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HomeMy WebLinkAboutBuilding Permit Application i All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ! Date: 07101/2019 Permit Number: -001 Building Permit Application Planning and Development Services { wilding and Code Regulation Division i' 2300 Virginia Avenue,Fort Pierce FL 34982 !i Phone:.(772)462-1553 Fax:(772)462-1578 Commercial Residential x PERMIT TYPE:A/C Change Out PRQPOSED 1N1�RQVE(1/IENT LOCATIp1 ,, Address: 3351 Twin Lake Ter.Unit 102 Property Tax ID#: 1327-704-0086-000-4 Lot No. ( Site Plan Name: Block No. 1 Project Name: TDETAILED bi~SCRIPTfbN OF Wt7RK Like for Like A1C Change Out 2.5 Ton Single-Stage Unit with 8 KW Heater GQNSTRUCTtCI(� INFt�RNPATfOIV x. 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:$ ? Utilities: Sewer Septic Building Height: :owNER/f_EsEE Ruth Fountain A' Name Name:Ramon Address:3351 Twin Lake Ter Unit 102 Company:Frigid Air LLC City: Fort Pierce State: Address:1651 SE Goucho Ave Zip Code: 34951 Fax: City: Port St.Lucie State:FL Phone No.(772)293.5624 Zip Code: 34952 Fax: E-Mail: Phone No 772-212-1113 Fill in fee simple Title Holder on next page(if different E-Mail Ray@frigidair.cool from the owner listed above) State or County.License CAC1819319 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. SUPPLEMENTAL CCINSTRUCTI4N LIEN LAIN INFC3RNfAT113N rT DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable .ot „i Name: Name: 3z Address: Address: City: State: City: State: (k Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: i 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 jobsite before the *1 , inspection, if you intend to obtain financing, consult with lender or an attorney.before commen -n ork or recording our Notice of Commencement. Sign t e of Owner/ Lessee/Co rac oras Agent for Owner S" n ur o Contra cfor/j.cense Ho der STATE OF FLORIDA STATE OF FLORIDA _ COUNTY OF y aid C � COUNTY OF t t 1 ' t i The forgoing instrument was acknowiedg�before me The forgoing instrument was acknowledged efare me this SZ day of t i 20 by this 21 day of ��20 by 4 a. 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 &rh 6 (Si nature of Notary Public- " Pi vrid�ACHAEL CLi+�l n i ature of Notary Public-State of Fiarida} ray 0� _a 4o Notary Public-State of FE)ride 11 �' missioh;#GG 318 Commission No. - t �=( _X40 mission No. t1 c3+�t (Seal) c,a Commission Expir s 0 iv A + ` April 01, 2023 K U y C'� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLEeri COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE Nm��� RECEIVED DATE m 4 a 0 COMPLETED �' A Rev.9/26/18' of Product R- att ngs C e rt If'I"cate MINNOW AHRI Certified Reference Number:202318978 Date:07-01-2019 Model Status:Active `t AHRI Type;RCU-A-CB Series:LX SERIES Outdoor Unit Brand Name:YORK sE ` Outdoor Unit Model Number (Condenser or Single Package):YCE30B22 j Indoor Unit Model Number(Evaporator and/or Air Handier):AE30BX21+TXV Region: Southeast and North(AL,AR,DC,DE,FL,GA,HI,KY,LA,MD,MS,NO,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,WE,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 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 AinConditioning&Air-S©urce Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing; Cooling Capacity(A2)-Single or High Stage(95F),btuh:30000 SEER:15.25 EER(A2)-Single or High Stage(95F),: 13.00 1"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. , titin s that area m anted b WAS indicate an involunta re-rate. The naw ublished ratin is shown alon with IIIc previous fire WAS) no. 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 an this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.atiridireetory.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, personal and confidential reference. AIR-CONDITIONING,HEATING' CERTIFICATE VERIFICATION &fiE4°#tiGcrtrYlOrd 1NSTIrtri E The information for the in cited on this certificate can be verified at ww�w.ahrhIirectofy.org,click on"Verify Certificate"link we make life hette,^ 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 132064830897717370 rJ2Q19Air-Conditioning,Heating,and Refrigeration institute CiETIFOCATE Na.: