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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICA LE 1 IFO,L UST 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 PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: 7038 Willow Pines Way Port Saint Lucie, FI 34986 Property Tax ID #: 3322-621-0057-000-9 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: 3.0 Ton 14 SEER Split System Heat Pump 5 KW Heat Like for Like Lot No.48 Block No. I CONSTRUCTION INFORMATION: I Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 6996.00 _ Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE CONTRACTOR: NameAnna Freeman Name: Robert Marcelle Address:7038 Willow Pines Way Company:Comfort Experts USA Inc City: Port Saint Lucie State: _ Zip Code: 34986 Fax: Phone No.772-468-9899 Address:664 NW Enterprise Dr. Unit 120 City: Port Saint Lucie State: FI Zip Code: 34986 Fax: 772-873-3090 Phone No772-873-3000 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 CAC1814439 It value of construction is 52500 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 TITLEHOLDER: _ 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 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 Ow tel Lessee/Contractor as Agent for Owner Signature of a tr ctor/License Holder STATE OF FLORIDA ( p I F,�� STATE OF FLO IDA q w , COUNTY OF t \AA` . COUNTY OF J l� The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me t t2 day of August 20_ by this 12 day of August 20_ by 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 Produced Florida Drivers License Produced Flonda Drivers Licesnse (Signature of Notary Pu No. GG27331 lc�� o r ' MQ$ BRINE MILLER State of Florida -Notary Public ? ? Con(gp§9ion N GG 273315 My CCommissionExpires November01.2022 (Signature of NotarqPulic- Commission No. GG��° MILLEA �NY.,N.Commission ��? St� e o Florida -Notary P b .� ssionNGG2733 0, ,,,1a�°,� My Commission Expi2 rf November 01 202 s REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED eV. Certificate of Product Ratin AHRI Certified Reference Number: 201753520 Date: 08-12-2019 Model Status: Active AHRI Type: HRCU-A-CB Outdoor Unit Brand Name: AMERISTAR Outdoor Unit Model Number (Condenser or Single Package) : M4HP4036A1 Indoor Unit Model Number (Evaporator and/or Air Handler) : M4AH4P36B1 BOOAA+TXV 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 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 or High Stage (95F), btuh : 36000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 10.95 Healing. Capacity (H12) - Single or High Stage (47F) : 34600 HSPF (Region IV) : 8.30 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. Ratings that are accomoanied by WAS indicate an involuntary re -rate The new Published rating is shown alono with the previous fie. WAS) 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 responsibllltyfor, 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 produchs), 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.ahrldirectory.org, click on Werify Certificate" link we make lilt 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. ©2019Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132100857467196603