0 (Signature of Notary Public-State of Fto ' (Sig ture o Otary P lit ate of Flo a J'Y 11.2021 l > 111 Commission No.MFRO �"' Commission No. IN Lf� _ (�An BRANPI JE'COLE BAILCYNotaryIU41SS esREVIEWS INGtp1e �l PENSOR REVIEW W VEGETATION S EV�WL /11M UVIEVV— i DATE RECEIVED DATE i COMPLETED Rev.8/2/17 Feb, 28, 2018 10:47AM No. 6475 P. 4 ru Mal CERTIFIED" , Certificate of Product Ratings AHRI Certified Reference Number:95491 Dale:02-27-2018 Model Status :Active Old AHRI Reference Number AHRI Type:RCU-A-CB Series :COMFORT 14 AC Outdoor Unit Brand Name :CARRIER Outdoor Unit Madel Number (Condenser or Single Package) :24AC0460A'030' Indoor Unit Brand Name : Indoor Unit Model Number(Evaporator and/or Ale Handler) :FB4CNP060L Furnace MDdel Numbar Region :Southeast and North(AL,AR,DC,DE,FL,GA,HI,KY,LA,MD,MS,NC,OK,SC,TN,TX,VA,AK,CO,CT,ID,IL.IA,IN,KS,MA,ME, MI,MN,MO,MT,ND,NE,NH,NJ,NY,OH,OR,PA,RI,SD,UT,VT,WA,WV,VVI,WY,U.S.Territories) Region Nole :Central air conditioners manufactured prior to January 1,2015 are eligible to be installed In all regions unlit 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. The manufacturer of this CARRIER product 18 responsible for the rating of this system combinalloa. Rated as follows In accordance with the latest edition of ANSUAHRI 210/240 with Addenda.1 and 2,Performance Rating of UntlaryAlr-Conditioning &Air-Sovxs Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,Independent,third parry testing: Cooling Capacity(A2)-Single or High Stage(95F),btuh'56000 SEER :14.00 EER(A2)-Single or High Stage(959 '11.50 IEER I i i t-Active'Model Slatus areuwse that an AHRI Certification Program Parildpant is currently producing AND selling or offering for sate;OR new models that are being marketed but are not yet being produced,'Productloo Slopped"Model Status are those that an AHRI Certification Program Participant Is no longer producing BUT Is stili I selling or offering for Sale. stir e I by WAS indicate to re-rate. The new sed raUn shown alona wt1h the railnu- DISCLAIMER AHRI does not endorse the products)listed on this Certificate and makes no representations,warranties or guarantees as to.and assumes no responsibility for, the pfoduct(s)listed on this Certificate.AHRI expressly dlscialms all liability for damages of any kind arising out of the use or performance of the product(sX or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations Itsled In the directory at www.ahrldlrcotory_mg. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI,.Thls Certificate shall only be used for Individual,personal and confidential reference purposes.The contents of this Certificate may not,In whole or In pari,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 Indlvldual, peYS0lTaAM l and confidential reference. AIR-CONDITIONING,HEATING, REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION Tha information for the model cited on this eenlflcate can be verified at www,shrldirectory.org,click on'Verify Certlfloate"Illlk unmake Gfebettrl" 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. - 131642386422125129: ©2018AIr-Condltioning,Heating,and Refrigeration Institute CERTIFICATE NO.: