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HomeMy WebLinkAboutBuilding PermitAIIAPPLI BLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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: PROPOSED IMPROVEMENT LOCATION: Building Permit Application Commercial Residential X Address: 403 NL rooster Kd Port Saint Lucie, FL 34983 Property Tax ID #: 3419-560-0017-000-8 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: 2.5 Ton 14 SEER Straight Cool Split System 10 KW Heat Like for Like I CONSTRUCTION INFORMATION: Lot No.17 Block No. 73 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: $ 5650.00 Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Daniel Jurmanovich Name: Robert Marcelle Address:206 NE Lobster Rd Company: Comfort Experts USA Inc City: Port Saint Lucie State: _ Zip Code: 34983 Fax: Phone No.772-871-2305 Address:664,NW Enterprise Dr. Unit 120 City: Port Saint Lucie State: FL Zip Code: 34986 Fax: 772-873-3090 Phone N0772-873-3000 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail ckongerl4@gmail.com State or County License CAC1 814439 •• --•-- -• --••�• - ,C;„ ....... nc .URDEu rvouce or commencement 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 MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Address: Zip: Phone: _Not Applicable 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 Own r/ ssee/Contractor as Agent for Owner Signature of Cont ac r/License Holder STATE OF FLO I STATE OF FL RI A �� �p COUNTY OF \ T � COUNTY OF , ( a The forgoing instrument was acknowledgAbefore me The forgoing instrument was acknowledged before me thi day of JULY 20 by this 23 day of JULY 20_ by `)idbbi VCQi�? NYM Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification P duced Flonda Drivers License Produced Florida Drivers License Al o� ,7 A I N E MILLER gnature of Notary Pu h� S t ,6 g i slop B GG YI3315 (Signature of otary Public- tat Mori .�, Q'�THERINE MILLET ij M Commission Ex ires y ' oas + ,State of Florida -Notary P cc2rams ,°,;,51` 2 Commission No. I bar 01, 2022 ommission No. cc2�ssts = �;, C�r�gl salon MGG 2733 AX`C'�mmission Expire 's November01, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED AHRI Certified Reference Number: 201753476 Date : 07-23-2019 Model Status: Active AHRI Type: RCU-A-CB Outdoor Unit Brand Name: AMERISTAR Outdoor Unit Model Number (Condenser or Single Package) : M4AC4030D1 Indoor Unit Model Number (Evaporator and/or Air Handier): M4AH4P32B1 BOOAA Region : All Region Note: 1803 The manufacturer of this AMERISTAR 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, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 29000 SEER: 14.50 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 offeringacfor sale. Ratings that are companied by WAS indicate an involuntary re -rate The new published rating is shown alone with the previous (i.e. WAS) rahno 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.ahridtrectory.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 whale 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, AM personal and Confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTnUTE The information for the model cited on this certificate can be verified at www.ahridhectory.org, click on "Verify Certificate" link we make We bmn ,- 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. I- ©2019Air-Conditioning, Heating, and Refrigeration Institute j CERTIFICATE NO.: 132083598598591580