Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationAll 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 Number: Building Permit Application Commercial Residential X PERMITTYPE: HVAC - AC CHANGE OUT PROPOSED IMPROVEMENT LOCATION: Address: 1310 Nettles Blvd, Jensen Beach FL 34957 Property Tax ID #: 4502-501-1497-000-8 Site Plan Name: Project Name- Finch Lot No. Block No. DETAILED DESCRIPTION OF WORK: EXACT AC CHANGE OUT OF 3 TON- 14 SEER- 10 KW HEATER- PACKAGE UNIT LOCATED OUTDOORS. 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: 424 Sq. Ft. of First Floor: Cost of Construction: $ 3600 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Roger Finch Name: Douglas Pence I Address: 1310 Nettles Blvd Company: Absolutely Cool A/C LLC City: Jensen Beach State: Zip Code: 34957 Fax: n/a Phone No. 561-688-6336 Address: 2311 NE 15th Court City: Jensen Beach State: FL Zip Code: 34957 Fax: nla Phone No 772-475-4641 E-Mail: r-finch@comcast.net Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail absolutelycoolair@gmaii.com State or County License CAC1815702 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 CONSTRUCTION MEN 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: 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." Signature of Owner/ Lessee/Contractor as Agent for Owner Signkure o, C%ntrandr/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF V +i 4A'V--� The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20_ by this � day of ­i 20 ice' by Name of person making statement. Name of persoyi making statement. Personally Known OR Produced identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of Florida) (tignatu;e;of Na`tary Publ' , t� ricn " `c { an Les Bradford 244808 s MY GOmrnission GG ' Commission No. (Seal) Seal �� Commission No. h.. ''5 � raro1r2o2x REVIEWS FRONT ZONfNG SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 Certificate of Product Retinas AHRI Certified Reference Number: 202356657 Date: 07-09-2019 Model Status : Active AHRI Type; SP-A Series. LX SERIES Outdoor Unit Brand Name: YORK Outdoor Unit Model Number (Condenser or Single Package) : PCE4A3622" Region :All Region Note : 1803 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 ANSIIAHRI 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 : 35200 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. Ratin s that are accom anied bv WAS indicate an involunla re -rate. The newpublished ratin is shown alon with the previous i.e. WAS ratin 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, personal and confidential reference. AIR-CONDFTIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectery.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. 02019Air-Conditioning, Heating, and Refrigeration Institute 1 CERTIFICATE NO.: 132071679344172138