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HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Residential Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: 3�ilq Sao- oa�� � Property Tax ID #: -000- Site Plan Name: Project Name: DETAILED D1 a of WORK: ]INSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: .1Vlechanical _ Gas Tank _Gas Piping _Shutters Electric — Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Sq. Ft. of First floor: _ Cost of Construction: $ Lot No. Block No. Windows/Doors Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE; CONTRACTOR: Name r rqF MkY � Dr e5 Name: Curtis Sammons Address: 119 /y P-)0, n t C"- ✓a v -e-- Company: Custom Air Systems, Inc. City: f'1'4 S f LV CI�G v State: lrL Address:1615 SE Village Green Drive i Zip Code: '3 (4 q9-3 Fax: City: Port Saint Lucie State. FL Phone No. %� �.a �70 �" s�s� — Zip Code: 34952 Fax: 772-335-1968 E-Mail:/Jb Phone No 772-335-3232 Fill in fee simple Title Holder on next page ( if different E-Mail custairsys@aol.com from the Owner listed above) State or County License CAC051810 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: State: City: State: City: 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 Home Owners Associationrestrict or such th nts that wh pyoiur restrido Hle ewbylaws structure. Please colict nsult with ome Owners Association your deed or any s 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, rooms and accessory uses to another non-residential use accessory structures, swimming pools, fences, walls, signs, screen "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 SfTE 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/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA d.6 STATE OF FLORIDA COUNTY OF � t v LLCC.G COUNTY OF The forgoing instrument was acknowledged before me 'Mz, The forgoing instrument was acknowledged before me this day of MC _C P\ , 20_2f.;) by this ;L q day of 1M CACAA , 20 by _� /"r/h!/S J�MXC) n,5 euRTIS 5J' ItYIO�S Name of person making statement. Name of person making statement. Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Flom 1°�. CHRISTiNE B ,+ D 5 z S' I 2ougr r� CHRISTtNE B Commission No.�1Gi �L MYOOMMISSIpN2�lss'c • n No. � ®s a 5 6 * MY COMMISSION # ORES:Apt * * o� Y EXPfRES: Ap 'eor F%'o Bonded Thru &+dyer ct REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW COUNTER REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. Y� wl f ro 17,�,,,, AV■.nai CERTIFIED° www.ahridirectory.org This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Product Ratings AHRI Certified Reference Number: 8627727 Date : 03-24-2020 Model Status : Active AHRI Type: RCU-A-CB Series: XR16 Outdoor Unit Brand Name : TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6036J1 Indoor Unit Model Number (Evaporator and/or Air Handier) : TEM6AOC36H31+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 is responsible for the rating of this system combination: Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 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 tesf : Cooling Capacity (A2) Single or High Stage (95F), btuh : 35000 SEER: 16.50 EER (A2,) -, Single or High Stage (951=) : 14.00 ?"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. Ratan s that are accom anied b WAS indicate an involunta re -rate. The new published ratan is shown alongwith the revious 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 I reproduced; copied; disseminate confidential reference purposes. The contents of this Certificatd; e may not, in whole or in part, be repro entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION 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. CERTIFICATE NO.: 132295451065272181 ©2020Air-Conditioning, Heating, and Refrigeration Institute "