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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/1/2018 Permit Number: 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: 8389 MULLIGAN CIR Legal Description: Property Tax ID #: 332750202290005 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: Replace existing 2 ton system with-, Rudd 2 ton 16.0 seer w/5kw heat Models RA1624 & RH1T2417 Like for like CONSTRUCTION INFORMATION: Adaitional work toa er orme under this permit— check a appy: ®HVAC Ei Gas Tank ❑Gas Piping _ Shutters a Windows/Doors Electric 0 Plumbing Sprinklers FIGenerator Roof Roof pitch Total Sq. Ft of Construction: SFt, of First Floor: Cost of Construction: $ 3500.00 Utilities., Sewer L �I Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name KEVIN BAKER Name: Address:8389 MULLIGAN CIR Company: TRACY D STEELE AIR CONDITIONING INC Address: 2750 SW EDGARCE ST City: PORT ST LUCIE State:FL Zip Code: 34986 Fax: Phone No. City: PORT ST LUCIE State: FL Zip Code: 34953 Fax: Phone No. 772-336-2448 E -Mail: tdsac@aol.com E-Maii:3Q5-721-9385 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: CAC035553 IT vaiue or construction is :�z)uu or more, a MLLIKQeo Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: 8389 MULLIGAN CIR Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable 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. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Counter 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 r�mmanrin rr u,nrie nr rarnrrlin6 krni it NntirP of CnmmPnr.PmPnt_ Rev. 8/2/17 G Signature of Ownee Ledeeontractor as Agent for Owner Signature of Con acto ease Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF ST LUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me 01 JUNE 20 )Y by this 01 day of JUNE 20 f f by this day of TRACY D STEELE TRACY D STEELE Name of person making statement Name of person making statement Personally Known X OR Produced identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Pu ic- to a of Florida) (Signature of Notary Public- State of Florida j Commiss ' � DANIEL. F STA09V Jim Com mi! i�. ��t"'_ neNlRi � STAO&aI MY COM MISSION MY COMMISSION *FFp100 EXPIRES February 23, 2itiEXPIRES Februa 23, 2*ii (4071 390 -0153 Floric!0 01arySerVies.90M fa 7) 39&0753 Florida otaryService.cem REVIEWS FRONT SUPERVISOR PLANS"MANGROVE ZONING COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 This combination qualifies for a Federal Enel Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 7940891 Date: 8/24/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1624AJ1 Indoor Unit Model Number: RHIT2417STAN Manufacturer RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: All (Alt, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, 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 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. Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 24000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 JEER Rating (Cooling): RaSngs followed by an asterisk (') indicate a voluntary mrate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate 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. Alts-CoNVITION1NG, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrldlrectory.org, click on "Verify Certificate" link we make 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. 4` f—' CERTIFICATE NO.: �� �654047738S37C$ ©2014 Air -Conditioning, beating, and Refrigeration Institute