HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential 1`
PERMIT TYPE: �� �Q/L(,�e/► (�
PROPOSED IMPROVEMENT LOCATION'
Address: C
Property Tax ID #:t-333 4 Y lei1. &3 0-23 q
Site Plan Name: �1�CA
Project Name: �Q`�iY , -4u CA r
Lot No.
Block No.
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:
Cost of Construction: $ Cj7
Sq. Ft. of First Floor: _
Utilities: _ Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTFAPT ORr
Name /�(il'er r
AddressAD I a &6tirfi0,0I f r
Name: JOSE RAMIREZ
Company: EAST COAST MECHANICAL
City: perfi ,S-f LL.11^ i,e State: FL
Zip Code: 340I9'Fax:
Phone No. 5z+ Q��
Address: 1500 N HIGH RIDGE RD
City: BOYNTON BEACH State: FL
Zip Code: 33426 Fax: 561-493-2701
Phone No 561-586-3739 EXT 2020
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail PERMITS@ECMSERVICE.COM
State or County License CAC036812
If value of construction is $2S00 or more, a RECORDED Notice of Lommencememt is requireu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INF4RIVIAT14N-°
,
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
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."
v
V �-�
Sign to of Owner/ Lesse /Con actor as Agent for Owner
Sign to of Con actor/Lic se Ider
STATE OF FLORIDA
COUNTY OF PALM BEACH
STATE OF FLORIDA
COUNTY OF PALM BEACH
The for oing instrum nt was acknowledged before me
this 19 day of C,l 20A by
The for e oing instrumt was acknowledged before me
this I� day of �JI 20_19 by
JOSE RAMIREZ
JOSE RAMIREZ
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identif'
Type of Identification Gli PUB
Produced NOTM PUBLIC LIC
STATE OF FL
G m* FF972357
Exper� 417P2020
Personally Known x OR Produced Identification
Type of Identification
Produced GILLIAN CHUCK
NOTARY PUBLIC
-+STATE OF FLORIDA
Comm# FF972357
(Si nature of Notary Public- State o I rFWill 4fFig,020
ida
(Si nature of Notary Public- State of Florida)
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19
AHRI Certified Reference Number . 202570610 gate 05-07-2019 Model Status: Active
AHRI Type HRCU-A•CB
Series . Merit P4L14XP1 Series
Outdoor Unit Brand Name LENNOX
Outdoor Unit Model Number (Condenser or Single Package) . ML14XP1-048-230A"
Indoor Unit Model Number (Evaporator and/or Air Handier) : CBA25UH-048-230-"
The manufacturer of this LENNOX 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 parry testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 47500
SEER 1400
EER (A2) - Single or High Stage (95F) : 12.00
Heating Capacity (1-112) - Single or High Stage (47F) : 46000
HSPF (Region IV) : 8,20
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 alono with the previous (i.e. WASI ratina.
DISCLAIMER
AHRI does not endorse Ire pruducttsi listed on this Certrticate and makes no representations. warranties or guarantees as to, and assumes no responsibility tor.
the proouct(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the producnns), or the
unauthorized alteration of data listed on this Certifcate. Certified ratings are valid only for models and Configurations listed in the
deel:iory at www.ahr id t rector y.drg,
TERMS AND CONDITIONS
This Certificate and its contents ate pioprretary products of AHRI. This Certificate shall only be used for individual, personal and
confidential reterence purposes. The contents or this Certificate may not, in whole or in part, be reproduced: copied: disseminated. t
entered into a computer datauase, of otherwise vulrted, n any form or manner or by any means, except for the users individual.
personal and confidential relerenCe. AIR-CONDMONING, HEATING.
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be vented at www.ahridireetory.org, click on "Verify Certificate- link
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. - __ -__ _.__ _ _ _.__. __...
&,2019Air-Conditioning, Heating. and Refrigeration institute CERTIFICATE NO.. 132097067594Ot)t370