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Building Permit Application
ALL APPLICABLE INFppO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: •'' raffia - 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 1 V ,„" i Z 3.w 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, � S 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 - o 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 . h .T F The manufacturer of this TRANE product is responsible for the rating of this system:combination i sw 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 r A r J � - '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