HomeMy WebLinkAboutBuilding Permit ApplicationAll l APPLI BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02!2612019 Permit Num b er:._ -.
uildin Permit Application
Pian ning and Deverop. ent Services
84)j ,din q and Code Regulo ti err DivhSiOn
2300 Virginia A venue, Fort Pees Ft -982
Phone: (772)462-1553 Fax- (772) 46 -1578 Commercial Residential!.
FkRVI[T-rYPE: HVAC Mechanical AG Changs Out
PROPOSED IMPROVEMENT LOCATION:
7326 Bob 'Link Way, Port SainZ LLJCie , EL 34936
Property Tax ID #- 3322-505-:0057-000-2 Lott o. 48
Site Plan Marne: MAID TONE (PB 43-11) LOQ 43 (OR 2019-1:142) Blo-ck No.
Project Name: HVAC MeChanic2l AC Change Out, LIK�-: FOR LIFE
DETAILED DESCRIPTION OF WORK:
AC Change Out, Ins II RHEEM 4 Ton, 16 Seer. 10 KW Heater, Straight Cool plot ystern� LIKE FOR LIKE
cvNsraucT+aN INFORMATION:
---
Additional work to be performed u rid er tb 15; -permit - �h eck all that apply:
Mechanical
Electric
Gas Tar)k
Plumbing
taaS Piping
— Sprinklers
Total Sq. Ft of Construction;
Opt of Con strru tion , [
Shutters -_ Wit down Doors
Generator Ixoof Pitch
. Ft. of First Flom:
utilities: Sewer _ Septic
Building Height'.
''NER/LEEE�
CONTRACTOR:
Name Christine L;air)g - Narne. .2[tY ertoslmo
Address: 732.6 Bob +'Link Way Company; ,fir Temp Al Conditioning, I n e. .— .
pity=
Fort Sa int Ludo State: Address-, 651 NW Eruerprise Drive Suite#107
��.. -�_
d1 34986 Fax: pity- Port ain't �%icie State:. FL
PhoneNo
, 772-463-3212 Zip Code: 98 _Fax.
rE , a i I _ chrisla i rig hotm;a." I.eom i Phone No772-340-0742
Fill i n feesimple Title Fabler on next page ( if different
from the Owner listed above)
E -Mail a'rkemp.ac@ya h _ cora
State or County License CAC 1 S 14$37
if va[ue of construction is $250 or mire, a RECORDED Notice of Commencement . _ t required.
if va I ue of HVAC is $7,500 or m ore, a R ECOR DE D IN otke of Corm rriencement K reciuired.
SUPPLEMENTAL T: L CO STRUCTIO LIED LAW INFORMATION:
DESIGNER/ENGINEER:
Marne:
Address_
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City-
Zip-
OWNER/
ity-Zip.
Phone_
Not .Applicable
State —
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address-
'City-
Addre s_'City; - _ .. State,
zip: Phone -
BONDING COMPANY:
Name-
Address-
City:
ame-Address.:City:
ZIP- Phone-.
—flat Applicable
O NERS' CONTRAC1011 AFFi DV IT: Application is hereby made to obtain a permit to d o t h e work and i n r.a I I ati.on as indicated.
I certify that no work or :.nstellation has commenced prior to the issuance of a permit.
St. LucileCounty makes no representation that is granting a permit will authorize the permit Molder to build the subject structure
which is i n conflict with any applicable Horna Owners Association rules, bylaws or and covenants that r ay restrict or prohibit such
ructure. Plea:w consult with yGur Home. owncr!� Asssociation and reviews your deed for any restrictions which may apply.
I n con siderati on of the gra roti ng of th i S req u ested permit,1 d u h e rebs} agree t hat I wi I I, in a I I respects., per c) rrn the wo res
in accordance with the approved plans, the Tri d a Building Co d cs and St. Lucie County A.rnen d ment-s-
The following h u Ming pe rm it applications a re axe rnpt fro rn u n dprgo i ng a fu I I c.o ncurrency revi cw - roo m a d di1; i an s,
accessory structures, swimming pGols, fences, Walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your fail-uTe to Record a Notice of Com. menceme:nt may result in your paying trice for
improvements to your property, A Notice of Commencement must he recorded and posted on the Jobsite
before the first Inspection. If you Intend to obtain 1`inarcin + consult with lender or an attarney before
commencing. work or recording your Noti-ce of Com mencennent.
5[g nat u re n# Own erg' Le ssee/Centra ctor as Age nt far Ow ner
STATE 4F FLORIDA ^
COUNTY OF
'Theng instr ,eras acknowle-dgedJ?PfGre me
this ay of 20 by
Narne of person rriako tatemed
Personally nally Known 0 R P rod uced Idenl:if i catio n
Type of Identification
produced
r
(Sign kard of Notary Public- State oTlP1orida
Commission No.
REVIEWS
DATE
R E CEIVE D
DATE
COMPLETED
T (qeJ#y Puh!-Z $.13!6 0 FbWirJ
Catrierine Donna Mahan
My C Orrtrmovon GG 17 $1
�ExGs�
Signature sof Contractor/License Holder
STATE OF FLORIDA
COUNTY OF � L. C'1 --Z
The fair wing in stru rl nt was acknuwjledged aef€ l e me
this 44413y of W Vru AhA 2 by
N a me od person m a i ng statement_
PersortaIly I nown OR Produced Identification
Type of Identification
Produced
(Signature
m95irY lel
ry Public- S
FRONT a NS ! VEGETATION
COUNTER I REVIEW REVIEW REVIEW f REVIEW
r
e
/* (=1PLRbRc Start or FiEfic
V MY -Commifis.�.n Gni 17� l
Exp:,.ms Q 1; 1 d.2C,22
S EA TL! RTLE I ANG R O
R EV I E*V RME +
This oombInation quasi es for a Feder -al Energy Efficiency tay, Creel when
Placed in service between Feb 17, 2009 and Dec 31, 0 f 6.
AHRI Gertifled Referenge Number ' 241294 G�1-23-2018
Otd AHRI Rofar*nco N�urrhb�_-r - 79435 5
AM Type , ROU -A -DB
Series
Cutti00Y Unit Brand Name ; RHEEM
Ouldnor Unt M&W Number (C4ndelnsLrcr $inglo Package) _ RA j 4.J1
Indo6T Unit Brand Name
orio�r U. -fit hat1 Number {Et Lor andlar Air ,4analpr) = RH i T4821 TAN
Furnam Model Number.;
ModBI Sta°Vs - AdjVe
P.@[grvR , Q (AK, AE, AR, ,+ , CA, CO, DT, X. DE., fL, GA. trip ID, IL, Inti, IN, ISS, KY. Ll, MA, MID, ME, IVIF, IVIN, MO. IMS, P T, NC, ND, NE, NH.
No', NNI, NV, NY, OH, OK, OR, PA, R1, ,� SD, TN. TX, LFT, VA,VT, WA. WV. W11,W, U.S, 'Torritodes)
RDginn Nota , C�2nlra,l air di iQnp- - rnanufautured p6artiD January t, 2015 are oliyibLe to be insWlecl i -I all reginno uoltill June IQ, 2415_
Segirming July .1, 201-6 iAntral air wndition:el_ -can only tye ins.1aijud in region(s) for whicty trey maut the regal L-gTiciency
req uiremen%y
i Fro mar; irfacturaf of this R HE 41 peoda . is resportsirMe for the raking of thissyAtern combinati nn.
Fated as fall-ow5 in aG=dano5 Asim tele latest ediborE & ANEWAHRI 21W240 with Add�mda 9 and 2, Performance Rating of Un" Air-Conoilioning
& Air -Source Heat Pu -m Equ prn*tnt and subject to rating accuracy by AHRI-spon d, indP- ridenL third pArly teatirig:
Cooling C:@Qity (A2) - Single or High, Stage (95F), btvh . 45000
SEER 16-00 CA21- Singla Drljig.h ;tags {95i=j - 18.00
EFS .
-rAcVvx" M*ftl &SSE are 4hQUrthet an ARAI Cervfiost;)on pre TaM PaT66pPink W mpmmndy,�-.'0dLuc irq A141D s6iing or nffwT"g for .sem; OR n'D'%v rncdel, `.hn5 arc b3IRI
trut am r„at last bBing pr rvd.'Pro+cuaji r3 Giopped` MftdW. Sialus are it c they an AHRI ration Prcrgrsn, Por4ioipr n . 19 iia ILjn!3rr pr cd_ucnq 13UT Ir, Gthl
IeMilg or offering fr#r 4a1e.
to-dn that af� 'ex.ornpanied h._ aVAI,', ;ndic:3tp kmlun ar 3r! ix� a �h>� i� ar14+� along vriah tl� rtm �u,u�
=-� - Thi r7:.°riiit:l' fi: WAA n,inr ,
-�- y_, "_...
DISCLAIMER
AHM d nod endorse [Ftp prodauts) listed on thiF, Cer•titic;ato and make, nip representafiaruq, wnrran:ties cr &unr Ant a5 to. and 7F'surnes no rtsponsiblift tow.
the Pee s] dieted an this Cer[Wt.te. AHPd spucszly dlsetalmy. ,il liability for damages of eny 5dnd¢ mising "t aur the urm c�T er1c rmancm :VF the p duct(r.), or
Me
unakithofIzed alteWivn of data luted -on this Cetlifir-otc- CWIf!ad r;rlin95 are valid only fk�rTnodals and mnfigurations list&d in thti,
dlireffimry ?f>!t I.. -
TERMS ANI) CONDITIONS
This rtirncat-e and it°i comwntsare pwp ictary± paod"t!„ of AFRI. ?.15 Certifcate shell only be used for Individual, pu-sanat .inti
confldenri,I reference pdrp"f s. The contertits� cif'zals Certlflcato .mow not, In W11ole or In part, be topgoducej; cGpled. diFs•arrdnated;
&ntered Into a WmPUW1 databaw; or Qtherwise utilized, in any form or manna: C by any means, wc@pt far the uFer,s indhidual,
pewinul and QDMr00zttial reference_
CERTIFICATE VERJFft;AT-[QN
The Inf-ormition far the need-! 4;it4:,d -Dn thj:�i- lr-at,c can be verified at v�r,a.ih�3dt, cu.,°:..: click on ;rs:r��iiF��,r�^ link
01°id a flur [he, AHRI d.ertltl" Rorcrenm Number and the d;MV on which the cerfficane was went_
which Is Ilsted bbovr, and the is ertifloate No-, whk h is dished at I!WI.orn right
AHM
A. rzCWR1 ERATIGr;: 1'4F`TiTU7r
Wt mike• lits l?_-itLT '
201 BAir-Cond f-flo nin , He;ating, and R-efrlgeration Institute CERTIFICATE NO..' 1316121i�T250765430