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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Gate: O Permit Number: _ Building Permit Application Planning and Development 5ervices Building and Code Regulation Division m obi (6 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: .15bo� Ann Lei Legal Description: C'_000,pt 1 Ani4'I Property Tax ID #: a L4.21.0 — �,2LC "f — b (off 4 V oa C-'? Lot No.� Site Plan Name: Project Name: �.TjJ x7E,llS Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: Block No. CONSTRUCTION INFORMATION: AdditionalworRtoonirformed under this permit — check a apply: HVAC Gas Tank ❑Gas Piping _ Shutters 1:1Windows/Doors Electric Ej Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: I /f) ';2, Sq. Ft. of First Floor: Cost of Construction: $ q '7 EQ Utilities: Sewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name / 0LAC r7,,:2— i 0 �(3fl1� �G ! Name: TODD DEJARNETTE Address: /o O � s � ��Q Q r� / Company: GX AIR CONDITIONING City: �F-����C� �_ State: FL Zip Code: : j 4Q 15rP_ rax: -- Phone No. 35!, —L4 (U k — ::1220-0 eAL c6 Address: 1401 SW MEDINA AVE City: PORT ST LUCIE State: FL Zip Code: 34953 Fax. Phone No. 772-344-5520 E -Mail: 9xairheat@yahoo.com State or County License: CAC1814487 Z__Me: L6 15;1SEL Fill in fee simple Title Holder on next page ( if different from the owner listed above) 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: City: State: Zip: Phone: Address: City: State: Zip, Phone: BONDING COMPANY: _Not Applicable FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 commencin; work or recording your Notice of Commencement. (),0 re of Owner/ Age / Lessee STATE OF FLORIDA5 L COUNTY OF Lt-Ljj e - The fing instrument was acknowledged before me this Jorgoday of 20 JM he (Name of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known �, OR Produced Identification Type of Identification �r t Commission No. Revised 07/15/20 14, ture of Contractor/Xicense Holder STATE OF FLOR COUNTY OF AL CA.>°i The fo ing instrument was acknowledged before me this %ay of 20ASby (Name of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identiffc.i� � �-d — 1p�Eetary BORAH RUSSELL-,��:►a Pis' DEBORQ�I RI $SELL Notary �Aic - State of Florida Commission No. ' ° �` Publi a of Florida Commission u FF 175630=5 Commission # FF 179630 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Retinas AHRI Certified Roference Number: 0215491 Date: 07-18-2018 Model Status: Active AHRI Type - SP -A Series: R41 OA AC SPP Outdoor Unit Brand Name: BRYANT HEATING AND COOLING SYSTEMS Outdoor Unit Model Number (Condenser or Single Package) : PA4ZNA036000—" 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 Territones) 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 BRYANT HEATING AND COOLING SYSTEMS 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 (9517), btuh : 35000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 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 ars not yet being produced. -production Stopped" Model Status are those that an AHRI Certification Program Partiapant is no longer producing BUT is stili selling or offering for sale. Retinas that are accompanied by WAS indicate an involuntary re -rate The new published rating is shown alona with the previous tie WAST rating DISCLAIMER AHRI does riot 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 arty 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.ahrldirectory,org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, petsonal and confidehtlal reference purposes. The contents Of this Certificate may not, In whole or it, part. be reproduced: copied; disseminated; ■� `� entered into a computer database; or otherwise utilized. in any form or mahher or by any means. except tar the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this eartificate can be verified at www.ahrldirectory.org click Oh 'Verify Certificate' link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, i" kc ldt b"I", which is hsted above. and the Certificate No.. which is listed at bottom right. - --- ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE Na,: 131764345404554123