Loading...
HomeMy WebLinkAbout9008 Champions WayAll APPLICA E INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: /l 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 Residentia PERMIT TYPE: PROPOSED IMPROVE T LOCATION: Address: Property Tax ID #: �j-33L] Uo 5 q — 0 C) Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: /_- Go CONSTRUCTION INFORMATION: QV% Aa U ff J AN Additio al work to be performed under this permit - check all that apply: echanical Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: $ 4i"r_olp Sq. Ft. of First Floor: _ Utilities: —Sewer —Septic Windows/Doors Roof Pitch Building Height: OWNER/L SE • CONTRA TOR: Name a-� Name: /UlUAI Addr (� City: It-Q State:; Zip Code: Fax: Phone No. J Company: 6 A d d r e, S Q City: Zip Code: Phone N State: Fax:����j�t�� E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mai State o County License If value of construction is 52500 or more, a RECORDED Notice of Commencemem is requires. 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 Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: City: Zip: Phone: Address: City: 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 L FNnFR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Contractor/License Holder nature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF �t n i Lu �e STATE OF FLORIDA. COUNTY OF �t i nt L.uC I 4r- The forgoing instrument was cknowledged efore me this � day of 20by The forgoing inst�4ment was acknowledge before me this % day of 1�16111? 1bay 201 by Name of y erson makingsta ement. Name of person making/statement. Personally Known OR Produced Identification Type of Identification Produced (Aym�� Personally Known `� OR Produced Identification Type of Identification Produced 0\��L I (Stig.iiature of Notary Public- State of Florida) (Si ture of Notary ublic- State of Florida Commission No �i ` ,N* (ssiH>ti)yPublic State aFlorida • Christine Holland My commission GG 326704 Aw Ma �Public state of Florida C mmission N 1 A ON e Holland My Commission GG 328704 % Expires 04/22/2023 REVIEWS FRONT COUNTER ANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW ZO I REVIEW I REVIEW DATE RECEIVED DATE --777== COMPLETED Rev. 2/7/19 This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratinas AHRI Certified Reference Number: 8629417 Date : 11-13-2019 Model Status : Active AHRI Type: RCU-A-CB Series : XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6049J1 Indoor Unit Model Number (Evaporator and/or Air Handler) : "AM4AOC6OS51+TDR Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, 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 TRANE 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 : 47500 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.50 f"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 accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. 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 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, 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.ahridirectory.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. ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132181530656331167