HomeMy WebLinkAboutBuilding Permit Application Feb 20 19 02:17p Louie's Air Conditioning 7724296267 p.1
All APPLICAB INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Num er.
RECUM"D
LSa `
Building Permit Application FEB 21 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. LUCIe
EC
ED
2300 Virginia Avenue,Fort Pierce FL 34982. CO U n t�/� FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial4__ Residential
PERMIT TYPE:
PROPOSED'IMPROVEME:NT:LQC -T 0
Address:
Property Tax ID#: �-}'� ��l" Lot No.
Site Plan Name: OLLL Gu QY 'lt N_n Block No.
Project Name: O ss CLA � �C)V- e, Py r'
DETAiLED:.DESatIPTCON o WORK: ;
V r Li ob q A ISS 9-
':CONSTRkTION INFORIVfATtO_N -
Additional work to be performed under this permit-check all that apply:
91echanical _Gas Tank —Gas Piping Shutters —Windows/Doors
/_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ qCR)0-'_ Utilities: Sewer —Septic Building Height:
QtiNtVER/E.ESSEE: °.` :� '' .:. " .•. : `CONTRAC7E)iF
\ Name__Cc--- o'k or_ -hoC 11 . !�'Fri� Name: 1)Vr1n(+
Address: 5 , WS lA�:�_ Company: , I--!)inw'5 AC Se.tyice_ Ar)L-
City: csy- tom. State: Address: (ca'�i x—
Zip Code:7`Ms�_ Fax: City:�tCY ��.�e State:}r f
Phone No. �? - .� Zip Code: cks� Fax:�� C+'- >��
E-Mail:)0eftcn (%6t; `ot41 Phone No _q7ia
Fill in fee simple Title Holder on next page if different E-Mail CLar 5 �� Q Lie; -L
from the Owner listed above) State or County License
If Value of construction is$2500 or more,a:RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
Feb 20 19 02:17p Louie's Air Conditioning 7724295267 p.2
i
I
SUPPLWENTAI.'.:CaNSTRU !qN UE LAW INIPORMATIOl
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip. Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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.
5t.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 Horne'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 AMD
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
1!'1rITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.7
• �C l iY i� �1 L���I� �6
Signature of Owner/Lessee/Cbntractor as Agent for Owner ,54nature of Contractor/License Holder
STATE OF FLORI .A STATE OF FLORIDA
COUNTY OF - U 2A e-- COUNTY OF (At C.t
The forgoing instrWpnt was acknowledged before me The far ping instr ment was acknowledged before me
this day of u 20� by this day of ';-� .2On by
Name of person making stateVnent. Name of person making statement.
Personal) Known OR Produced Identification Personal) Known OR Produced Identification
Personally Y
Type of Edentificatio Type of Identificatio
Produced "' -., AMY K.PEARSON -.11"""" Y K
Commission#FF 235217 PEARSON_;� : Commission#FF 235217
Expires Slay 27,2019 ` Ex ares M 27,2019
R 8.kdTm Tuq F*lrcr"A ONTW-Mg P
P.,n ` Boded Thu Troy Flo,Intxme8CQ38&70111
ZlureNotary Public-State of Florida} gn ur f Notary Public-State of Florida
—of
mission No. `70�� (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
Feb 20 19 02:17p Louie's Air Conditioning 7724296267 p.3
A
ru
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sCERTIFIEE
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www.ahridirectory.org
A
Certificate of Product atin c-%
AHRI Certified Reference Number:7502901 Date:02-21-2019 Model Status;Active
AHRI Type:,RCU-A-CB
Series:SILVER 14
Outdoor Unit Brand Name:AMERICAN STANDARD
Outdoor Unit Model Number (Condenser or Single Package):4A7A4042L1
Indoor Unit Model Number(Evaporator andfor Air Handier),TEM4AOC42841+TDR
Region Southeast and North(AL,AR,DC,DE,F1,GA,HI,KY,M ME),IMS,NC,OK,SC,TN,TX,VA,AK,CO,CT,ID,IL,
1A,IN,KS,MA.ME,MI,MN,MO,MT,ND,NE,NH,NJ,NY.0H,OR,PA,RI,SD,UT,VT,VVA,WV,W,WY,U.S_
Territories)
Region Note; Central air conditioners manufactured priorto 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 I efficiency requirement
The manufacturer of this.AMERICAN STANDARD product is responsible-for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSIIAHRI 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:
Coating Capacity W)-Single or High Stage(9517),btuh:41000
SEER:15.00
EER(A2)-Single or High Stage(95F) :12.50
-"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 produoed."Produclion Sticipped'Model Status are those that an AHRI Certification Program Participant is no longer producing 81.rr is still
sailingaro1,rm%for
sate.that ,co% .
d by WAS indicate an involuntary re-rate. The new oublished rating is shown alono with the DreVIOUS(i.e.WAS)ratina.
DISCLAIMER
AHRr 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 ol the produetts),or the
unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the
directory at%vivmahrldire etc ry.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI.This Certificate shall only beused for individual,personal and
confidential reference purposes.The contents of this Certificate may not in whole or in part,be reproduced;copled:disseminated;
entered into 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-CONDITIGNIMS.HEATING,
CERTIFICATE VERIFICATION Z.RCF-R10171 RATION INWITUTE
The Information for the model cited on this certificate cart be verified atwww.ahrldirectury.org,click an'Verlfv Certificate"link
tre nwke life better
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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 listed at bottom right.
02019Air-Conditioning,Heating,and Refrigeration Institute [CERTIFICATE NO.: 131962500229221965