HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - _ - � Permit Number:
COUNTY
1 L u H 1 O A
Building Permit Application
Planning and Development Services
Building and Code Regulation Drvision
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED INPROVEMENT LOCATION:
Commercial Residential x
Address: r1.44
Legal Description: gam. ND 2_7 11121
Property Tax ID #: 1"Q - One2,4 E70b
Lot No.
Site Plan Name: sShLCn C_RGAgx 6 Block No.
Project Name: :T�p bP"v,-�
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
'To N j- C' _
w-'14-ts. g�,.� UQk%=T
CONSTRUCTION INFORMATION:
✓Zona war to a orme un er this permit - c ec aMutters
HVAC Gas Tank ❑Gas Piping a Windows Door , s
11 Electric Plumbing 05prinklers 11 Generator Roof
Total Sq. Ft of Construction: 1 1 3 Sq. Ft. of First Floor: 1 11-s%
Cost of Construction: $� Zbo Utilities: Sewer oseptic Building Height:
OWNER/LESSEE:
Address: St.c7 p.pt-p,, Lx.&
City: State: FL
Zip Code: ' Fax:
Phone
E -Mail
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: PATRICK FLETCHALL
Company: COOL & RELIABLE AIR COND
Address: 1051 NE SANTA CRUZ DR
City: JENSEN BEACH
Zip Code: 34957 Fax:
Phone No. 772-692-5750
E -Mail: r_cool@bellsouth.net
State or County License: CAC058567
I
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Not A
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City: -
Zip: Pti()ne:
— Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name -
Address:
City:
Zip: Phone;
—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 permits
whichisis inc County
with any representation
able fHomethat
Owners Asssociranting ation rulesermit will , bylaws or and covenauthorize the permit nts that mato y restnsubject
ut oI prohibit s ch
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 nonresidential 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 your Notice of Commencement
of Owner/ Argent/ Lessee
re of Contro&o?)rLicense Holder
STATE OF FLORIDA.- -. I STATE OF Fl.
COUNTY OF 'f COUNTY OF
The fo ing instru ent was acknowled d before me The for¢¢,o,ing instrument was acknowledged before me
thl day of 20 by this 'mday of 20IZby
(Name of person acknowledging) (Name of person acknowledging)
1
- C -
(Signature of Notary Public- State of Florida) (SignaTure of Notary Public- State of F rida )
Personally Known �/ OR Produced Identification Personally Known �� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Com
DEBORAH RUSSELL
Revised Commission # FF 179630
OF F\OV My Comm. Expires Nov 30, 2018
Commi
--DEBORAH OMOLL
Notary Public - State of Florida
My Comm. Expires Nov 30, 2018
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DATE
COMPLETED
Certificate of Product Ratinas
AHRI Certified Reference Number. 201176237 Date: 04-30-2018 Model Status: Active
Old AHRI Reference Number: 7493626
AHRI Type. RCU-A-CB
Outdoor Unit Brand Name: RHEEM
Outdoor Unit Model Number (Condenser or Single Package) : RA1424AJ1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RBHP-17
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, INC, 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, 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.
The manufacturer of this RHEEM product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 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:
Cooling Capacity (A2) - Single or High Stage (9517), btuh : 24000
SEER: 15.00
EER (A2) - Single or High Stage (95F) : 12.50
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 offenng for sale.
Ratings that are accompanied by WAS indicate an involuntary re -rate The new published rating is shown along with the previous (I e WAS) rating
DISCLAIMER
AHRI does riot endorse the product(s) listed on this Certificate and makes no representations, warrantles ur 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 at the use or performance of the product(s), or the
unauthorized alteration of data listed on this Certificate. Certhled ratings are valid only for models and configuratluns listed in the
directory at www.ahridirectory.org.
TERMS AND CONDITIONSConte
This Certificate anits conted nts are proprietary products of AHRI. This Certificate shalt 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 cumputer database; or otherwise utilized, in any form or manner or by arty tneans, except for the user's individual.
personal and confidential reference. AIR-CONDITIONING, HEATING.
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link
and anter the AHRI Certified Reference Number and the date on which the certificate was issued. « make Irfe hctEct-
which is listed above. and the Certificate No., which is listed at bottom right.
o2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE N4.: 131695823073322326