Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO GMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: '.COUNTY 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 PERMITTYPE: PROPOSED IMPROVEMENT LOCATION: Address: a00 Z-/ /?l br A-�02 Property Tax ID #: Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: e1S I CONSTRUCTION INFORMATION: Additi ' al 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: $ �F- Z 5_ Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: Name 1./11 �e z Name: Curtis Sammons Address:3 SD SE /yG y--A T r Company: Custom Air Systems, Inc. City: LJ;/, ion State: FL- Zip Code: S a 6 f � Fax: Phone No. 305- - 5a S" 00 ;�_ 6 Address: 1615 SE Village Green Drive City: Port Saint Lucie State: FL Zip Code: 34952 Fax: 772-335-1968 Phone No 772-335-3232 E-Mail:_iu�„ 6e ,Lct Fill in fee simple Title Holder on next page ( if different from the Owner listed above) I E-Mail custairsys@aol.com State or County License CAC051810 If value of construction is S25M or more a RECORDED ►, ,a:� _t -- ------ — ••—" ­ v�Wv 111CnlClnent 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: 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." Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF J" ZGGG_ STATE OF FLORIDA COUNTY OF cl` iv(�eL_ The forgoing instrument was acknowledged before me this al day of /Vol/ 20�_y by The forgoing instrument was acknowledged before me this i/ day of /✓OY— .20 / g by RT S S6!'lln,!On_5 TIS 6�m M"h /2S 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 Produced G iry (Signature of Notary Public- State of fforicla) n otter ��st CHRISTINE B E Commission No. �v7 0525�% •f MY COMMISSIONXG EXPIRES: Apni 4, (Signature of Notary Public- State of Flori t$}{ / roe; • ��,�4o CHRISTINE B ENGL mission No. �tGj OSa s `� 6 * *k My COMMISSION C EXPIRES: Apra 4 Bonded Thry Budget Not REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED Rev. 211119 046 CUSTOM AIR SYSTEMS INC. APPLIANCES SALES * SERVICE * INSTALLATION * 1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952 335-3232 465-0559 562-2777 FAX (772) 335-1968 CAC051810 CARRIER x RHEEM * GOODMAN x TRANE x AIR CONDITIONERS. APPLIANCE SERVICE. November 21, 2019 NAME: BETH FERNANDES ADDRESS: PHONE: 352-486-8348 EMAIL: juanbeth@hughes.net JOB NAME/ADDRESS: 200 N ELMAR DR A203, JENSEN BEACH 34957 WE PROPOSE TO: REPLACE CONDENSER, USE EXISTING AIR HANDLER. BID INCLUDES THE FOLLOWING. 1. CARRIER 2 TON 14 SEER CONDENSER, 24ACC424 2. CONNECT TO EXISTING AIR HANDLER CARRIER, FMANP24 (SEE ATTACHED AHRI FORM) 2. CONNECT TO EXISTING REFRIGERANT AND DRAIN LINES 3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED) 4. RE -DUCT CONDENSER TO CEILING 5. PERMIT (INSPECTION BY BUILDING DEPARTMENT REQUIRED) 6. ONE YEAR LABOR WARRANTY 7. FIVE YEAR CARRIER CONDENSER PARTS WARRANTY. FOR THE SUM OF: $ 2,825.00 QUOTE GOOD FOR 30 DAYS. TO BE PAID: AT TIME OF SERVI ACCEPTED.... ....... ... ............. . . JAME S ARV ...SIGNED.is STOM AI SYSTEMS INC. Certificate of Product Ratinas AHRI Certified Reference Number : 201852646 Date : 11-15-2019 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) : 24ACC424A*030* Indoor Unit Model Number (Evaporator and/or Air Handler) : FMA4P24**AL* 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 party testing: Cooling Capacity (A2) - Single or High Stage (95F). btuh : 22800 SEER : 14.00 EER (A2) - Single or High Stage (95F) : 11.50 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 sal Ratings that are accompae nied 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.ahvidirectory.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-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.: 132183184712268767