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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: - (o - <Qn j A Permit Number: L501t k. W_N_ Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34482 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Mechanical LPROPOSED IMPROVEMENT LOCATION: Address: _tz> } J L}A QW � L Legal Description: 'pT Property Tax ID #: AS It - 5;3L_5— (­7pp''7 - ntnt" — 7 Lot No.�_ Site Plan Name: C!3 PQ 1- 1;7 Block No. Project Name: l�L:_--oz Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: �%-�F mar 61: -'ror_L-�- S`-T'�M I C) I -Z CONSTRUCTION INFORMATION: Additi.wnal work to be Pertormed un er t is permit - c ec a app y: HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors 1 J Electric Plumbing Sprinklers Generator Ll Roof Roof pitch Total Sq. Ft of Construction: 1q -2) _ S. Ft. of First Floor: Cost of Construction: $�5 Utilities: Sewer Septic Building Height: OWNER LESSEE: '� �j �� CONTRACTOR: Name I -GE r i--i�. 4' ame: CRAIG CANTRELL Address:�25 we� ON. 1��' Company: AMTEK AIR CONDITIONING, INC City: +�r� !t�Tr ul _--i ir State Address: 571 NW MERCANTILE PL #112 Zip Code: _04 1 � Fax: City: PORT ST LUCIE State: Phone No. 5(rl - Zip Code: 34986 Fax: E -Mail: Phone No. 772-801-3465 Fill in fee simple Title Holder on next page 1 if different E -Mail: AMTEKAC@GMAIL.COM;DNSSERVICES5598Ca from the Owner listed above) State or County License: CAC1816639 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: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name.- Address: ame:Address: City: Zip: Phone: _ State Not Applicable City: State: Zip: Phone: BONDING COMPANY: Name: Address: vJ City: Zip: Phone: Not Applicable 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 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 yogr Notice of Commencement. Signature e Owner/ Agent/ Lessee STATE OF FLORIDA COUNTY OF .eA The forrrI.gping instrument was acknowledged before me this,duy of'Yrr,�e/ 20Lgby 4 2� (Name of pers'gn cknowledging ) (Signature of Notary Public- State of Florida ) Personally Known J�OR Produced Identification Type of IdentiflWJ. QA Producd ':ave^oeDtBORAli RU6�FLL Commission No. , .., rkry e„wlc sWu:(6M1) Commi:ision # FF 119, REVIEWS DATE RECEIVED DATE COMPLETED Signature of Co or/License Holder STATE OF FLORIDA �L COUNTY OF__ Li— Z_- A(` *e— The for oing instrument was a knowledged before me thi day of -2 OLE by (Name of perkri cknowledging ) (Signature of Notary Public- State of Florida ) Personally Known V____OR Produced Identification Type of Identifi �atiQn Produced Commission No COUNTER— ERW I ROEVIEW I S REVIEWORI REV EW DEBORAH(tLL e = Nulary Public - 5talu of Florida c Commission # rr 179600 My Comm^CxpirorNov: ft C^1R , 6�ATt€MikU.R Ek:I.tA>D,N ROVE REVIEW REVIEW I REVIEW Certificate of Product Retinas AHRI Certified Reference Number. 9431778 Date : 09-05-2018 Model Status: Production Stopped AHRI Type: RCU-A-CB Series: 16 SEER AC Outdoor Unit Brand Name: PAYNE HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : PA16NA048'0"B' Indoor Unit Model Number (Evaporator and/or Air Handler) : PF4MNB049L Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI. KY, LA, MD, M5, NG, OK, 5C, TN, TX, VA, AK, W, 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 PAYNE HEATING AND COOLING 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 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 : 46500 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.50 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 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. Hit pas that are accompanied by WAS ndicate an involuntary re -rate The new Oubliah d rating is shown along with the previous (i.e. WAS) ratina. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes rro responsibility for, the produrt(s) listed on this Certificate. AHRI axpressly disclalms all liability for damages (il any kind arlsine out of the use or perfnrmanrn of the prnduct(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and cohflgurations listed in the directory at www.ahvidirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and As "12, confidential reference purposes. The contents of this Certificate may not. in whole or in part. be reproduced: copied; disseminated; into .. ,' entered 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 mode) cited on this certificate can be verified at www.ahrldirectory.org, dick on "Verify Certificate" link and enter the AHRI Certitled Reference Number and the date on which the certificate was issued. i ,.lilt bcucr'" which is listed above, and the Certificate No., which is listed at bottom right ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131BOW22979288870