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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01/08/2019 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 XX Residential XX PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 5155 N Highway A1A, #111 Legal Description: OCEAN HARBOUR CONDOMINIUM C- UNIT 111 AND UNDIV SHARE IN COMMONELEMENTS (OR 3114-1457: 3564-808: 4006-1157) Property Tax ID #: 1411-707-0001-000-2 Site Plan Name: Project Name: Brache Residence Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Replace a/c equipment, like for like Rheern 2,0 ton 14.0 SEER with 5kw electric heat CONSTRUCTION INFORMATION: Lot No. Block No. 11—HVAC wor to e e Orme under this permit — check all h apply: L_JHVAC M Gas Tank ❑Gas Piping Shutters Q Windows/Doors ❑Electric E] Plumbing Sprinklers 11 Generator LJ Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 3500.00 Sq. Ft. of First Floor: Utilities: Sewer 0 Septic OWNER/LESSEE: Name urge & Nancy Brache Address: 913 Jackson Way City: Hutchinson Island State: FL Zip Code: 34949 Fax: Phone No. (305) 986-2054 F -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Wanda Gahn Building Height: Company: AC Buddy, Inc. Address: 3746 Seminole Rd. Citv: Fort Pierce Zip Code: 34951 Fax: Phone No. (772) 480-4136 F -Mail: acbuddyinc@gmail,com State or County License: CAC 818909 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. State: EL SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: xx Not Applicable Name: MORTGAGE COMPANY: )r Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: )C Not Applicable Name: Address: 3746 Seminole Rd. BONDING COMPANY: Not Applicable Name: 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 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 commeni'cine work, ar recording your Notice of Commencement.. Rev. 8/2/17 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA e_ STATE OF FLORIDA COUNTY OF 5t-L.d COUNTY OF ;+ Thefor Ding instrument was acknowledged before me this gi day of JB aru , 20-ftby The fargoing instru ent was acknowledged before me this Ionday of nu_Lar- 2019 by wa i7 U a tsahr% Wanda Gahn Name of perso making statement Name of person making statement Personally Known OR Produced Identification Personally Known xx OR Produced Identification Type of Identification Produce Type of Identification Produce N/A 14 (Solature of Notary Public*v4csivo, R. Persons (' nature of Notary Public- State of Florida ) NOTARY PUBLIC Kristina R. Parsons Commission No.6— � 0190WMP OF FLORIDA I Irghs�ina Commission No. GG09as3s Y PUBLIC Comm# GG090836 ='� f' -+STATE OF FLORIDA Expires 4123/2029 2 Comm# GG09a836 'a F ti9 Expi s 4 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 Ratings AHRI Certified Reference Number: 201252415 Date - 01-08-2019 Model Status: Active Old AHRI Reference Number: 7523712 AHRI Type: RCU-A-CB Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1424AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RHAL-FR24P Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, INC, 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 RHEEM 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 : 24000 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 Fut are not yet being produced.`Produchon Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accamparaied b WAS indicate an involuntary re rate The new published rating is shown along with the previous (i-3. WAST 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.abridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI- This Certificate shall Duty be used for individual, persanal and ®� confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; IL entered into a computer database; or otherwise utilized, in any farm or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The Wormatlon Tor the model etted on this certificate can be verified at www.ahrldlrectory.org, click on "Verify Certificate' link e « l.e lire b cc�r� 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 fisted at bottom right 131914676562994509 cU2�19Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: