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HomeMy WebLinkAboutLehman Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01/31/2020 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: M ECHAN I CAL PROPOSED IMPROVEMENT LOCATION. Address: 12444 HARBOUR RIDGE BLVD 1-4 JENSEN BEACH FL 34957 Property Tax ID #: 4426-510-0004-000-4 Site Plan Name: Project Name: MOLLY LEHMAN DETAILED DESCRIPTION OF WORK: REPLACE A/C EQUIPMENT LIKE FOR LIKE CHANGE OUT TRANE/4TTX606OJ1000-TEM6AOC6OH51SB 5 TON 15.25 SEER 10 KW CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: X Mechanical Electric _ Gas Tank Total Sq. Ft of Construction: Plumbing Cost of Construction: $ 8362.55 _ Gas Piping Sprinklers _ Shutters _ Generator Sq. Ft. of First Floor: _ Utilities: _ Sewer _ Septic Lot No. Block No. Windows/Doors _ Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name MOLLY LEHMAN Name:TIMOTHY WOJCIESZAK Address:12444 HARBOUR RIDGE BLVD Company:KRAUSS & CRANE INC City: JENSEN BEACH State: FL Zip Code: 34957 Fax: Phone No.269-217-9847 Address:904 SE DIXIE HWY City: STUART State: FL Zip Code: 34994 Fax: 772-283-4055 Phone N0772-287-1227 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-MailADMIN@KCIAC.COM State or County License CAC1 818726 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INF RMATION: D SIGNER/ENGI ER: _ Not Applicable N e: TGAGE COMPANY: _ Not Applicable e: Adess Ad City: State: Zip: Phone City: State: Zip: Pho e- FEE SIMPLE TITLE HOLDER: _ o licable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: ip: 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 ermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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 ner/ te s e/Contractor as Agent for Owner Signature of ntractor/License H Ider STATE OF FI COUNTYOF STATE OF FLORIDA Mari -In COUNTY OF The fo�r,ggo�)ing instrument was acknowledged before me thisV�dayofD(LfAA4 .20�by The forgoing instrument was acknowledged before me this Dday ofa 2Q.Oby MAl v ) ma,', -TI m c)4+)ta Name of person making statement. Name of person making star ment. �// / Personally Known OR Produced Identification " Personally Known v OR Produced Identification Type f Ide ifica�t o L 550-sUa s3.5� 1- v Type of Identification Produ A A Produce ( ure of N ary P State of Florida ; ( ure of Motrry u tote of Florida) Commission No. 3 5G Jr (Sezi) Commission No. GNU a-�P,5q:5 (Seal) REVIEWS FRONT ZONING - SUPERVISOR F PLANS VEGETATION SEATURTLE bIkNGRLVE � COUNTER REVIEW -i2WEW REVIEW REVIEW REVIEW - REVIEW , - DATE RECEIVED COMPLETED nev. Z/ illy Certificate of Product Ratings AHRI Certified Reference Number: 8858396 Date: 01.31.2020 Model Status: Active AHRI Type: RCU-A-CB Series: XL16 Outdoor Unit Brand Name : TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTX606OJ1 Indoor Unit Model Number (Evaporator andlor Air Handier): TEM6AOC6OH51+TDR+UF/HRZ 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 AHRI 210/240 with Addendum 1, 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 : 58000 SEER: 15.25 EER (A2) - Single or High Stage (95F) : 12.75 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 producetl'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 accompanied by WAS indicate an involuntary re -rate. The new published ratina is shown along with the previous (i.e. WAS) ralinq, 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 produtt(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 CONDITIONScome 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 K REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.lhridirectory.org, click on "Verify Certificate" link ,na Gc life bcuar• and ent.rthe 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-Condition ing, Heating, and Refrigeration Institute CERTIFICATE NO.: 132249671446002737 JOSEPH E SMITH, CLERK OF THE CIRCUIT COURT SAINT LUCIE COUNTY FILE 467082302/05/202003.42:51 PM OR BOOK 4378 PAGE 2955 - 2955 DOC Type: NC NOTICE OF COMMENCEMENT RECORDING: $10.00 Permit No. Property Tax ID No.44a6 - 510 - OODL' -om-14 State of Florida, County of St. Lucie The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Legal Description of property and address if available General description of improvements Address L Y r J d Interest in property: 0 VJ n e C Fee Simple Title holder (if other than owner) Address N � 0, Contractor ra.0 Address Q 0 L( S 1T Phone#-77a 9,R7-/-1a-7 Fax# 77ot o2l�3-ttIDXs- Surety Phone # Address Fax # Amount of Bond Lender Phone # Address Fax # Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (a) 7., Florida Statues: Name Phone# Address Fax # In addition to himself, owner designates of Phone # Fax # to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CH.713.13, F.S., AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCMENT. z2 & YJ� � Owner/Lessee, or wner's essm's Authorized Officer/Director/Partner/Manager/ Signature p Signatory's Thle/Omce State of Florida, County of iv lar+)n ��"" Acknowledged before me this day of �R� 20 � by oil %T I p7�✓) Vasture� rsonally known to or who has produced DV L 5 O''SLid, - - 1-D as identification. �� mr.>roi� 1 ann D w�nS N ary Type or Print Name of Notary (Seal) Title: Notary Public Commission Number G1L� 3a I;z C ry�,, NOUry PUMw State of FloridaCameron Lynn OvrenaIv My Commission GG 322595 Explros 04I7112023