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HomeMy WebLinkAboutJohnston Permit Application 7-30-19lmvAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r]-�_tq Permit Number:
COUNTY
F L 0 R I D A
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
PERMIT TYPE: A /C &&n6i E oub
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax I D q: 35ar1- 5G1-0 ba 3- 600
Site Plan Name:
Project Name: SQPYI _ 0-S OIXUZ
Commercial Residential
Lot No. a�
Block No.
I DETAILED DESCRIPTION OF WORK: I
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ (_Q qC1 OC)
Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor: _
Windows/Doors
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name3pmBS Amgeka JObnion
W
Name: CJ',V1 t0i�- A
�—
Company. JU if MI
i01AlNu
Address: f104 S. ociAn ro ,.
City: \P+l\5e)0 b2cf'L) State: F-Q
Zip Code: 34q�j Fax:
Phone No. 33(o-rI4C1- 3500
Address: (DId71 (Q. IM10,n_(Z A_1r\
3D- 4 CY311
City: S4ikCy'
Zip Code: 334r']'�'jFax:
Phone No 45(ol-'JLi(a-S615
State: FL
E-Mail: tW\bhf\StbY\111eDrY1Gi1 COVyi
v
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail 8a no SQC P cpmm.4. ne.
State or County License rAC-C'-{ 119y
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:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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
uu r: � oi•r.� � a: i •� a;a•r;�_�: ci ■ iv:�: t a �>. i r•u� t.u�•u�rri� �•d•r,�: t•i n� a•L
'gn lure of Owner/ Lessee/Contracto as ent for Owner Sig at re of Contractor/License Holder
STATEOF COUNTYOFORIDA�Q\mrZ_ 1^ STATE COUNOFOFFORIDA��m2_ Ck�_I_
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Q day of_ Jv� 20A by this day of u1 204 by
iohnT 111orr , 4A- Aolnn 7. n\Qc�A Y) 11
Name of person making statement. Name of person making statement.
Personally Known _ _ OR Produced Identification
Type of Identification
Produced
Commission No.6603q5
REVIEWS I FRONT I ZONING
COUNTER REVIEW
RECEIVED
COMPLETED
LAURA M. VAL
MY COMMISSION
EXPIRES: SePten
Personally Known eX OR Produced Identification
Type of Identification
Produced
Notary
No.
MY COMMISSION R GG 034500
EXPIIIISegliDtember 28, 2020
Banded TNu Notary PuM Undonrt0en
SUPERVISEGETATIEATURTANGRO
REVIEWOR I REVIEW I PLANSV EVI WON I S REV EWLE I MREVIEWVE
Certificate of Product Ratings
AHRI Certified Reference Number: 9158547 Date: 07-30-2019 Model Status: Active
AHRI Type: HRCU-A-CB
Series: COASTAL 14 SEER HP
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : 25HCE448C'030'
Indoor Unit Model Number (Evaporator and/or Air Handier): FV4CN(B,F)005L
The manufacturer of this CARRIER product is responsible for the rating of this system Combination.
Rated as follows in accordance with the latest edition of ANSIIAHRI 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 or High Stage (95F), btuh : 46000
SEER: 14.50
EER (A2) - Single or High Stage (95F) : 12.00
Heating Capacity (H12) - Single or High Stage (47F) : 46500
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 Slopped' Model Status are those that an AHRI Certification Program Participant Is no longer producing BUT Is still
selling or offering for sale.
Ratings that are accompanied by WAS Indicate an involuntary re -rate. The new published retina is shown alono with the previous (i.e. WAS) retina.
DISCLAIMER
AHRI does not endorse the product(s) Ilsted on this Certificate and makes no representations, wamantles 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 Ilsted 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
b REFRIGERATION INSTITUTE
The information for model cited on this certificate can be verified at www.ahrldirectory.nrg, click on 'Verity Certificate' link wi. make lire berrcr'
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.
©201gAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132089827273343986
ESTIMATE
#43
AIR CONDITIONING
4�Sl���il4
Jim Johnston
8104 S Ocean Or
Jensen Beach, FL 34957
(336) 749-3500
iwjohnston4l1@gmall.com
ESTIMATE
PROPOSAL
TOTAL
CONTACT US
$6,990.00
6671 W. Indiantown Rd., Ste 50-311
Jupiter, FL 33458
(561) 746-8015
danasac@comcast.net
1.0 S6.990.00
The removal of existing 4 ton heat pump unit and air handler (with 10kw heater). Install new equipment with same capacity. New
equipment manufactured by Carrier with energy rating of 14.5 seer. System type is Single speed cooling with variable speed air
handler. Scope of work also includes: Air tight connection to existing duct system. Safety float switches (2), Connection of new
equipment to existing piping and electrical service at unit disconnect boxes. extreme weather tie downs for condensing unit, new non -
programmable thermostat. 1-year maintenance agreement. complete system start up, clean up and removal of old equipment from job
site.
Warranty: 1-year labor, 10-year limited manufacturer warranty on all functional pans including the compressor and 1-year on
aftermarket parts.
Warranty registration with equipment manufacturer may be required. Equipment owner Is responsible to verify all registrations are on
record with manufacturer. Warranty is valid to original equipment purchaser only unless transferred per manufacturer's requirements.
Most equipment manufacturers do not allow transfer of 10-year part warranty. Customer is also advised to read all manufacturer
warranties for further details and exclusions. Feel free to contact our office for assistance.
A/H model # f-V4CNF005L00
C'Ll model # 25HCE448CO03
Price: $6990.00 DOP : 7'29/19
Signature
Print Name:
Thank you for doing business with Dana's Air Conditioning
Date: JuIy 30.2019
Total
$6,990.00
$6,990.00
Dana's Air Conditioning CAC041194 1 of 1