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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFppO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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 :y
PERMIT APPLICATION FOR: Mechanical 711
PROPOSED F{VIPROVEMErNT LOCATION n
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jt. x�.{ .� .(.3'� hn' 1Y
Address.-' 8630 TOMPSON POINT RD.PORT ST LUCIE FL 34986
Legal Description..TOMPSON POINT'PUD AT PGA VILLAGE LOT 12
Property Tax ID#: 3327-7040013-000-8 Lot No.12
Site Plan.Name: LIEBERMAN Block No. N/A
Project Name:.KENNETH/SUSAN LIEBERMAN .
Setbacks Front Back: Right Side: Left Side:
DETAILED>DE5CRIPTION OF,WORK �lT
RE=PLACE 2 A/C UNITS Ti219,'iQ� 3'lq W `1 kao i� VILL ` Iton 1 5)e-w° ..
LIKE FOR LIKE CHANGE I • �-L1,000 f3 TU
Yl ri rn l rz =t-6 C u rn vi'. I y Aj-t rrn o: :30 W Yn1 kq
OUTS. CA-A rrH An6kX:ti5 b'U max-' 'Yep ►11-1 nnc�-x �u C u rrc�-
CONSTRUCTION INFORIVIAT10lV1)6
Additionalwork to •be,perfc-ormed under• this permit—check a appy:
HVAC :Gas Tank. RGas Piping Shutters Elvindows/boors
Electric. 0 Plumbing Sprinklers 1 Generator 'Roof Roof pitch.
Total Sq.Ft of Construction: RE Sq.Ft.of First Floor:
Cost of Construction:.$ 7350.00 Utilities: Sewer F-1 Septic Building Height:
QWNER/LESSEE7. _ ' F n CQNTRACTOR w :2 Y'
NameKENNETH/SUSAN UEBERMAN Name:TIMOTHY WOJCIESZAK..
Address:8630 TOMPSON POINT RD. Company:.KRAUSS&CRANE,INC.
City: PORT STLUCIE State:FL Address: 904-SE DIXIE`H1W
-Zip-Code:34986 Fax:N/A City:,STUART State:FL
Phone No.772-828-9371 Zip Code: 34994'. Fa,-. 772-283-4055
E-Mail:NJA Phone.No. 772-287-1227
Fill in-fee simple Title Holder on next page(If different E-Mail: SGILMOUR@KCIAC.COM
from the Owner listed above) State or County License: CAC1818796
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required. 10,
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SUPPLEMENTAL CONSTRUCTION LIEN`LAIN INFORMATION t
,. ...,..._., .y._., moi.:.- .� . , >.u1i , .v-•. ,.:..+,
ER/ENGINEER. Not Applicable— pp ORTGAGE COMPANY: Not Applicable
Nafrme:.
Address. Addre
CityState: City: State:
Zip: ne Zip: nn
FEE SIMPLE TITLE HO Not Applicable BONDING COMPANY: Not Applicable
Name• Name: 4
Address:904 SE DIXIE HWY Address:
City: City:
Zip: Phone: Zip: Phone:
I
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. 1
St.Lucie County,makes no representation that is granting a permit.wiII authorize thepermit 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 consultwith 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 1 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 Recorda Notice of Commencement may result fi your:paying twice for
improvements to your.property.A Notice=of Commencement must be recorded and posted on the;jobsite i
before the first inspection. If you intend to obtain financing,consult with lender or an attorney`before
commencing work or recording our-Notice-of.Coniinencement:
L.A - G(
Signziture of Own, /Lessee/ ontracto as,Agent for.Owner Signature of Contr. or/Licens older
STATE OF:FLORIDA STATE-OF FLORIDA
COU.NTy.OF ivl 0,r�f-1 �1 COUNTY OF
1
I
The;forgoing instrument was acknowledged before me The forgoing instrumentwas acknowledged before me
this,�&day of VVI CLk 120!�6 by this" G.day of F\A C� 20 1' by 3
l� IYLr� (AA0C
Name o person making statement Name;of p ison•mag statement
Personally Known I' OR Produced Identification Personally Known_y OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Sia ur Signatu
V % Nota Public.State.of_Florida k4AV Notary P C e .Io da
,y ublc,Stat ofF n
Commissi ) -Sabrina.Mlchelle Gllmgl�r
Sabrina Michelle Gilmlal comtni5510r ,n GG'1ea eal)',
u mmiss1/2022
on GG 194663
.Expires 0311 112022 orP Ezplres 03111'12022::
L.s'<
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.$/2/17-
This combination qualifies for a Federal Energy Efficiency'tax Credit when
placed in service between Feb 17,2009 and Dec 31,2016.
I NRatings
AHRI Certified Reference Number:7567540 Date:05-03-2018 Model Status:Active
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AHRI Type:RCU-A-CB
Series:XR14
Outdoor Unit Brand Name:TRANE
Outdoor Unit Model Number (Condenser or Single Package):4TTR40251_1
Indoor Unit Model Number(Evaporator and/or Air Handler):TEM6AOB24H21+TDR
Region: All(AK,AL,AR,AZ,CA,CO,CT,DC;DE,FL,GA,HI,ID,IL,IA,IN,K$,KY,LA;MA,MD,ME,MI,MN,MO,MS,
MT,NO,ND,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,VT,WA,WV,WI,WY,U.S.
Territories)
Region Note: Central air conditioners manufactured prior to January 1,2015 are eligible to be installedan all regions
until June 30,2016.Beginning July 1,2016 central air condltloners can only be installed in.region(s)for
which they meet the regional efficiency requirement .
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The manufacturer of this TRANE product is responsible for the rating of this system:combination
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Rated as follows in accord"once wdlj the latest edition of ANSI/AHRI 2101240 with Addenda 1'andr2 PerformanceaRatmg:of Urntary
Air Coridihonmg&{AIr SouYce Heat,Pump.Eqme
uipnl and subject to ratingxaccuracy by AHRI-sponsore_d independent,third party testing i
Cooling Capacity(A2) Single or High Stage(90),btuh 24000
SEER:1600
EER(A2) Single or,Wgh Stage(95F) 13,00 " t
e k r
5
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'r
t"Active"Model Status are those that an AHRI.Certification Program Participant,is currently producing AND selling or offenog for sale;.OR new modelsahateFe being
marketed but are not yet being produced"Production Stopped`Model Status are thbse,tliat an AHRI certiricatiori Program Padicipant Is.no-longer producing BUT is still
selling or offering for sale.
Ratin s that are accom anted b WAS-i dicate ori involunta re-rate Stie new ublished ratin is shown alon with the'teviou's i.e,WAS satin -. t.
DISCLAIMER
AHRI does not endorse the product(s)-listed on.thls,Certificate and makes no representations,warranties or guarantees as to,and assumes no responslbllity.for,
the product(s)listed on this Certificate..AIHRI expressly disclaims all liability for damages of any kind arising out of the use or.performance of.the prodmAsL or the
unauthorized alterttlonof data listed on this Certificate.Certified ratings are valid only for models and configurations listed In the
directory at wvnv.atiridirectory.org.
TERMS AND CONDITIONS
.This Certificate andlts 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; ' ,
.A—h
entered Into a computer datebase;.or otherwise utilized,in any form or manner or by any means,enept for the.user's Indlvldu8i,
personal and confidential reference. AIR CONDITIONING,HEATING, _
&REFRIGE
CERTIFICATE VERIFICATION
RATIDNiNSTROTE
The information,for,the model cited on this.certificate can be verified at www.ahrldirectory,prg,click on"Verify Certificate":link de mike life better^° i
and.enter the.AHRI;Certified Reference Number and the date on which the certificate.was issued i
which Is listed above,and the Certificate.No.,which is listed at bottom.rlght• 131698351061237166
©20.18Air-Conditioning,Heating,and Refrigeration institute i CERTIFICATE}NO