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HomeMy WebLinkAboutBuilding Permit ApplicationAll 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) 4624553 Fax: (772) 462-1578 Commercial X Residential PERMIT TYPE: AC CHANGE OUT PROPOSED IMPROVEMENT LOCATION: Address: 5053 TURNPIKE FEEDER RD Property Tax ID #: 1301-615-0221-000-0 Lot No. 10, 11, 12' Site Plan Name: LAKEWOOD PARK -UNIT 12-A- BLK 179 LOTS 10, 11, 12,13 Block No. BLK Project Name: PN Investments LLC DETAILED DESCRIPTION OF WORK: AC CHANGE OUT -LIKE FOR LIKE 2.5 TON 14 SEER 5KW. NO DUCT WORK CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: xe 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: $ g 60O.00 Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name PN Investments LLC Name: AVVY Toh t h y CC1110yep Address: 5053 TURNPIKE FEEDER RD Company: WISE AIR CONDITIONING City: FT PIERCE State: _ Zip Code: 34951 Fax: Phone No. Address: 981 SUMMIT LAKE DRIVE City: WEST PALM BEACH State: F Zip Code: 33406 Fax: Phone No 561-3154515 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) &Mail aury@wiseairconditioning.com State or County License CAC-1819800 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. Name. Address: City: _ Zip: NEER: Phone — Not Applicable State. FEE SIMPLE TITLE HOLDER: _Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name. Address. City: State: Phone. BONDING COMPANY: _Not Applicable Name:_ Address. city:_ Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 1 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. Inconsideration 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. F YOU INTEND TO OBTAIN FINANCING, CONSULT WrM YOUR LENDER OR AN ATTORNEY BEFORE RECORDING )OUR NOTICE OF COMMENCEMENT." re /�f Ownlr/ as A(�;ent for Owner COUNTY OFORIDA The forgoing instrument was acknowledged before me this � day of _ N OVIf h► b E V , 20� by �olneln� Cg►��rQju Name of person making statement. Personally Known � OR Produced Identification Type of Identification Produced A NiI12r/ 1CPLlrKYm�9N (Sig>a�ture of Notary Public- State of Florida ) Commission No`'► 7 ( Public State of Florida Shandre Kellernnan s� My Commission G2 244208 of Contractor/�cense Holder STATE C+F FLORIDA . COUNTY OF The forgoing instrument was cknowledged before me this 3 day of � ©VQ ►'V� � QV 20� by A uVy 1014eV1y Ca6veja Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced h - �N�tC1lf0Ki=f K�CIEKW�ArV re of Notary Public- S t 'I i ion No.�'C 2�Iy20 � ,��`� Npptta� ublicSteteofFbrida 51 Kellerman - � My Commission GG 244208 Qj,,,,� Expires 07/31/2022 of REVIEWS FRONT SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED rceve c/ i/ ly Certificate of Product Ratin s AHRI Certified Reference Number : 9474297 Date : 10-31-2019 Model Status :Active AHRI Type : RCU-A-CB Series :COMFORT 14 AC Outdoor Unit Brand Name :CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24ACC430A'030' Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNF030L Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 CARRIER 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 parry testing: Cooling Capacity (A2) -Single or High Stage (95F), btuh : 28200 SEER: 14.00 EER (A2) -Single or High Stage (95F) : 12.00 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 chose 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 oublished rating is shown along with the Drevious me. 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.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, •C �� personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at wivw.ahridirectory.org, click on "Verify Certificate" link eve 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. ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132170005915987656