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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Cni <i AIT V
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: AC Changeout
PROPOSED IMPROVEMENT LOCATION:
Address: ' 'v Cd51 Hluea at.
Property Tax ID #: 3419-515-0241-000-7
Site Plan Name:
Project Name:
Permit Number:
Building Permit Application
Commercial Residential x
DETAILED DESCRIPTION OF WORK:
A/C Change Out Like for Like- 3 Ton 14 Seer Package Unit with 8 KW Heat Strip
Lot No.
Block No.
I CONSTRUCTION INFORMATION: 1
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3900
Windows/Doors
Sprinklers _ Generator — Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Barbara Howe
Name: Ramon Lalloo
Address:116 E Aldea St
Company: Frigid Air LLC
City: Port St. Lucie State: _
Zip Code: 34952 Fax:
Phone No. 772-486-3237
Address: 1651 SE Goucho Ave
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No772-212-1113
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If 1121... of ......+.....+:....:.. dfrnn __ .Y _---
E -Mail Ray@frigidair.cool
State or County License CAC1819319
- --- ---------• •- ----- ••• .., ....�...,....�. '.WLM= Vi •.v111f11eflGCmenL Is requlreo.
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
V VV IV CK/ LUIV 1 KAL I UK AMMUV11: 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 COMM NCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YO TEND O OBTAIN FINANCING, CONSULT
WITH YOU DE OR AN ATTQRNEY BEFORE RECORDING YO NOTICE Q)K COMMENCEMENT."
Signature of
as Agent for Owner I Sknature of
STATE OF FL RIDA I STATE OF FL
COUNTY OF (\� (-Lyle COUNTY OF.
Holder
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1-1 day of 20 \Q by this --La day of M� i_ 204 by
Name of person making statement.
Personally Known `� OR Produced Identification
Type of Identification
Produced
4(Si ature of Notary "f..e. 61
4."`Y RACHAEL CLINTON
4�
Commission No. :':Notary PupSiral�tate of Florida
*_Commission # GG 318424
�•�,�F�o�° My Commission Expires
Name of person making
/statement.
Personally Known OR Produced Identification
Type of Identification
Produced
hr� aaj a
(Sign ture of Notary Public -Sat o FI ri a
111111 , R CH,�AEL CLINTON
Commission No. �'o`'� �a�ns_ Not Iic-State of Flori
N Commission # GG 31842
",""' pril 01, 2023
REVIEWS FRONT ZONING SUPERVIS R PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
CERTIFIED°
www.ahridirectory.org
Certificate of Product
Ratings
AHRI Certified Reference Number: 202356656 Date : 05-17-2019 Model Status : Active
AHRI Type: SP -A
Series: LX SERIES
Outdoor Unit Brand Name: YORK
Outdoor Unit Model Number (Condenser or Single Package) : PCE4A3022*
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 YORK 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 : 29200
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.20
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.
Ra_.ti- that are accompanied by WAS indicate an involuntary re rate The new published ratino is shown along with the previous (i.e. WAS) 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.ahridirectory.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 reproduced; copied; disseminated;
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, �®
ILI
personal and confidential reference.
CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING,
& REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life bettei—
which is listed above, and the Certificate No., which is listed at bottom right.
©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132025692381608675