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HomeMy WebLinkAboutRacine Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7-27-18 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 8490 Lavender CT Port St Lucie FL 34952 Legal Description: SAVANNA CLUB PLAT THREE BLK 28 LOT 17 (OR 3161-2690) Property Tax ID#: 3425-703-0299-000-4 Lot No. 17 Site Plan Name: Block No. 28 Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Change out 3 Ton Trane 15 SEER Packaged Air Conditioning System with 10kw Electric Heat CONSTRUCTION INFORMATION: Additional work to e er orme under this permit—check a that apply: �HVAC 11 Gas Tank Gas Piping ❑_Shutters ❑Windows/Doors Electric ❑ Plumbing ❑Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 5,675 UtilitiestSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Mary N. Racine Name: David Poling Address:8490 Lavender CT Company: All Star Air Inc City: Port St Lucie State:FL Address: PO Box 881634 Zip Code: 34952 Fax: City: Port St Lucie State: FL Phone No. (256) 226-1992 Zip Code: 34988 Fax: 772-878-0325 E-Mail: Phone No. 772-878-0425 Fill in fee simple Title Holder on next page ( if different E-Mail: allstarair@yahoo.com _ from the Owner listed above) State or County License: CAC1816883 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone zip: 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 P m makes no representation that is granting a permit will authorize the permit holder to build the subject structure t which is in conflict with any applicable Hoe 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 v46-rk or re ding your Notice of Commencement. Signature of Owner/L ssee/Co ctor as Agent for Owner Signature o on__racto Lic se Holder A STATE OF FLORIDA STATE OF FLORIDA COUNTY`OF COUNTY OF Saint Lucie The fn2ing instrument was acknowledge beforeme The forgoing instrument was acknowledged before me July. this=7 day of 1 1 18 by 20 LW by this 27th day of -120 David Polin2 Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced (Sig ature of Notary Public-State of Florida (Signature of Notary Public-State of Florida Commission No. F T"� 1GOLi 5; (Seal) Commission No. FF 1. _N1C"0LAW4)k6BER3 My COMMISSION 0 FF916245 • EXPIRE, 24. h 398-0 3 Fkwkler4ola NIC S J AL811 — REVIEWS FRONT 1 - C R NS VEGETATION SEA TUKILE-- IMAI E • 94 COUNTE = WXP1- S&Z IEW REVIEW REVIEW REVIEW 2019 DATE "3"-Olm RECEIVED DATE COMPLETED Rev-8/2/17 This combination qualifies for a Federal Energy Efficiency tax Credit when o placed in service between Feb 17,2009 and Dec 31, 2016. 1 rectory.org Certificate of Product Ratings AHRI Certified Reference Number:9113315 Date:07-29-2018 Model Status:Active AHRI Type:SP-A Series:XL15C Outdoor Unit Brand Name:TRANE Outdoor Unit Model Number (Condenser or Single Package):4TCY5036A1 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, NE, NH, NJ, NM,NV, NY,OH,OK,OR, PA, RI,SC,SD,TN,TX,UT,VA,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 TRANE 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:36000 SEER: 15.00 EER(A2)-Single or High Stage(95F) : 12.00 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 far 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)rating. 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.ahrid!rectory.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 INSTITUTE 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 bettef 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 CERTIFICATE NO.: 131773871399762254