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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �' Permit Number: - cQ-17. Building Permit Application MAR 0 e 2020 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue,Fort Pierce FL 34982 �. de C O U n t y r FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial ROM itiI PERMITTYPE:A/C CHANGEOUT PROPOSED_IMPROVEMENTLOCATION,.' Address: 9600 SOUTH OCEAN DR APT#505 FORT PIERCE FL 34949 Property Tax ID#: &o'o- 0 V_s>-2— 00 0 , 1) Lot No. Site Plan Name: Block No. Project Name: EMPRESS CONDO DETAILED DESCRIPTION OF''WORK REPLACE 2.5 TON AIR CONDITIONING SYSTEMS r' KW 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:$ 4800 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE { ` CONTRACTOR F �. .. xa-,. . ., NameJOANNE CARRON Name:MICHAEL A KRENCIK Address:9600 S. OCEAN DR. APT 505 Company:ASSOCIATED AIR OF PORT ST LUCIE City: FORT PIERCE State:_ Address:1552 SE NIEMEYER CIR Zip Code: 34949 Fax: City: PORT ST LUCIE State:FL Phone No.941-685-6071 Zip Code: 34952 Fax: E-Mail: Phone No 772-335-7089 Fill in fee simple Title Holder on next page(if different E-Mail(ASSOCIATED@BELLSOUTH.NET from the Owner listed above) State or County License CAC057622 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 INFORMATION:' .. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: 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 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 ORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM CEMENT." ;J40 V 1kV"'4'0' Signature of Owner/Lessee Co tractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST L uG,6C COUNTY OF ,S 7- The forgoing instrument was acknowledged before me The fo oing instrume t was acknowledged before me this�day of�✓WC;Y ,200 by this T day of AA%l ,26-26 by 192 i r_ / ,o /<IWVC_I.A< 16/1.061_ X eReliciR Name of person making statement. Name of person making statement. Personally Known OR Prodli r nail Known r/ OR Pro �c . .o Type of Identification �."".q,� Notary Public State ( dnea I ntification Notary Public State FI Dda David Carl DeWitt Produced David Carl DeWi ro uce r My Commission GG 2 '�c My Commission GG 290556 ;'r,o Expires 01/17/2p23 ''� .d Expires 01/17/2023 L (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Commission No.Lity<>1dSS6 (Seal) Commission No. ;19135�rG (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. A"U"203111 CERTIFIED Certificate ®f Product Ratings AHRI Certified Reference Number:8676077 Date:03-10-2020 Model Status:Active AHRI Type:RCU-A-CB Series:XR16 Outdoor Unit Brand Name:TRANE Outdoor Unit Model Number (Condenser or Single Package):4TTR603OJ1 Indoor Unit Model Number(Evaporator and/or Air Handler):TEM4AOB3OS31+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 TRANE product jsjeiporisible for the rating of this system combination Rated as follows in accordance with'the latest edition of AHRI 21.0/240W ith Addendum! Performance Rating of Unitary Air Conditioning. &Alr Source Heat Pump ,E qui --*-' ntand subject to rating accuracy by=AHRI sponsored Independent.third party testing Cooling-Capacity(A2) ;Single or High Stage(95F),btuh:28800 SEER 15.50 EER(A2) Single or High Stage(95F)F 13 00 -Age 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. Ratings that are accompanied by WAS indicate an involuntary re-rate. The new published rating is shown along with the previous(i.e.WAS)retina. 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,dick on"Verity Certificate"link kve 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.: 132283137022619799;