HomeMy WebLinkAboutBuilding Permit Applicaiton May. 29. 2019 4: 18PM No. 2987 P. 2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED •
Date: 5/29/2019 Permit Number: 1Cic 61
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COU f ITY ,
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Building Permit Application
Planning and Development Services -
Building and Code Regulation Division
230D Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-2578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical •
PROPOSED IMPROVEMENT LOCATI.ON: .
Address: 103 Tropic Court Fort Pierce,FL 34946
Legal Description: SHERATON PLAZA UNIT 2 REPLAT LOT82(OR 191-905)
Property Tax ID#: 1432-805-0082-000-9 Lot No.82
Site Plan Name: Lucille Owens Block No.
Project Name: Lucille Owens .:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
•
I,.
HVAC EQUIPMENT CHANGE OUT; MAKE-CARRIER;A/H: FX4DNF043L00; C/U:
CA14NA04200G; 8KW; 15 SEER: 3.5 TON
.
'*CONSTRUCTION INFORMATION: . . •
• ••mono wor to •e e orme. un.er t is permit—c ec a iFi app y
Lr.-.IHVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
0Electric 0 Plumbing DSprinklers [lGenerator El Roof
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ $3874.00 - Utilities: Sewer U Septic Building Height: _-
OWNER/LESSEE_: '. .. •• • . - • ••CONTRACTOR:' •
Name Lucille Owens Name: DONALD O'BRYON
' Address:103 Tropic Court Company: Preferred Air Conditioning&Mechanical, Inc.
City: Fort Pierce State:FL Address: 1643 DONNA ROAD
Zip Code: 34945 Fax: City: WEST PALM BEACH State;FI-
Phone No.772-4648157 Zip Code: 33409 Fax: 5614780089
E-Mail: Phone No. 5616891093 11
Fill in fee simple Title Holder on next page(if different E-Mail: TRICIA@PREFERREDACMECH.COM 11
from the Owner listed above), State or County License: CAC1817665
1
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
May. 29. 2019 4: 18PM No. 2987 P. 3
•SUPPLEMENTAL CONSTRUCTION:LIEN LAW INFORMATION:.•• , ••
.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: _State:
Zip: Phone: Zip: Phone:_
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable
Name: Name: .'i
Address: _ _ Address:
City: City:
Zip: Phone: Zip: Phone:
•
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 apermit 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:roam 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 jobsite
before the first inspection. If you intend to obtain financing,consult , " h lend:,r,-r an attorney before
commencinj work or recording your Notice of Commencement. '��; .
I.
Lucille Owens Oft:mum -�
Oo+n:mnaaa i.a�oaw S
_Signature of Owner/Lessee/Agent Signature''ontra• or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY°Emu BEACHCOUNTY.OFP PAL"
The fo Ing ins y- t s acknowledg-, •efore me The forgoing instrum• t was acknowledged .efore me
this ay of Ii AI -------_- i`is day of 20 b
. „ ' -CIA RADD INN
•
'� MY COMMISSION#FF 211587 1 TRICIA RADD 'Glleown +*' °"' °�S EXPIRES:July 18,2019 1: NAinI �� MYCOMMISSION#FF 2115� �-�' ��'•• ✓.4 ��• a 1YU� Ilun' ire
i 'k: i
(Named k r
of pe;. .•? f"„ty,,...__° -- I'
.—' -me•;1:r" Tedin y —,—--~ . ., • , . :119 ,�.Al J. tiivAN g - >�,,4; Banded Thru Notary Public Wide g,rs '
i
ign. e .• .r'-•rell - e of Florida) ('-•Mi -rAlioate of Florida)
Perso .Ily Know OR Produced Identification X •_ sonally own x OR Produced Identification
Type of I.-ttifi -tion Produced 9R11IRSUCENSe ---- T .- . :•-ntifiration Produced
Commission No. FF211587 (Seal) Commission No. FF211587 (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE —_— _
INITIALS
May. 29. 2019 4: 18PM No. 2987 P. 4
ram i
i• CERTIFIED
www.ahridirectory.org
Certificate of Product Ratings
AHRi Certified Reference Number:202024776 Date:05-29-2019 Model Status:Active
AHRI Type;RCU-A-CB
Series:16 SEER AC
Outdoor Unit Brand Name:CARRIER
Outdoor Unit Model Number (Condenser or Single Package):CA16NA042"0"B*
Indoor Unit Model Number(Evaporator and/or Air Handler):FX4IN(B,F)043L
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 reglon(s)for
which they meet the regional efficiency requirement
The manufacturer ce this CARRIER product Is responsible for the rating of this system combination.
Rated as follows In accordance with the latest edition of ANSVAHRI 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,thing party tenting:
Cooling Capacity(A2)-Single Or High Stage(95F),btuh:41000
SEER:15.00
EER(A2)-Single or High Stage(95F) :12.50
t"Active'Model Statue are those that an AMR!Cerlflcation Program Participant is currently producing AND seting or offering for sale;OR new models that are being
marKeted but are net yet being produced'Production Stopped'Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still F
Selling or offering for sale.
Retinas thatare accompanied by WA$indiCst0 n involuntary re-rete. The new published ratinith_stho apislona with the previous(i.e )Minn.
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 Certi teate-AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance or the product(s),or the
unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for modern and configurations listed in the
directory at www.enrkilrectory.org.
TERMS AND CONDITIONS F
This CeAificate and its contents arc proprietary products of AHRI.This Certificate shall only be used for individual,persarral and
confidential reference purposes.The contents of this Certificate may not in whole or in part,be reproduced;copied;disseminated; • - = i
entered into a computer database;or otherwise utilized,in any form or manner or by any means,except far the user's individual,
personal and confidential reference. AIR-CONDITIONING,HEATING.
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The information for the modal cited an this certificate can be yenned at www_ahridirectory.org,click on'verify Certificate"link We crake life better'
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is fisted above,and the Certificate No.,which is listed at bottom right
@2019Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 13203e3462279943oS