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HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8/18/2018 Permit Number:—) RECEIVED - • AUG 0 8 7n1R Building Permit Application errpitting pePart Planning and Development Services St* Lucie Co�,��me"' Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential XXX PERMIT APPLICATION FOR: Mechanical Q PROPOSED IMPROVEMENT LOCATION: Address: 2804 BENT PINE DR, FORT PIERCE FL 34951 Legal Description: Property Tax ID#: 1334-502-0094-000-5 Lot No. Site Plan Name: Block No. Project Name: MARIOTTO Setbacks Front Back: Right Side: Left Side: [DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE AC CHANGEOUT 3.5 TON LENNOX, 16 SEER CONSTRUCTION INFORMATION: Additional work o be oertormed under ispermit—check a appy: HVAC Gas Tank Gas Piping _Shutters Windows/Doors 11 Electric Plumbing ❑Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 5q. Ft.of First Floor: Cost of Construction:$ 4380.00 Utilities: Sewer F]Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameTONY MARIOTTO Name: PHILIP NISA JR Address:2804 BENT PINE DR Company: NISAIR AIR CONDITIONING City: FORT PIERCE State:FL Address: 3700 S. US HIGHWAY 1 Zip Code: 34951 Fax: City: FORT PIERCE State:FL Phone No.772-460-8415 Zip Code: 34982 Fax: 772-468-9745 E-Mail: Phone No. 772466-8115 Fill In fee simple Title Holder on next page(If different E-Mail: KRISTIN@NISAIR.COM from the Owner listed above) State or County License: CAC041199 If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required. SUPPLEMENTAL CONSTRUCTION LiEN LAW INFORMATION: DESIGNER ENGINEER: roc Not Applicable MORTGAGE COMPANY: Not Applicable Name:TONY mARIoTTo Name:PHILIP NISA JR Address:2804 BENT PINE DR,FORT PIERCE FL 34951 Address: 2eoa BENT PINE DR City, FORT PIERCE State: City: FORTPIERCE State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Add ress•vw S.US HIOHwAY+ 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 thepermit 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 OWER:Your failure to Record a Notice of Commencement may result in your paying twice for improvements to y ur property.A Notice of Commencement must bg recorded and posted on the jobsite before the first ins ction. If you intend to obtain financing,consult ith lender or an attorney before commencingwork recording our Notice of Commencement. V Signature of 0ner/Les /Contractor as Agent for Owner Signatu of Con or/License Holder STATE OF FL IDA STATE FLORIDA COUNTY OFsrL�IE COUN OF STLUCIE The forgoing instrument was acknowledoqcl.before me The forgoing instrument was acknowledefore me this STH day of AUGUST 2t by this BTM+ day of AUGUST 2 by PHILIP NISA JR PHILIP NISA JR Name of person making statement Name of person making statement Personally Known xx OR Produced Identification Personally Known xx OR Produced Identification Type of Identification Type of Identification Produced Produced �/kE I tQ i nature of Notary Public-St te, qr ture of Notary Public-Sta q ' • a kR1STW BAffS TS ..... RfSTiN Commission No. FEBRUARY1o•p1 ='. 5�1 - µs S FEBRUARY 19,2019 OMIyiSSI*#LF B )CCtMMI fission No. L44orlt (S Y?-112 EXPIRESF Y.� Zptg area lRESFstNyary.}�. lo�l3aa oie3 a<wrteMvwr REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. CERTIFIED'swummai Certificate of Product Ratings AHRI Certified Reference Number:10259379 Date:08-08-2018 Model Steals:Active AHRI Type:RCU-A-CB Series:MERIT 14ACX SERIES Outdoor Unit Brand Name:LENNOX Outdoor Unit Model Number (Condenser or Single Package):14ACX-041-230' Indoor Unit Model Number(Evaporator and/or Air Handler):CBA27UHE-048-230'+TDR 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,INC,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 LENNOX product is responsible for the rating of this system combination. Rated as follows In accordance with the latest edition of ANSUAHRI 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:39500 SEER:16.00 EER(A2)-Single or High Stage(95F) :13.00 t'Acttve'Model Status are those that an AHRI Certification Program Participant Is currently pmduclng AND selling or offoring 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 f�eellingg or offering for sale. Ratings that are accompanied by WAS Indicate an involuntary re-rate The now published rabng Is shown along with the oravlous(i 6 WASI retina. DISCLAIMER AHRI does not endorse the product(s)fisted on this Certificate and makes no representations,warranties or guarenteea as to,and assumes no responsibility for, the product(s)liatad on this CartMate.AHRI expressly disclaims all liability for damages of erry kind artsing out of the use or performance of the product(s),or the unauthonrsd alteration of data listed on this Certificate-Certified ratings aro valid only for models and configurations listed In the directory at www.ahridireotory.org. TERMS AND CONDITIONS "Imp CertMcste and Its contents are proprietary products of AHRI.This Certificate shall only be used for Indivlduel,personal and confidemiel reference purposes.The contents of this Cerdfloalte may not,In whole or In part,be reproduced;copied;disseminated; aft. .n r-' entered Into a computer database;or otherwise utilized,In any form or manner or by any means,except for the usees Individual, personal and confidential reference. AIR-CONDRIONINe,NEATINO, CERTIFICATE VERIFICATION A RFFRIGEMMON INSTiTUTT The InfOn. for the model cited on this certificate con be verMed at www.shrldlroctory.org,dict On'WfNy Certificate'fink we make life better' and anter the AHRI CerUfled Reference Number and the date on which the certificate was Issued, which is listed above,and the Certlnoate No.,which Is[listed at bottom right 02018AIr-Condltloning, Heating,and Refrigeration Institute CERTIFICATE NO.: iso 1i7s�sw4°s°