Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: O ta/ 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) 462-1579 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: Legal Description:. `� _ R_ Property Tax ID #: Lot No. Site Plan Name: Block N Project Name: Setbacks Front Back: Right Side: Left Side: LDETAILED DESCRIPTION OF WORK: Replace AC, exact change out withu&ton, ! SEER, KW AC unit CONSTRUCTION INFORMATION: Add- �i iona wor to e e armed un ertiispermit-check-all apply: 1:1 Gas Tank ❑Gas Piping Shutters ❑ _ Windows/Doors 11 Electric F]Plumbing Sprinklers C Generator Roof Roof pitch Total Sq. Ft of Construction: 5 Ft. of First Floor: Cost of Construction: $ UtilitiesllSewer 0Septic Building - Height: OWNERAESSEE: CONTRACTOR: 11 Name Mn ct)-op ina, Name: Dennis Zacek Address: o Z `' Company: AIRS American Residential Services City: State.'JL Address: 2800 US Hwy 1 Zip Code: 3 Fax: City: Vero Beach State: FL Phone No. �.1� s� _ Zip Cade: 32960 Fax: E-Mail: Phone No. 7c_ - _JC)0_7 Fill in fee simple Title Holder on next page ( if different E-Mai�U1 I IVCUI 0 CXY'16 from the Owner listed above) I State or County License: CMC1249753 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. c-PPLEM_ENTAL-C-ONSTRUCfION LIENIAW.INFQRMATIOW DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name-, Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. 5 _ Signature of O er/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF $ILude The figqing instr as acknowledge(�,,before me this w day of 20 Eby Dennis Zacek person of Flo STATE OF FLORIDA COUNTY OF StLocie The for Ding instrumen was acknowledged before me this T day of 20 0 Dby F1�111 1,1kkALII� -obil Personally Known x OR Produced Identification Personally Known x _ OR Produced Identification Type of Identification Produced Type of Identification Produced Commission N C (Seal) Commission No. k (Seal) t= SULLIVAN :�*M1'•'--w , COL.EEN SUL.L.IVAN rIy COWAI Y Revised 07/15/2014 yGG071535 '��a,tid EXPIRES February 09. 2021 •.��. aPP' XPIREc Februa+ G9. 20c1 , c REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratings AHRI Certified Reference Number: 202717625 Date : 02-18-2020 Model Status: Active AHRI Type: SP-A Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 50ZPD030"•3"' 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, 2015 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 AHRI 2101240 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 : 28600 SEER: 14.00 EER (A2) - Single or High Stage (95F) :11.50 t"Active' Model Status are those that an AHRI Certificalon Program Participant is currently producing AND selling or offering for sate; OR new models that are being marketed but are not yet being produced'Produclion Stopped' Model Status are those that an AHRI Certification Program Participant Is no longer producing BUT is still selling or offering for sale Ratings that are accorn nied_by WAS Indicate an involuntary re -rate, The new published rating is shown along with the previous (i.e. WAS) ralina. 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 Cerdffcate shall only be used for Individual, personal and confidential reference purposes. The contents of this Certificate may noG 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-CONDITIONINtt, HEATING, CERTIFICATE VERIFICATION a REFRIGERATION INSTITM The Information for the model cited on this certificate can be verified at www.ahridirectory.org. click on "Verify Certificate' link Av matte 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-Condition ing, Heating, and Refrigeration Institute I CERTIFICATE NO.: 13MO5190102842091