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HomeMy WebLinkAboutJBS PERMIT APP 031518ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: - Permit Number: • Budding 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 PERMIT APPLICATION FOR: Mechanical PROPOSED INPROVEMENT LOCATION: Address: q 014 __f`( - I r»/', kJ I �4-/ Commercial_ Residential Legal Property Tax ID #: 441 Q • 5, 5 - C C C. (-- I G?Q Lot No. SItP Alan Name- A iA— i A-1_0�, I , i1 Project Nam— Setbacks arne:Setbacks Front Back: Right Side: Left Side: I)FTAII Fn nkrPlp'i-into nG %Ainoir. Block No. tl 1 Haaitional work to be pertormed un er t is permit - c ec a I✓ HVAC Gas Tank Das Piping 11 Electric Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 1 (c, '7 L-0 cc' t apply: _ Shutters Generator SFt- of First Floor: Utilities:ctSewer Septic Windows/Doors Roof Building Height: OWNER/LESSEE: CONTRACTOR: Name 'T MI -' Address: City: cyl,j 4 ef ne State: Zip Code: I (S (c.5 Fax: Phone No. E -Mail: _ Name: JOHN BROWNING Company: JB" S AC & ELECTRIC Address: 1535 NW QUAIL CIR City: STUART State: FL Zip Code: 34994 Fax: Phone No. 772-934-6778 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: Jbrowningac@gmail.com State or County License: CAC1816319 - -- __ ---------.-... . --....,...1-1— v, wnunenCemem is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER Name: _ Address: City: — Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: Not Applicable MORTGAGE COMPANY State Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: ZIP: Phone: Not Applicable ate: _Not Applicable 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 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 recordin your Notice of Commencement. iature of Owner/ Kgent/ Lessee Signature of Contr&_Qr/ cenj Holder STATE OF FLORIDA STATE OF FLORID COUNTY OF -�:A: L (�-('a'p_ COUNTY OF_ The forgoing instrument was acknowled ed before me The forgoing instrument was acknowledged before me this � day of J)(� re h 20� by this J�*bay of �i?Cl2v� 1l 20 4r) l (Name of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known v/OR Produced Identification Type of Identification Produced urn �t'r�>7 (Name of person acknowledging) -J (Signature of Notary Public- State of Florida ) Personally Knowny OR Produced Identification Type of Identification Produced Commission No. """' , DEB6R"RUSSELL Com '? • '�° Notary P.:';lic Stzte o1 ,53Flur0 da Re,.gsed 0'/15/20!4 "y c REVIEWS FRONT ZONING I SUPERVISOR PLANS COUNTER REVIEW REVIEW REVIEW DATE RECEIVED DATE GAhvlDLCT CQ Ic— ___�gpRAH RUSS*" Notary Public - State of Florida Commissi My Gomm. Expires tdov 30. 2018 VEGETATION I SEATURTLEI MANGROVE REVIEW REVIEW REVIEW •+i�.�i CERTIFIED www.ahridirectory.orgCertificate of Product Ratin AHRI Certified Reference Number : 7042115 Date 03-15-2018 Old AHRI Reference Number:: Brand Name: AMERICAN STANDARD Model Number : EAC240A(3,4,W)EO"'*7 Indoor Unit Model Number: Series Name : AHRI Type : SP -A Refrigerant Type: R-41 OA Hertz : 60 Sold In? : USA, Canada Model Status: Active Rated as follows in accordance with the latest edition of AHRI 340/360 Performance Rating of Commercial and Industrial Unitary Air-conditioning and Heat Pump Equipment and AHRI 365 and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity 95F/Cooling Capacity 95F at 230v : 240000/240000 EER 95F/EER 95F at 230v : 10.00/10.00 Heating Capacity 47F/Heating Capacity 47F at 230v: COP 47F/COP 47F at 230v Heating Capacity 17F/Heating Capacity 17Fat 230v COP 17F/COP 17Fat 230v IEER/IEER at 230v : 11.9/11.9 The following data is for reference only and is not certified by AHRI: Full Load Indoor Coil Air Quantity (scfm) : 7000 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale: OR new models that are being marketed but are not yet being produced "Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new Published rating is shown along with the previous 0.e WAS) rating 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.ahridlrectory.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, .� ,' personal and confidential reference. CERTIFICATE VERIFICATION AIR-CONDITIONING. HEATING. The information for the model cited on this certificate can be verified at www.ahridirectory.org. click on "Verify Certificate" link & REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued, �,e make life better'" which is listed above, and the Certificate No., which is listed at bottom right. _ ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131655959039238292