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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLLIICABLF INFO MUST 8E COMPLETED FOR APPLICATION TO BE ACCEPTED Date: t Permit dumber: Building Permit Application Planning and Development Services Building and Code Regulation Division 2.300 Virginia Avenue, Fnrt Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: r[7h1�Snt� v' Legal Description: 1 L ✓� .moi t-- E V !' �- 4- Property Tax ID 4t: r l _3�a1 - C�G� �-+ % - C7 o,� Lot No. Site Plan Name. Ir i r� L Block No. r'rcjcc[ Na.n'c� -----.--.---- Setbacks Front Back: Right Side: Left Side: .; 1?1111!1 DETAILED DESCRIPTION OF WORK: 3` a --ro t,4 171�ik=aQ IsrQt,-; LA -5 r"4 <.r-') KU�i A40Y__ ❑itlona war to be rtormea unser tnis permit - u �✓ HVAC 11 Gas Tank ]Gas Piping Electric Ej Plumbing 11 Sprinklers Total Sq. Ft of Construction:— Z.-"(-.. Cost of Construction: $4QQO _ a LJ Shutters 11 Generator Sq. Ft. of First Floor: — Utilities:Sewer 0Septic l___.i Windows/Doors 17 Roof Building Height: OWNER/LESSEE: CONTRACTOR: Name t`=' Name: JOHN BROWNING ompany: JB"S AC 8 ELECTRIC Address $ ' yaw t State: FL Address: 1535 NW QUAIL CIR City: Zip Cooe: 2A I rax- - City: STUART State: FL Phone No.___nn,' �. t Zip Code: 34994 s Fax: E -Mail: -- - Phone No. 772-9,U-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 tf value of construction is 525M Of more. a nt9_vn1Jcv TNV .Mr v. �_v...... n..­.—.� . zw.-.. i SUPPirEMEWTALb�#.'rnoN LI1=N<"t ;fir INFQRMATfON"` ` Not Appii Name: Address. City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: _ City: Zip _ Phone: _. M0RIJ GAG- E C0N1PAI+i's F; _ Not Applicable Name: Address; City:^ State: Zip: Phone. BONDING COMPANY: Not Applicable Name: _ Address: City:._ Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hQrehy 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. ,t. Lucie Count makes no representation that Is granting a permit will authorize the permtt 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 i tome 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 PYnmpt from undergoing a full concurenry review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessary uses to anothet tion -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 pasted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work yr recordingyour !Notice of Commencement. re of owner gent/ Lessee STATE OF FLORI COUNTY OF The forying i gonstrument was acknowled ed before me W" thay of 20by (Game of person acknowledging ) F (Signature of Notary Public- State of orida ) Personally Type of Ido Commission 11cv1scd 07/15/2014 Notary Public - State of Florida Cumniissiun Oily 79630 My Comm. Expires Nov 30, 2010 Signature of Cont STATE OF FLORIDA ! j COUNTY OF L_� The far oing instrument was acknowledged before me thls: xsy of ._- , 20[�@ by (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known OR Produced identification Iype of Identjftq&tiqD P,Locj�iced '+1pnr P 11' DEBORAH ms 4L Comission = o Notary Public - State of Florida �w = Commission M FF 179630 nr r't`;.• My Comm. Expires Nov 30. 201 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REViEW REVIEW DATE RECEIVED DATE This combination qualifies for a Federal Entergy Efficiency tax Credit when placed in service between Feb '17.2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 8864541 Date: 07-24-2018 Model Status: Active AHRI Type: RCU-A-CB Series: LX SERIES Outdoor Unit Brand Name: JOHNSON CONTROI 5 Outdoor Unit Model Number (Condenser or Single Package) : YCG42B21 Indoor Unit Model Number (Evaporator and/or Air Handier): AE42CX21+TXV Region: All (AK, 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, NF, NH, N.I, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, 1 X, UT, VA, VT, WA, WV, WI, WY, U S I erntones) Region Note : Cenlral 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 JOHNSON CONTROLS 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 i 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 (A2) - Single or High Stage (95F), btuh : 41500 SEER: 17.00 EER (A2) - Single or High Stage (95F) : 13,75 t"Active" M0041 Status are those that an AHRI Certification Program Parbcipanl is currently producing AND selling or offering for sale; OR new models that am being marketed but are not yet being produced.°Production Stnppad" MMAI Status are those that an AHRI Certification Program Participant is no longer prndiming HUT is still selling or nffannG for sate. Ratings that are aCcol??g2n!ad by WAS indicate an involuntary re -rate. The new published retina Is shown aloha w th the previous h.e. WAS) rabnp. DISCLAIMER AHRI does not endorse the product(s) listed an this Certificate and makes Iry repre5ehtatloh5, warranties or guarantees as to, and assumes no resporisibiiity for. the product(s) listed on this Certificate. AHRI expve;Wy disclaims all liability for damages of any kind ariblhg out of the use or performance of the product(s). or the unuuthorized alteration of data listed an this Certificate. Ccrtitied ratings are valid only for modals and rnnfigurations listed in the directory at www.ahridirectnry.org. TERMS AND CONDITIONS This Gertificata and lit contents are proprietary products of AHRI, Thle Certificate rhall only be used for individual, porsorlal and confidential reference purposes. The contents of this Certificate may not, in whole or In part. be reproduced; copied; disseminated: ahteted into a computer database; or otherwise utlli7ed, In any form or manner or by any means, axcapt tut the usai's individual. personal and confidential reference. AIR-coNUITIoNINa, HEATING, CERTIFICATE VERIFICATION A REFRIGERATION INSTITUTE The information tot the model cited on this certificate can be verified at www.ahridirectury.org, click on "Verify Certificate" link ,4.e make We berter° 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. - — � - 131769442477472157 ©2018Air-Conditioning, Heating. and Refrigeration Institute CERTIFICATE NO.: