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 —