HomeMy WebLinkAboutPermitApplication ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0510812018 Permit Number:
,Dial
Building 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 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 7036 Willow Pine Way,Por Saint Lucie,FL 34986
Legal Description: POD 6 PUD 1 at The Reserve Willow Pines West at PGA Village(PB 42-43)Lot 47(OR 2959-873)
Property Tax ID#: 3322-621-0056-000-2 Lot No. 47
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETA��LED�DESCR�IPTIO�NOF WORK:
AIC Change Out. Same for Same. Existing Duct Work. 3 ton 116 SEER/ Lennox/ EL16XC1-36 /
CBA27UHE-36 /8 kw heater
CONSTRUCTION. INFORMATION:
Additional work to be ertbi r:ed under this permit—c ,!ck all that app y:
L`_'JHVAC Gas Tank DGas Piping _Shutters El Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
0
Cost of Construction: $ q C)-7 0 Utilities: _Sewer 0 Septic Building Height:
OWNER/LESSEE CONTRACTOR:
Name
Awanda Sidow Name: Ramon Lailoa
Address: 7036 Willow Pine Way Company: CB Construction and Design Service
City: Port Saint Lucie State:.. Address: 562 NW Mercantile PL,Suite#101
Zip Code: 34986 Fax: City: Port SaintLucie State: FL
Phone No. Zip Code: 34986 Fax. (772)344-8104
E-Mail: Phone No. (772)337-6559
Fill in fee simple Title Holder on next page(if different E-Mail: lynette@cbaircare.com
from the Owner listed above) State or County License: CAC1819319
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: 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.
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 TOO ER:Your failure to Record a Notice of Commencement may result in your paying twice for
improve s to yo r property. Notice of Commencement must be recorded an posted on the jobsite
be for a first insp ction. If you tend to obtain financin th lender or an attorney before
co encin war or recordin ur Notice of Comme ment.
Signa re of Owner/ ssee/Conti tor-as gent for Owner Signa ur ontractor/ icense older
STATE OF FLO STAT OF FLOR
COUNTY OF—( � ' A TY OF 'L Lt
The instrument was acknowledge before me The 45 instrument was acknowledgQ before me
this ay of��-'4.r' ,2Q by this d1y of 2(3�Y
-Name of person making statement Name of person making statement
Personally Known V,-- OR Produced Identification Personally Known ls� OR Produced identification
Type of Identification Type of Identification
Produced Produced
(Signa 09,
ure of Notary Public-State of Florida) ( gnatu a of Notary Public- ate of Florida)
omm' sign No. eP,%_ LfWtTTE HAMI'LTON Co miss' n No. DW' tETTE HAMILT
$ MY coMMISSION#PP94OW MNJJSSION#FF44E7iJ�IRE4:Jamey07,ZO20 __ZtES:]nnuaty 07,20 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/Z/17
This combination qualifies for a Federal Energy Efficiency tax Credit when
.0% Ulm
n placed in service between Feb 17,2009 and Dec 31, 2016.
NIOU MEN CERTIFIED
Certificate of Product Ratings
AHRI Certified Reference Number: 10259409 Dale:05-08-2018 Model Status:Active
AHRI Type:RCU-A-CB
Series:ELITE EL16XC SERIES
Outdoor Unit Brand Name:LENNOX
Outdoor Unit Model Number (Condenser or Single Package):EL16XC1 S036-230B**
Indoor Unit Model Number(Evaporator and/or Air Handier):CBA27UHE-036-230*+TDR
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,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 LENNOX product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSIIAHRI 2101240 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(95F),btuh:34600
SEER:16.00
EER(A2)-Single or High Stage(95F) : 13.00
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 acco�anied by WAS indicate an involuntary re-rate. The new published rating is shown along with the previous ii.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 products)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.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,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. AIR-CONDITIONING,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.abridirectory.org,click on"Verify Certificate"link He male life better-
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.
02018Air-Conditioning, Heating,and Refrigeration Institute I CERTIFICATE NO.: 131702758488303675
i