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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPII,l��jll�BLE IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I I2— 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
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 3 Jasmine Lane Port Saint Lucie, FL 34952
Property Tax ID #:
Site Plan Name:
Project Name:
I DETAILED DESCRIPTION OF WORK:
3.5 Ton 14 SEER Package Unit
10 KW Heater
Like for Like
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 5200.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE
CONTRACTOR:
Name Isabel and Don Smith
Name: Robert Marcella
Address-3 Jasmine Ln
Company: Comfort Experts USA Inc.
City: Port Saint Lucie State:
Zip Code: 34952 Fax:
Phone No.772-777-4560
Address:664 NW Enterprise Dr. Unit 120
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax: 772-873-3090
Phone No 772-873-3000
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 LicenseCAC1814439
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 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
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."
Rev.
r
Signature of n r/ Lessee/Contractor as Agent for Owner
tractor/License Holder
SignatuYOZ
STATE OF RIDA � I�
STATE RIDA�ill�/
be,
li V'
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 23 day of September 20_ by
this za day Of September zo_ 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 Fwnda
Certificate of Product Ratings
AHRI Certified Reference Number: 7615294 Date: 09-23-2019 Model Status : Active
AHRI Type: SP-A
Series: FRIGIDAIRE P7RE SERIES
Outdoor Unit Brand Name: FRIGIDAIRE
Outdoor Unit Model Number (Condenser or Single Package) : P7RE-042K
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, IA, MA, MD, ME, MI, MN, MO, MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, 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 FRIGIDAIRE. product is responsible for the rating of this system combination. -
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 (A2) -Single or High Stage (95F), btuh :40500
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.00
t"Active' Model Status are those that an AHRI Cedifcalion 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 Certlficalion 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 ratina is shown stand with the previous (i.e. WAS) ratina.
DISCLAIMER
AHRI do" 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.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, AM
personal and confidential reference. AIR.CONDRmNiNG, 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 ,,.e make life botnl-
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 CERTIFICATE NO.: 112137153215130625