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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01/21/2020 Permit Number: s 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 PERMITTYPE:AC Changeout PROPOSED INPROVEMENT LOCATION: Address: 269 NETTLES BLVD JENSEN BEACH, FL 34957 Property Tax ID #: 4502-501-0455-000-5 Site Plan Name: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 269 Project Name: Lot No. Block No. I DETAILED DESCRIPTION OF WORK: I AC CHANGEOUT 3 TON 16 SEER SPLIT SYSTEM WITH 8 KW HEATER 1, 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:. Cost of Construction: $ 5114 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name William Doherty Name: RAMON LALLOO Address: 269 Nettles Blvd Company: FRIGID AIR LLC City. Jensen BeachState: Iri- Zip Code: 34957 Fax: Phone No. Address: 1651 SE GOUCHO AVE City: PORT SAINT LUCIE State: FL Zip Code: 34952 Fax: Phone No 7722121113 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail RAY@FRIGIDAIR.COOL State or County License CAC1819319 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 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: 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 our property. A Notice of Commencement must be recorded and posted on the jobsite before thefirst-rffspectiopi. If you intend to obtain financing, consult with, ende y b ere commending work Cor g our Notice of Commencement. see/Contractor as Agent for Owner Signature =LOF�IDA S nature of Contr ctor/Lic a Holder STATE STATE OF FLOR A COUNTY OF � L L COUNTY OF S . l i k('Ae , The forgoing instrument was acknowledged before me orgo The fing instrument was acknowledged before me this 'D day of i1 20 L by this I day of '1 CJLY 20_Z:Qby Name of person making statement. Name of person making statement. Personally Known ,fes OR Produced Identification Personally Known o OR Produced Identification Type of Identification Type of Identification Produced Produced pilyal riy'�7'n &&J— F 711 71. (Sign ture of Notary Public- State of Florida) $41, i ature of Notary Public- State of Florida) Commission No. C nZ 1 Commission No. � � (Se -,A" """�,9"„o� ,•�"VP •, RACHAEL CLINTON NotaryPublic-State of Florida C-) 1Z K � n, M r` Commission # G 318424 03 n REVIEWS , ,�� I X(J ssi 2 l9�FRV OR PLANS VEGETATION SEA TURTLE 4I I9' REVIEW REVIEW REVIEW ='f�.E�l(� DATE RECEIVED o m DATE COMPLETED wt0'OO ev. N d 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 Ratings AHRI Certified Reference Number: 8863684 Date: 01-21-2020 Model Status: Active AHRI Type: RCU-A-CB Series: LX SERIES Outdoor Unit Brand Name : YORK Outdoor Unit Model Number (Condenser or Single Package) : YCG36621 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE36BX21+TXV 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 YORK 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 : 34600 SEER: 16.25 EER (A2) - Single or High Stage (95F) : 13.50 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 sale. Ratinas that are accomoanied 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, 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. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132240860794186994