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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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: Permit Number: Building Permit Application Address: Ou 14 i angeio unve, i -ort Pierce, FL 34982 Property Tax ID #: 3402-610-0400-000-00 Site Plan Name: Project Name: Commercial Residential x L DETAILED DESCRIPTION OF WORK: A/C Change Out Like for Like- 2 Ton 16 SEER with 5 KW Heat strip Lot No. Block No. I CONSTRUCTION INFORMATION: —I Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 3800 Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: _Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Brice Mauphin Name: Ramon Lalloo Address: 6014 Tangelo Dr Company: Frigid Air LLC City: Fort Pierce State: _ Zip Code: 34982 Fax: Phone No. 330-503-3477 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) E -Mail Ray@fdgidair.cool State or County License CACI 819319 •• --•-•� �..v..a... --w -,—vu vl I IIvi C, q RLVvRUCu njuuce Or LOmmencement 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 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: Zip: Phone: City: 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 T OB SITE BEFORE THE FIRST INSPECTION. IF YOU 1 D TO OBTAIN FINANCING, CONSULT WITH Y LE O RNEY BEFORE RECORDING YOU TIC F CO N MENTI" Rev. 2///:L9 ignature of 0 e9ssee/Contractor as Agent for Owner ' S' ature of ConPIDA ense Holder STATE OF FLORIDA STATE OF FLO COUNTY OF Sla � Lamle COUNTY OF 'SCXk(* e - The for oing instrument was acknowledge before me 1 The for oing instrument was I acknowledged before me this day of 20a by this day of � 20 1 9 by Name of person making/statement. Name of person making statement. Personally Known v OR Produced Identification Personally Known \.// OR Produced Identification Type of Identification Type of Identification Produced Produced /Avila. (ig ature of Notary Pu - PU �, IAEL CLINTON g nature of N i���c++�+P ,f FI r ��.'H ��ZPaY PU �i RACHAEL CLINTON °� `,1PAY fir%Notary Public -State of Florida Commission No =_° Notary Public-0QGIbf Florida Commission No. =• �� Com6C@i4n # GG 318424 '= ommission # GG 318424 :,�2 My Commission Expires My Commission Expires01, f�a't�• 2023 REVIEWS FRONT ZONIN SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2///:L9 Certificate of Product Ratings AHRI Certified Reference Number: 202362884 Date : 05-17-2019 Model Status : Active AHRI Type: RCU-A-CB Outdoor Unit Brand Name: YORK Outdoor Unit Model Number (Condenser or Single Package) : YCE24622 Indoor Unit Brand Name : ADP Indoor Unit Model Number (Evaporator and/or Air Handler) : SK3(7,8)24+TD Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, 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 ADP 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 : 22800 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.20 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. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published rating 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; Ar 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-CONDITIONING, 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 we 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. 132025687826130585 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: