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Lambert Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 05/07/2019 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 1300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT TYPE: Mecha(IICal PROPOSED IMPROVEMENT LOCATION: Address: 13509 NW Wax Myrtle Trl Palm City, FL 34990 Property Tax ID #: 4436-601-0023-000-3 Site Plan Name: Project Name: William Lambert DETAILED DESCRIPTION OF WORK: Lot No.23 Block No. REPLACE A/C EQUIPMENT LIKE FOR LIKE CHANGE OUT TRANE 2.5 TON 16 SEER W/8KW CONSTRUCTION INFORMATION: Additional work to be performed under this permit –check all that apply: )(Mechanical _ 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: $ 5,964.00 Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name William Lambert Name:Timothy Wojcieszak Address:13509 NW Wax Myrtle Trl Company: Krauss & Crane Inc City: Palm City State: _ Zip Code: 34990 Fax: Phone No.772-340-3436 Address -904 SE Dixie Hwy City: Stuart State: FL Zip Code: 34994 Fax: 772-283.4055 Phone N0772-287-1227 E-Mail:N/A Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail admin@kciac.com State or County License CAC1 818726 IT value OT construction is SZ5UU 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Na e: ORTGAGE COMPANY: Not Applicable me: Ad re A ss: City: State: Zip: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER. Not Applicable Name: BONDING COMPANY: Not Applicable 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. 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT" (.� W i ` Signature of Contra r/License qolder Signature of Owner/ Isee/Contrattor as Agept for Owner STATE OF FLORIDASTATE Maf+i n OF FLORIDA Ma(-hn COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me this�dayof��20�N by The forgoing instrument w s acknowledge before me thls�dayof Mal 20 ti by il�na-hLa �io'►r,ie�+K- 7'i rnr�..�-h� w�i�ies2ak Name of person making statemnt. Name of person mAk'nj stathment. J Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced tProduced / / f.1/j ✓� at� (Signature oftdtdF§ Public- State Florida) di",J,'_ of (Signature of Notary uublic- State of Florida ) Commission No. Cib 8g;L69S (Seal) Commission No. 61Iia 3A;�5g5 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. 2/ // 19 �• 1 ! f �j'.I�/rte i`F` '.. •_•`. - This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. CERTIFIED D ficate of Product Ratings F ference Number: 8626653 Date: 05-07-2019 Model Status : Active -A-CB Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6030JI Indoor Unit Model Number (Evaporator and/or Air Handier): GAF2AOA36M31+TDR 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. 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 TRANE 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 (95F), btuh : 28000 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. _Ratinus that are accomeanied by WAS indicate an involunlary re-rate. The new published rating is shown alona with the crevices (i.e. WASI mora. 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 products) 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.shrldirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, In whole or In part, be tlissemina entered Into a computer database; or otherwise utilized, In any term or manner or by any means, except lar the user's Individual, , except for he use; 1, personal and confidential I¢f¢r¢pae. AIR-CONpmONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on `Verify Certificate' link xe make life better- 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. -- - ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132017059515863653