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HomeMy WebLinkAboutBuilding Permit Applicationenw-ca'.A&I'aAlb ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 5300 Melville Road Fort Pierce, FL 34982 Legal Description: WHITE CITY SR1033640 PART OF LOTS 48 AND 50MPDAF:CGM AT NWCOROFSEI/4 OF SWIM RUNS MDEG12 MIN 56 SEC E 773.61 FT, THN89 DEG 59 MIN 15 SEC E45FTTOP08,THN00 DEG 12 MIN% SECWM FT, THN69DEC TH S 00 DEG 16 MIN 15 SEC E 223 FT, TH S 89 DEG 59 MIN 15 SEC W 617.44 FT TOPOB (2.00 AC) (OR 1716-695) Property Tax ID #: 3403-502-0075-010-6 Lot No. Site Plan Name: Project Name: Fire House Daycare A/C change out Setbacks Front Back: Right Side Left Side: Block No. Removing the old A/C system and installing a similar system. An exact change out CAi2 _ie , sl"c-rL-e' S-rAqi5 syoLir~ cYa-rEAc, 5-iw. sc,pbT 14(e� 10 KW ❑✓_ HVAC ❑ Electric "Shutters ❑ Plumbing Sprinklers [ Generator 1:1 Roof Roof pitch QWindows/Doors Total Sq. Ft of Construction: _ Cost of Construction: $ 5000.00 SFt. of First Floor: _ Utilities:'n Sewer E]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name New Life Christian Centre of the Treasure Coast Inc Name: Matthew Kuntz Company: Jupiter-Tequesta Air Conditioning Address: 5300 MELVILLE RD City: Fort Pierce State: FI Zip Code: 34982 Fax: Phone No. 772-224-5111 Address: 582 North US Hwy 1 City: Tequesta State: FI Zip Code: 33469 Fax: 561-290-6310 Phone No. 561-838-3413 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: acpermits @yahoo.com State or County License: CAC1816615 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: 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 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, 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 commencing work or recording vour Notice of Commencement. Rev. 8/2/17 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA VD`N'\' STATE OF ORIDA�COUNTY ,V\.k beOACk_ OFS�.-C-.Y \ OUNTY OF 1. The forgoing instrument as acknowledge efore me � day V\Lfl 20 by The forgoing instru``mA�nt knowledged- efore me this day of Mi�� \ 20 by this of , \ y_ Name of pers n making statement OR Produced Identification Name of pe n making statement Personally Known OR Produced Identification Personally Known Type of Identification Type of Identification Produced >';:��,,®, STEP ANTE H KU • MY COMMIS H Produced ,`u`PaY•Nu'. _. ' STEPHANIE KUSSRAT H SIO N # GG049347 «MYOOMMISSION# '"FOF• •a�?' GGQ49347 CXPI (Signature of Notary Florida) r27, 2020 (Signature of Nota P11�&- State of Fl)ri a mer 21, 2020 Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Certificate of Product Ketones AHRI Certified Reference Number : 9194891 Date: 03-02-2018 Model Status : Active Old AHRI Reference Number : AHRI Type: RCU-A-CB Series :14 SEER AC Outdoor Unit Brand Name : CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA14NA060*0**A* Indoor Unit Brand Name : Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNP060L Furnace Model Number : Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, 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 CARRIER 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, 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 : 56000 SEER :14.00 EER (A2) - Single or High Stage (95F) : 11.50 IEER : t"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. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published ratina is shown alona with the previous (i.e. WAS) ratino. 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. 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. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSMUTE The Information for the model cited on this certificate can be verified at www.ahrid! rectory.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. ©2018Air-Conditioning, Heating, and Refrigeration Institute iCERTIFICATE NO.: 131644739922535166 2/22/2018 Print Subject: Revised Proposal- JuplterTequesla Air Conditioning From: Sedrick Reid (sedrick@Jupiter-tequesta.corTi) To: kidlifepreschool@yalioo.com; Date: Thursday, February 22, 2018 7:00 PM Please initial by each or my initials (3 lolal) to agree to changes, signal the bottom, and 1111 in account information [or automatic payments or $400/month. about:blank 112 2/22/2018 Print Sedrick Reid //'/P o- 9 Y 561-747-5740 Service 561-745-8975 Fax I ilogonc%v_color "V i[qw,'i -1Vqw,Mxom Attachments - FudlSizeRendcr.,jpg(l.41MB) aboutblank 2/2