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HomeMy WebLinkAboutbuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date MEWaOf COUNTY Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE: PROPOSED IMPROVEMENT LOCATION: Address: 3 Lake Vista Trail #204 Property Tax ID #: 3422-500-0039-000-2 Site Plan Name: Project Name: Egers Permit Number: Building Permit Application Commercial Residential X DETAILED DESCRIPTION OF WORK: Install a new 2 ton 14 seer 5 kw Rheem complete system 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: Cost of Construction: $ 3800.00 Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Douglas Eger Name: Luke Walker Address:3 Lake Vista Trail #204 Company: Treasure Coast Air Conditioning City: Port St Lucie State: _ Zip Code: 34952 Fax: Phone No.920-227-4239 Address: PO Box 460 City: Jensen Beach State: FL Zip Code: 34958 Fax: 772-288-7046 Phone No 772-692-1701 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-MailTCAC1990@att.net State or County LicenseCAC058476 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 Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ 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 thepermit 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 0WNER: 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 WrrH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Sign ure f Owner/ Lessee/Contractor as Agent for Owner Sign ure Contractor/License Holder STATE OF FLORIDA %V%/9/1T/�tJ STATE OF FLORIDA r - COUNTY OF W540 COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this/ day of A V 20�o by this day of /�/3y 202-Aby Name of person making te ent. Name of person making statement. Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced i �H RlSCa �\\\11tHHtll///l/Z H WS iii Cp \\`\\\\��\\111t11111►►!//��� • (Signa ure of N ary Public- Stat, bf F�W •?q��•p (Signature of otary Pub ic- State of l�ri Commission No. = * : (Se"� Commission No. — ;(Seajl ICG 001306 i 0� • �j B �°,• Q S ;y BGG OOf308 • y • `C • REVIEWS FRONT Z OR ., �k �„d, •.• �. PLANS VEGETATION SEA TUR I`fcff i��fl COUNTER REV lllll t1%% EW REVIEW REVIEW REVIEW ilitfl DATE RECEIVED DATE COMPLETED ev. 4 / N" . -. .`�• Vit✓ .ei-• r Certificate of Product Ratings AHRI Certified Reference Number: 201166832 Date : 05-04-2020 Model Status : Discontinued Old AHRI Reference Number: 7490963 AHRI Type: RCU-A-CB Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1424AJ1 Indoor Unit Model Number (Evaporator and/or Air Handier): RH1 P2417STAN 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, 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 RHEEM 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 : 24000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 ?Models with ?Discontinued? Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer 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 C.e. WAS) ratino. 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; no IL® 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.ahridirectory.org, click on "Verify Certificate" link He 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.: t32330771613159452