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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 04/27/20 Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT TYPE: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 4160 N A1A #202 Ft Pierce FL 34949 Property Tax ID #: 1423-506-0002-000-9 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: HVAC Condenser 4TTL6042 3.5 Ton 15.5 Seer 42,000 BTU Air Handler TEM6AOC42 3.5 Ton 1OKW CONSTRUCTION INFORMATION: Lot No. Block No. 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: _ Cost of Construction: $ 6750.00 OWNER/LESSEE: Name Richard Cota Address: 4160 N AIA #202 City: Ft Pierce State: Zip Code: 34949 Fax: Phone No. E -Mail: Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Mark Matakaetis Company: Barker Air Conditioning Address: 1936 Commerec Ave City: Vero Beach State:_ Zip Code: 32960 Fax: 772-562-5340 Phone No 772-562-2103 E -Mail jenniferbarkerac@gmail.com State or County License CAC057252 f value of construction is 52500 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: x Not Applicable Name: MORTGAGE COMPANY: K Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: 7�(-- Not Applicable Name: BONDING COMPANY: Not Applicable 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 OR AN ATTOPNEVIBEkORE RECORDING YOUR NOTICE OFC MENCEMENT." Rev. 2/7/19 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF aw COUNTYOF The forgoing instrument was acknowledged before me this 2K�` day of got 20 20 by Theforggoing instrument was acknowledged before me this. day of 8:pn' l 20 2? by WtolL 114n /u"Ac' Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identificatio Type of Identification Produced Produced (Sign ure f Notary Public -State of Florida) (Sign t e ar cIkc—Sfa& clic-a&of Florida ) �4e I�RGINASIXNAR9SC Commission No. 12F 5q y03ion MWy EXPIRES: May 18.2020 No. FF 3/ 31 e��l)IERNQERGINAWUI?r` MY COMMISSI, g7{p ES REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 ANER21 wCwr r L Certificate of Product Ratings F: AHRI Certified Reference Number: 10229123 Date: 04-26-2020 Model Status: Active AHRI TypeRCU-A-CB Series : XR16 Outdoor Unit Brand Name : TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTL6042A1 Indoor Unit Model Number (Evaporator and/or Air Handier): TEM6AOC42H41+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 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 : 40500 SEER: 15.50 EER (A2) - Single or High Stage (95F) : 13.00 ?"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 (or sale. Ratigos that are accompanied by WAS indicate an involuntary re -rate. The new oublished ratina is shown along with the Dfevious (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 produces), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at wwmahridlrectory.nrg. TERMS AND CONDITIONS "IM' 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; A. no 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 & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridifectory.org, click on "Verify Certificate" link are 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 Institutets2azeAaaRAztsoesa CERTIFICATE NO.: