HomeMy WebLinkAboutRaeder PermitAll 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 X
PERMITTYPE: HVAC - LEG FOR LEG CIO
PROPOSED IMPROVEMENT LOCATION:
Address: 1011 NETTLES BLVD, JENSEN BEACH, FL 34957
Property Tax ID #: 4502-501-1198-000-2 Lot No. 1011
Site Plan Name: RAEDER Block No.
Project Name: RAEDER
DETAILED DESCRIPTION Of WORK:
EXACT AC CHANGE OUT OF 2.5 TON- 16 SEER- 8 KWHEATER- MOBILE HOME.
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 T Roof Pitch
Total Sq. Ft of Construction: 660 Sq. Ft. of First Floor:
Cost of Construction: $ 4800 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RICHARD RAEDER
Name: DOUGLAS PENCE
Address: 1011 NETTLES BLVD
Company: ABSOLUTELY COOL AIR COND' LLC
City: JENSEN BEACH State:
Address: 2311 NE 15TH COURT
City: JENSEN BEACH State: FL
Zip Code:.34g67 Fax: NIA
Phone No. 660-287-5522
Zip Code: 34957 Fax: NIA
E-Mail: randsraeder@aol.com
Phone No 772-475--4641
Fill in fee simple Title Holder on next page (if different
E-Mail absolutelycoolair@gmail.com
State or County License CAC1815702
from the Owner listed above)
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 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
BONDING COMPANY: Not Applicable
Name:
Name:
Add ress:
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 that
or and covenants 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
SikF air^(q Contractor/License Holder
STATE OF FLORIDA
STAT"f FLORI A
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of 20_ by
this; day of ZS( 20 by
L"InC' kn ,
Name of person making statement.
Name of persogi making statement.
V
Personally Known OR Produced Identification
Personally Known OR Produced Ident1110
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida }
(ignatu of Notary P 'lic-State of Florida )1313
Commission No. (Seal)
Commission No. .ZL( q - (S I)a**"4L
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MAN OVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
AHRI Certified Reference Number : 9115208 Date: 07-29-2019 Model Status: Active
AHRI Type: SP-A
Series: LX SERIES
Outdoor Unit Brand Name: LUXAIRE
Outdoor Unit Model Number (Condenser or Single Package) : PCE6A30"
Region : All (AK, Al-, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, 1A, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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 region(s) for
which they meet the regional efficiency requirement.
The manufacturer of this LUXAIRE product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 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 of High Stage (95F), btuh : 30000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 12.50
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.
Ratinos that are accomoanied by WAS indicate an involuntary re -rate. The new published ratina is shown alone with the previous (i.e. WAS) rating.
DISCLAIMER
AHRI does not endorse the produetts) 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-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION
& REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.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 CERTIFICATE NO.:
132D869943i7330693