HomeMy WebLinkAboutPERMIT APPLICATION - 3771 OLEANDER AVEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/1/2019 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 X Residential
PERMITTYPE: A/C INSTALL - MINI SPLIT _
PROPOSED IMPROVEMENT LOCATION:
Address: 3771 OLEANDER AVE, FORT PIERCE, FL 34982
Property Tax ID #: 2433-503-0005-000-5 Lot No.
Site Plan Name: Block No.
Project Name: WILL ROBERTS
DETAILED DESCRIPTION OF WORK:
INSTALLING 1 - DUCTLESS MINI SPLIT A/C UNIT FOR DEHUMIDIFICATION PURPOSES ONLY.
18 SEER MINI SPLIT
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: Sq. Ft. of First Floor:
Cost of Construction: $ 4680.00 Utilities: —Sewer —Septic Building Height:
OWNERf LESSEE:
CONTRACTOR:
Name CARLILE MOTORS INC
Name: PHILIP NISA JR
Address:3763 OLEANDER AVE
Company: NISAIR A/C
City: FORT PIERCE State: _
Address:3700 S. US HIGHWAY 1
Zip Code: 37982 Fax:
City: FORT PIERCE State: FL
Phone No. 772-342-5698
Zip Code: 34982 Fax: 772-468-9745
E-Mail:
Phone No 772-466-8115
Fill in fee simple Title Holder on next page (if different
E-Mail KRISTIN@NISAIR.COM
from the Owner listed above)
State or County LicenseCAC041199
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:
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
is in Home Owners bylaws
which conflict with any applicable Association rules, 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 E JOB SITE BEFORE THE FIRST INSPECTION. IF YOU WIND TO OBTAIN FINANCING, CONSULT
WITH YOUR V1110DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC . OF COMMENCEMENT."
Signature o wnerJ see/Contractor as Agent for Owner
Signature!& Contract& i ense Holder
STATE OFIORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY`OF STLUCIE
The forgoing instrument was acknowledge before me
The forgoing instrument was acknowledge before me
this 1ST day of AUGUST 20LI by
this 1ST day of AUGUST , 20ft by
PHILIP NISA JR
PHILIP NISA JR
Name of person making statement.
Name of person making statement.
Personally Known xxx OR Produced Identification
Personally Known xxxx OR Produced Identification
Type of Identification
Type of Identification
Produced,
Produc
tl
(Skirature of Notary Public- r STIN BAITSHOL St nature of Notary Public St
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Commission No. GG278527 _ •c Ission # GG 2785270 GG278527 ;� t f Florida -Notary
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Te—v.2/7/19
Certificate of Product Ratin
AHRI Certified Reference Number : 201755339 Date: 08-01-2019 Model Status: Active
AHRI Type: HRCU-AXB-O
Outdoor Unit Brand Name : C&H
Outdoor Unit Model Number. CH-30SPH-230VO
Indoor Type : Mini -Splits
Indoor Model Number(s) : CH-30SPH-23OVI
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 party testing:
Cooling Capacity (95F) : 30000
EER (95F) : 10.50
SEER: 18.00
High Heat (47F): 30000
Low Heat(17FF) : 10000
HSPF : 9.60
Sold In?: USA. Canata
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 ot. offering for sale. - _
irate an fnvoluntary re rate- The new oublished ratino € hown alonc with the orevio�s (i a WASI rating
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.ahrWIIr"tM.erg
TERMS AND CONDHIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal andr ..
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-CONDMONINQ, HEATIN4,
CERTIFICATE VERIFICATION & REFRIDERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.shrldh ectory.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.: 132091374402402848