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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO gE ACCEPTED Date: ; /I - Permit Number: 00 -0—z -0-t ., 4 -e Planning and pe velopmenY Services Building Permit Application Building and Code Regulation Division 2300 Virginia Avenue, Fort pierce rL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _---_ ^ Residential x PERMIT APPLICATIO FN OR �— -- Mechanical PROPOSED IMPRM NT LOCATION: — — _ Address: 8836 ONE PUTT PLACC, PORT ST LUCIE, FL 34986 Legal Description: Property Tax ID #: --"�- 0 00 Site Plan Name: Lot No. Project Name: `'-- Setbacks Front Block No.�---- _ --� Back: Right Side: — _ Left Side: 6ZILED DESCRIPTION OF WORK: — — -- COMPLETE A/C CHANGE OUT OF T1N0 SYSTEMS UNIT 1. 5 TON 16 SEER 1OKW UNIT 2: 2 TON 16 SEER 5KW CONSTRUCTION INFORMATION: Ada-itiaria `Wor to e t �_.,...�.._e. Der orGas Tank a nne un er rs Zermlt HVAC p app y: 'Electric n PlumGas Piping 05prinklers � Shuttersbing 0 Windows/Doors D Tota! 5q. Ft of Construction: Generator �f �f Roof Roof — Cost of Construction: S 7400 S pitch Ft- of First Floor; f--- Utilities: OWNER/LESSEE-------.—..��_---...__.._.__ _� : Seger ElSe tic Building height: __ _ Name DAVID A WILKER3 N �� -- ~—'—`— CONTRACT: ORP Address:88�36 ONE PUTT PLACE Name: LUIS C BRIONES City: PORT ST LUCIE !— State: FL Company: AIRCON HEATING AND AIC SERVICE INC Zip Code: 34986 Fax: Address: 5640 5E NORhMANDY AVENU Phone No. 302-228-3419 ----.._ City: sruART E -Mail:_ --�_i 34997 State: FL Zip Code: Fax: 772-287-9276 F1I) in fee simple Title Holder on next page ( if different . 772-288-4211 Phoneos from the Owner listed above) E -Mail: I brones@bellsouth.net _ If value of constractian is S2SOO or State or County License: CACO 54091 omQr Qm re, a RECORDED Notice of Commencement is required. --- ......_ ,— _. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORNiATIQ DESIGNERIENGINEE R Name: .— Not Applicable Address: City: Zip: Phone State:^ FEE SIMPLE TITLE HOLDER: Name: Not Applicable Address: City:` zip: --. Phone:. MORTGAGE COMPANY: Name: Not Applicable Address: City: Zip: _. phone: State: BONDING COMPANY: Name: _,._.Not Applicable Address: City: OWNER/ CONTRACTOR AFFIDVIT; Application is hereby iiia de€po`-----�.._. Phone: 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 St. Lucie County makes no representation that is granting a permit will authorize theftpermit holder to build the subject s which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. 1 structure In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform, the work rohibit such in accordance with thea 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 add' accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses vi another non-residentialo WARNING TO OWNER, Your failure to Record a Notice of Commencement may result in our )tions, improvements to your property. A Notice of Commencement must be recorded and Posted use before the first inspection, if you intend to obtain financing, consult with lender Or an attorney yg twice for commencin work or recordin our Notice of Commencement. p d On the Jobsite .�- torney before signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF The forgoing instrur nt w s acknowledged efore me this day of _ 20Tby Name of person making statement Personally Known OR Produced Identification Type of Ider�ikation Produced (signature of N Notary Public-5tattdi:IcMa Commission No. ` Gam®i� 145571 rms, M Comm, x sre NOv7,2E121 REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Signature of Contractor/License Holder STATE OF FLO IDA COUNTY OF , � The forgoing instrument was ackXowledgefore me this s day of ,2oedpy Name of person making statement Personally Known _ OR Produced Identification Type of IdeM ication — _ Produced tb> rratU`re of Notary Pub)! - $ Flgrid } �1 Z A. D UGaLEM Commission No. y' ` NOrarypub€- state olfrorida C468Qn 1 GG 14551 t " Ox My Comm. Expires NOV 7, 202, SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW This combination qualifies for a Federal Ener 11L I CERTIFIED'Placed in service between Feb 17,2009 and Dee 3 c1201 tax Credit when Cedificate Of Product Ratings AHRI Certified Reference Number: 9247188 Date: C16 -06-201a Model S AHRI Type: RCU-A-Ctatus : Active t3 Series: ARCOAIRE 16 R410A AC Outdoor Unit Brand Name: ARCOAIRE Outdoor Unit Model Numbor (Condenser or Single Package) : NXA624GKA" Indoor Unit Model Number (Evaporator and/cr Air Handler) : FXM4X24'"AL Region Southeast and NorthAL, AR, ( DC, DE, FL, GA, Hl, 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 ARCOAIRE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 with Addenda 1 and 2, Pformanee Rating Air -Conditioning & Air -Source Heat pump ,Equipment and subject to rating accuracy by AHRI-sponsored, independent,third errnng of Unitary Cooling Capacity (A2) - Single or High Stage (95F), btuh : 23400 Party testing: SEER: 96.00 EER (A2) - Single or High Stage (95F) . 13.00 f"Acfivo" Model Status are those that an AHRI Ceriincatiorl Program participant is currenll marketed but aro not yet being producetl."Pradt€coon Sloppad" Madel Status are those (hat an AHRI Cartiricaiian Program Rarticipant. is no longer producing BUT is still selling a offering for sola. y producing g ANb selling or altering for sate; OR new modals that are being in that a ni d h WA indica a an i y n r o -r ta. Th erri ed roan is DISCLAIMERan wit t r v' a i. c, yyA AHRI does not endarse the product(s) listed on this Certificate and makes no representations, warranties er guarantees as le, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising outof directory at www.ahrldirectory,org. the use or Performance of the product(s), or the unauthorized alteratlarr of data listed oh this Certificate. Certified ratings are valid only for models and confit at]One listed in the TERMS AND CONDITIONS This Certificate and Its contents are proprietary confidential reference purposes, The contents ofth sucts of Certi Certificate yI. tnot, Inficate shall only be used for Individual, whole or In part, be reproduced; op ed disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's indivltlual, Personal and confidential reonal and ference. �� ON CERTIFICATE VERIFICATION ILE The information for the model cited on this certificate can be verified at www,ahridifectery.org, click on "verify Certificate" fink AIA.CDhIt)iT19N1NG, IiFAi1NG, and enter the AHRI Certified i4cferenee Number Und the date on which the COWfluREFRIGERATION INSTITUTE te was issued, which is listed above, and the Certificate No., which is listed at bottom right. __ uiaicc Fife irelle. ^cc 2018Air-Conditioning, Heating, and Refrigeration Institute — CERTIFICATE N(3.: 1at7277z2zaos2saaa This combination qualifiefar a Federal Ener s gy Efficiency tax Credit when Feb Paced in service between 17,2009 and Dec 31, 2016, CertifMPM- cat Of Product Ratinas AHRI Certified Reference Number: 9283663 Data, 06-0$-2018 AHRI Type: RCU-A-CB Model Status: Active Series : ARCOAIRE 16 R41 OA AC Outdoor Unit Brand Name : ARCOAIRE Outdoor Unit Model Number (Condenser or Single Package) : NXA660GKA`. Indoor Unit Model Number (Evaporator and/or Air Handler) : FXM4X60"AL Region: Southeast and North (AL, AR, DC, DE, F[„ GA., H€, lA, IN, KS, MA, M KY, LA, MD, MS, NC. OK, SC, TN, TX, VA, E, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, AK, CO, CT, ID, IL, Territories) RI, SD, UT, VT, WA, vVV, W!, WY, U.S. Region Note: Central air conditioners manufactured prior to January 1. 2015 are eligible to be installed in all r until .lune 30, 2016. Beginning July 1, 2016 central air conditioners can Only be installed in region(,) for Which they meet the regional efficiency requirement, regions The manufacturer of this ARCOAIRE 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, Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating aocurac b Performance Rating of Unitary Cooling Capacity (A2) - Single or High Stage (95F), y y AHRI-sponsored, independent, third party testing: SEER : 16,00 EER (A2) - Single or High Stage (95F) : 13.00 Ma,k te" but a Status are those that an AHRI Certification Program participant is Currenll marketed but era not yet being produced. HR1[ llChQn 5to ng Selling or ofiferirtg for safe. PPod" Model Status are those thaty producing AND stilling ro offering for sale; s n new models cin are T is a t ak re a c m an AHI2f CertiRcation Program Participant is no longer Producing BUT is situ • h wA5 iodic Ce t funtar r -r . DISCLAIMER a bl's a ati is own alo wi h the ray` AHRI does (s) endorse the praduct(s) fisted on this Certificate and makes no representations, warranties or the product(,) listed on this Certificate, AHRI expressly disclaims all liability for damages of arty kind irisin d assumes no Fes unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations fisted in the directory at www,ahridirectary.arg. g out of the use or performance of the Product(s), ror the to.. TERMS AND CONDITIONS This Certificate and its contents are proprietary entered nreference Purposes. The contents of this Certificate ;nay not, in whole or in part, tic reproduced; copied; dissemh3at[ d; entered Inca a computer database; or otherwise u�tlld'rzedsinfan}ifarmhrorCniannertar baah 11 17ty be used for Individual, personal and personal and Ulm confidential reference. y Y y means, except for the user's Individual, CERTIFICATE VERIFICATION Iasi The information for the model cited all this certificate can be verified at wwe,ehridiraefnry,orf ,click on "Verify Certificate, link and enter the AHRI Certified Reference Num AIR-CONDITIONING. REg71Me which is fisted above, and ber and the date on which the Certificate was €,sued, & REFRIGERATION IKSTFTUTE the Certificate No_, winch is listed at bottom right, _ G2018Air-COnditionilT k make Piss better` g, Heating, and Refrigeration Institute- -�.'_. .��—�-- •--.. CERTIFICATE N(}.: 13172772118$749e12 —