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HomeMy WebLinkAboutORLANDO JBS 61918ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: to ! Permit Number: MR! Building Permit Application Plnnning and Development services Building and Code Regulation Division 2300 Virginia Avenue, Fort Plerre FL 34982 Phone: (772) 462-1SS3 Fax: (772) 467.1518 Commercial Residential PERMIT APPLICATION FOR: Mechanical PROPOSED INPROVEMENT LOCATION: Address: In !12. Legal Description: )l - o uT wc Property lax ID #t: pis r �- SQt - �] ti �� � nim - Lot No, Site Plan Name: ��'A Zai Block No. C, Project Na- L.M I1`4nr Setbacks Front Back: Right Side: Left Side: JAPM DETAILED DESCRIPTION OF WORK: -Affitional work to be nertormed under this permit-cnecK a HVAC Gas Tank ❑Gas Piping 7 Electric � Plumbing 11 Sprinklers Total Sq. Ft of Construction: 4 Cb Cost of Construction: $��0 LShutters Q Windows/Doors U Generator Roof Sq. Ft. of First Floor: Utilities: Sewer Septic Building Height- OWNER/LESSEE: CONTRACTOR - Name d�l�M1� Name: JOHN BROWNING --_ Address: i Company: JA"S AC & ELECTRIC City: ^'i'Ll��C State:FL Zip Code.34q LV Fax: Address: 1535 NW QUAIL CIR City: STUART State: FL Phone No. ,rj igl ` 94Im ` Q 9 B I Zip Code: 34994 Fax: E -Mail: Phone No. 772-934-6778 Fill in fee simple Title Holder on next page (if different E -Mail. Jbrowningac@gmail.com from the Owner listed above) State or County License: CAC1816319 if value of construction is 5Zsou or more, 3 KILLUKUtU NQUE6 0T toTT11T1ence1nc+'t'� I cyuu c . SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone:_ 7ip: rt Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: 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 County 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, ni.cessory 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 commencing work or recording our Notice of Commencement. Signature of Owl Lessee Signature of Contrm!__ , 7cengb Holder STATE OF FLORIDA ���_- STATE OF FLORIDA COUNTY OF C& COUNTY OF c; The for oing instrument was acknowledged before me The for oing instrument was acknowledged before me this day of��i��.� 20�y this day ofZ'w rw-- , 20®by �� Com" 01" _ "_-� rs( A __ =0117..1 ? 2a 1AD r'P (Name of person acknowl CQ - E'; (Signature o NotaryP/ubiic- State ;f Florida) (Name of person acknowl A Notary (signature of Notary Publi - State o Florida) Personally Known Produced Identification Personally Known V OR Produced Identification Tvpe of Identification Produced Type of Identification Produced Commission No. mm»,y gM jf' RUSSELL Commission No , � , SHA 11 USSELL "0 y Notary Public - State of Florida �, o,P Notary Public - State o1 Florida -- F 9A 3 s--Gommieeion 0 FF 959039 a My Comm. Expires Mer 11, 2020 '„ r` My Comm Expires Mar 11, 2020 �' Revised 0"/15/ `�� Bonded through NOOO&l Notary Assn �uu �.4; . `��� Bonded through WOW Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE cicirim �crca This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 201754902 naip. • o6-19-201 A Model Status : Active AHRI Type: HMSV-A-CB Series Name: M -Series Outdoor Unit Brand Name : Mitsubishi Electric Outdoor Unit Model Number: MXZ-3C24NA2 Indoor Type : Non -Ducted Indoor Units Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (95F) : 22000 EER (95F) : 13.60 SEER: 20.00 High Heat (47F) : 25000 Low Heat (17F) : 14000 HSPF : 9.80 Sold in?: USA f"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale: OR new models that are being marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i e. WAS) ratina. 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 product(s) 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. Certtfied ratings are valid only for models and configurations listed In the directory at www.ahridirectory.org. TERMS AND CONDITIONS uQ, This Certificate and its contents are proprietary products of AHRI. This Certificate shall only he used for individual, personal and 0% confidential retarance purposes. The contents of this Cartificate may not. In whole or in part, be reproduced; copied; disseminated; � s■ rR 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. AIR-CONDITIONING. HEATING. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, dick 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 Certincate No., which is listed at bottom right. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131738893219230536