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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 19 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: 14599 Dulce Real Ave Fort Pierce, FL 34951 Property Tax ID #;: Site Plan Name: Project Name: _ DETAILED DESCRIPTION OF WORK: Lot No. Block No. 3.0 Ton 16 SEER Split System 10 KW Heat Like for Like CONSTRUCTION INFORMATION: Additional 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: $ 6596.00 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Daniel Lefort Name: Robert Marcelle Address-14599 Dulce Real Ave Company: Comfort Experts USA Inc City: Fort Pierce Stater Zip Code: 34951 Fax: Phone No.450498-0880 Address:664 NW Enterprise Dr Unit 120 City: Port Saint Lucie State: FL Zip Code: 34986 Fax: 772-873-3000 Phone N0772-873-3000 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailckongerl4@gmail.com State or County License CAM814439 IT value or construction Is >zwu 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 Name: Address: City: State: Zip: Phone MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: I 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/ s e/Contractor as Agent for Owner Signature of Contra tor/ icense Holder STATE OF FLORID STATE OF FLO D � COUNTY OF 1MV1� COUNTY OF • ,�� The forgoing instrument was acknowledged before me The forgoing instrument was acknowl d ibefore me this 27 day of November 20_a by this 27 day of November 20' by M6eE armle, d- Marcell. 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 Dn�rsrlcense QAN��� Produced Dnversumnse czt�u�&JaK (Signature of Notary Pub — — AERINE MILLR — ignature of Notary Public- State of Florida ) ;�Ja'•, of . :Stat of flonds-Notary PuEbl i Commission No. dDzrsats _ ; Co #GG27X mmission No. dczrssts ­,..0 CAI I MILLER ��rtddc My Commission: Expires _+=_State of Florida -Notary Publi "•nn•�" November 01, 2022 8y 'p Commission# GG 27 Nor'�„ o,�d Y u om r I a a i o n Expires REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATI ve COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED rcev. Z/ i/ ly P1 Customer Address _ City `^ � f CJ k' I Date (I 664 NW Enterprise Dr. #120 Port Saint Lucie, FL 34986 772,873.3000 Fx. 772.873.3090 _... LIC # CAC1814439 State Serving arevard Indian River and St Lucie Counties Work Order # 9 / J ('o Home Ph. () L % Work Ph. )olj Email OUT E YOUR HOME aptace existing unit ❑ Add new unit ❑lAir conditioner ❑ Heat pump ❑ Packaged unit ❑ ❑ Unit port ❑ Protective coating Rd's�e existing disconnect ❑ New disconnect LKn—chor tie down kit ❑ Wire whip ❑New circuit from e�x� tipg electrical ar�el ❑ v Relocate �1 ds Fl- SYSTEM INSTALLATION INCLUDES All labor Performance Control Center ]Standard ❑Electronic kProgrammable❑Other All required permits Removal and proper disposal of old equipment Check entire system for safety and efficiency Check and reseal minor leaks in exposed ducts ✓ One year scheduled service INS KIOUR HOME replace existing unit zip ❑ Add new unit ❑ Gas furnace ❑ Nat. gas ❑ L.P. [-]Oil B-Fan coil with supplemental electric heat /0 KW ❑ New flue Use existing flue ❑ Relocate indoor unit from to ❑ Easy access air filter ❑ New circuit from existing panel ❑ New wire from existing panel - ❑ Rooms requiring additional air flow [:]Add supply vent to ❑ Add return vent to ❑ Complete duct system ❑ rSta� New Stand Q4-Py' %( CA"' Gn%� f eGl.�✓' SPECIAL AIR TREATMENT PRODUCTS FOR IMPROVING THE QUALITY OF YOUR AIR ❑ MicroGuardian Air Scrubber® ❑ Quantum 24v remote® UV Sterilizer ❑ OxyPure® LED HL Air Enrichment System ❑ OxyQuantum® LED Bacterial & Odor Control ❑ Micro PowerGuard Air Cleaner' ❑ToraVac°Source Removal System WARRANTIES (Under terms of warranty, routine scheduled service must be performed on system) years on parts labor years on compressor years on heat exchanger dub membership ARA S (All guarantees are explained on the erse side of this agreement) Comfort o Lemons pity Savings 00 No -Frustration 500Installation Plyroperty Protection oney Back No Surprises: The investment quoted is what you pay. Customer Respect: Our technicians will not swear or use tobacco products while on your property. They will courteously answer any questions or concerns and leave your home as neat as they found it. Code Compliance: The installation will comply with all existing local codes. Drug Free: Your work will be performed by our professional, highly trained and drug -free associates. Satisfaction: We will guarantee that your system meets or exceeds your expectations for quality and reliability. �j j�/n 1���j N47- Total FPL Rebate Discounts 165tWr Other Rebates 4�,L, (4' L,Ov, pv(-: We hereby propose to complete work as specified above for the sum of: Payment terms: Financed' G' deposit. glance due upon installation Company approval b ate Customer approval by ` 0/ Customer approval by Date `Subject to approval by finance company. Certain restrictions apply 0200110 2017 Success Gmup Inlemal 1. All Nights %s—d Finance option* Monthly investment Buyer hereby declares that buyer holds title to property in which merchandise is being installed and has legal author to order the work outlined above. The seller retains title to all materials and property listed herein until payments have been made in full. Accounts not paid within 30 days of invoice receipt are in default and subject to a late payment charge of 1-1/2% per month or 180/6 annually. Buyer agrees to any reasonable attorney's and/or collection fees incurred by seller to secure payment of this contract. Certificate of Product Ratin AHRI Certified Reference Number: 8704405 Date : 11-26-2019 Model Status: Active AHRI Type: RCU-A-CB Series: SILVER 16 Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4A7A6036J1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM6AOB30H21+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 AMERICAN STANDARD 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, indepegdent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 34000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 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 those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinos that are accompanied by WAS ind cate an involuntary re -rate. The new published retina is shown alone with the previous (i.e. WAS) ration. 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 products) 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-CONDITIONING, HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information for the model cited on this certificate tan be verified at www.ahridirectory.org, Nick on "Verify Certificate" link we mzke 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.: 132192e77673381865