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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPU0kBLE INPP MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: za Permit Number: �Ir IL Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 6643 Alemendra Fort Pierce, FI 34951 Property Tax ID #: 1306-500-0171-000-6 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: 3.0 Ton 15 SEER Straight Cool SPlit 5 KW Heater Like for Like New Electrical Meter Second Electrical CONSTRUCTION INFORMATION: Additional work to be performed under this permit–check all that apply: Mechanical Electric _ Gas Tank Plumbing Total Sq. Ft of Construction:. Cost of Construction: $ 6500 —Gas Piping _Sprinklers Lot No. 23 Block No. 50 _ Shutters -Windows/Doors _ Pond Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Dewey Greger Name: Robert Marcelle Address: 6643 Alemendra Company: Comfort Experts USA Inc. City: Fort Pierce State: Zip Code: 34951 Fax: Phone No. 772-871-8244 Address:664 NW Enterprise Dr. Unit 120 City: Port Saint Lucie State: FL Zip Code: 34986 Fax: 772-873-3090 Phone No 772-873-3000 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailckongerl4@gmaii.com State or County License CACI 814439 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Signature of Co tr for/License Holder DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Sworn to (or affirmed) and su cribed before me of Address: ysical Presen nline Notarization City: Zip: Phone State: City: Zip: Phone: State: _ FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Type of Identificatiob Prod Address: aCgd 1 City: re of Notary Public- St ' LE City: My Commission E Zip: Phone: November 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County 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 vour Notice of Commencement. net/ Lessee/Contractor as Agent for Owner Signature of OICORIDASTATE Signature of Co tr for/License Holder STATE OF Fk OF FLORIDA COUNTY OFy ` l Vu1 �l COUNTY OF Sworn to (or affirmed) and subsyyr�ibed before me of Sworn to (or affirmed) and su cribed before me of Pre ce or X nline Notarization ysical Presen nline Notarization th' ` day of 2020 by this day of 2020 by fysical & I e- VC_ -_-)0 may -cc Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Iden' 1 Iins � Type of Identificatiob Prod Pr uced aCgd 1 LAId (Signature of Notary Public- Stare - CATHERINE MI re of Notary Public- St ' LE =o,M.o¢n _ _+ State of Florida -Nota ubli 11 � CATHERINE Commission No Sion No. 1��1 i�`� `8�;(? MI �eadommission # GG 2 of Florida-Notar My Commission E pires yea Commission#GG27 November Novemberol 20 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 5 COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 5/6/20 r , Certificate of Product Ratings AHRI Certified Reference Number: 7599223 Date: 05-22-2020 Model Status: Active AHRI Type: RCU-A-CB Series: SILVER 14 Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package), 4A7A4036L1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM6AOB3OH21+TDR 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, Vi, 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 AMERICAN STANDARD 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 : 33600 SEER': 15.00 EER (A2) - Single or High Stage (95F) : 12.50 f"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. Retinas that are accompanied by WAS indicate an involuntary re -rate. The new published ratina is shown alone with the Drevious (i.e. WI 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 onlyfor 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 AM 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, personal and confidential reference. AIR-0ONGITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.shrldfrectory.org, click on "Verify Certificate" link mala•. lire bene,^ 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 CERTIFICATE NO.. 132346359023817774