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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/2/2020 Permit Number: COUNTY F. L 0 :R 1 0 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: M ECHAN I CAL PROPOSED IMPROVEMENT LOCATION: Address: 362b 51 FRANCIS ROAD Property Tax ID #: 2434-501-0063-000-6 Site Plan Name: TEMPLE Project Name: TEMPLE Building Permit Application Commercial Residential X Lot No.4&5 Block No. 5 DETAILED DESCRIPTION OF WORK: REPLACE AC, LIKE FOR LIKE, 3 TON, 15 SEER RUUD RA1436AJ1NA, RH1T3617STANJA, 10 KW I CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: X 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: $ 5500.00 Utilities: _ Sewer _ Septic Building Height: OWNERAESSEE: CONTRACTOR: NameDIANE: TEMPLE Name.JOHN PANKRAZ Address:3826 ST FRANCIS ROAD Company: ELITE ELECTRIC AND AIR City: FT PIERCE State: r- Zip Code: 34982 Fax: Phone No. 772-468-2850 Address:1691 SW SOUTH MACEDO BLVD City: PORT ST LUCIE State: FL Zip Code: 34984 Fax: 772-340-3702 Phone No772-340-3797 E-Mail: DIAN ETEM PLE57@YAHOO.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail PERMIT@ELITEELECTRICANDAIR.COM State or County LicenseCAC1816433 -LEI- W. 1VfE]LIULI{VI1 13 V{ IFIUFUd MCI-UMUCIJ NOLICe Oi LOmmencement 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 Address: Name: City, Address: State: Zip: City: State: Phone Zip: Phone:. FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: Name: Not Applicable Address: Name: ` City: Address: Zip: Phone: 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 l will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St -Luc ie 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 essee/Contractor as Agent far Owner Signature of Contractor/L' e Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFSz ruc E COUNTY OFsr LUCIE The forgoing instrument was acknowledged before me this 2 day of _ )kA AX 4, 20 2-6 by JOHN PANKRAZ Name of person making statement. Personally Known _ k _ OR Produced Identification Type of Identification Produced KGiPbLc— 'Ni i_"'A' Siafe of Florida r T } > Commisslnn !"r' GG 16" 915 (Signature of Nota ups nn 1 ��� eii f1r�l��a�onalNolaryAssn, Commission No. GG16 9IT1 -_ — — -" {Seal] REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW RECEIVED DATE COMPLETED The forgoing instrument was acknowledged before me this 2L day of M q-it"tu 202-u by JOHN PANKRAZ Name of person making statement. Personally Known k OR Produced Identification Type of Identification Produced iENAEDBAUT vy, , Notary Public —Stale of Fbrida } ` • " C©mmission ## GG 1 6691 5 Gamin Expires Dec 10, 2021 Kr �•" tar Assn. (Signature ofi Notary P - Commission No. GG166915 (Seal) PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW Certificate of Product Ratings AHRI Certified Reference Number: 201170992 Date : 01-20-2020 Model Status : Active Old AHRI Reference Number: 7491807 AHR! Type : RCU-A-CB Outdoor Unit Brand Name 7 RUUD Outdoor Unit Model Number (Condenser or Single package) : RA1436AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T3617STAN 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, 11VY, U.S. Territories) Region Note : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed rn 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 RUUD product is responsible forthe 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 : 35600 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale, 0R new models that are being marketed but are not yet being produced' Prod uction Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or isale. Ratin s thatofferare accng for om nied b WAS indicate an involunta re -rate. —The new ublished ratno is shown alono with the previcus i.o. WAS ratin . DISCLAIMER AHRI does not endorse the product(s) listed on this Certificateand 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), orthe unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.urg. 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 confidantfai reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.otg, click on "Verity Certificate' link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make fife better - which is listed above. and the Certificate No., which is listed at bottom right. ©2020Air-Conditioning, Heating, and Refrigeration Institute i CERTIFICATE N©_- 132240212414085919