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HomeMy WebLinkAboutBuilding Permit Application (Mechanical)L All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: -J 'rmliNumber'.. Pe pZ % Building Permit Application'. Planning and Development Services Building4nd Code Regulation,Division 2300 Ifiliginia Avenue, Fort Pierce FL 34982 Phone: L(772) 462-1553 Fak (772) 462-1578 Commercial Residential PERMITTYPE: Mechanical O OSUQ 280, Address: 2410 Tamarind Dr Ft Pierce, F1 34949 Property Tax ID #: 1436-601-0009-000-0 Lot No. 8 Site Plan'Name: Fort Pierce Shores -Unit 1 I '. Block No. Project Njm6: Jennifer Stevens Install Mitsubishi Mini S lit MitsubishUMUZ-HM09NA-U1, Mitsubi§hYMSZ-HM09NA-U1 9,000 BTU, 18.00 SEER 0M.- Y% CONSRRUCTIO IN W 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: $-3100.00 Sq. Ft. of First ;Utilities: _5ewer —Septic Building Height; OWNER:LESSEE: I MWWMW�M Name Jennifer Stevens Name: Samuel T Durham Address: 9437 Gulleys Cove Ln Company:Advantage AC of the TC City: Easton State:'Mo Zip Code: 21601 Fax: Phone 'No. 410-253-1883 Address: 601 S Market Ave City: Ft Pierce State:Fl Zip Code: 34982 Fax: 772-465--4945 Phone N0772-465-1606 E-Mail: Fill In fee simple Title Holder on next page,( If different from the Owner listed above) E-Mail Advantagepermits@hotmall.com State or County License CAC039664 -4 VOIUCWI WF13LVULUUn m;oc uu or more, a Kr.LUKUW Notice of Commencementls required. If value of HVAC is $7,500 or more,a RECORDED Notice of:Commencement Is required. SUPPGO STRUCTIQ.N LIEN LAW I DESIGNER/ENGINEER: _Not Applicable Name: ' FO gTION: 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: u 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 ofapermit. - _ - St. Lucie County makes no representation that is granting a permitwill airthorize the permit holder to build the subject structure - > which is In conflict with any applicable Home Owners Assoc ation rules,. bylaws. or an covenants that may restrict or prohibit such .structure. Please consult with your, Home Owners Association andreview your deed for any .restrictionswhich may apply. ` inconsideration of the granting of this requested permit, I do hereby agree that 1 will, .inall 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 concurrencyreview:.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 WTIH YOUR LENDER OR AN ATTnRNFY RFFnRF RFcnRntar: Vn11R NnTrrF nF. rnmmFNcFmFNrr n Signature of Owner/-Lessee/Contractor as Agent'for Owner signature of Holder _ - - STATE OF FLORIDA STATE OF FLORIDA COUNTYOF COUNTYOF MUldo The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this zs day of rew� .20M by - this.25 day of F.bmm .202D by enm"elTCrulmmloth'Samar mOuTem _ . Name of person making statement. - If Name of person making statement. - Personally Known x OR Produced ldentificati Personally Known x OR; Produced ldentificatio Type of Identification _ Type of Identification - Produced - ;,, Produced'Cp - . - F. (Si nature Pu '- of Florida) ' $- (Si natu of aryPublic-State of Florid -)� i���,, � Commission Nb. oc= - - - (Seal) m w m Commission No. GG363239 (seal) @ 9 => REVIEWS FRONT ZONING SUPERVISOR, 'PLANS VEGETATION SEATURTLE MANGROVE, COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED 1. a - 'Certificate of Product Rati AHRI.Certified Reference Number:201754645, Date: 02-25.2020 Model Status: Active , AHRI Type: HRCU-A-CB-0 .. - .. .. _ Series Name: MSedes Outdoor Unit Brand Name: Mitsubishi Electric _ - 'Outdoor Uriit Model Number: MUZ-HM091U{-U1' Indoor Type: MlniSplits - Indoor Model Numbel(a); MSZ-HM09NA-Ut. - Rated as follows in accordance with the latest edition of AHRI. 2101240. with Addendum 1, 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 (95F) : ODOO _ EER'(95F):; 12.00 • W (SEER: 18.00 _ High Heat(47F) 109GO Low Heat (17F)::6700'• — — - HSPF': 10.00_- Soldan7:USA t"Avtiva' Model Status ere, those that anAHRI Certiaration'.Progmm participant Is CUMM11y producing AND selling or offering for sale; OR new models that are being marketed but ere not yot being produced'Production Stopped' Model Status are those that an AHIII Codification program Participant is no longer producing BUT Is still sailing or oBering fpraale. Ratinva that ere aaompanled W WAS Indicate en involuntary re-mte The new oublished retinvis shovnt Wong with the previous (i WASI mind. DISCLAIMER AHRI does not endorse the product(s) listed ad this Certificate and makes no mpresentallons,w•arranties or guarantees as to, and aswmes no responsibility for, the product(h) listed on this Certificate. AHRI expressly disclaims all liability, for damages of any kind arising out of the use or performance of the producl(s), or the unauthorized alteration of data listed an this Certificate. Certified ratings am valid only for models and configurations listed In the directory at w".ahrldlrectary.org. - - TERMS AND CONDITIONS This Certificate and Its contents are proprlothry products of AHRI. This Certificate shah only be usetl for Individual, personal and confidential reference purposes. The contents of this Certificate may not. In whole or in part, be reproduced; ccple8; disseminated; entered Into a computer database; or otherwise utilized, in any farm or manner or by any means, except for the user's Individual, Pow personal and confidential reference. AIR-CONDITIONING. HEATING, CERTIFICATE VERIFICATION B REFRIGERATION INSTITUTE The Information for the, model cited an this certificate can be verlfled at aaw.uhridlrectory.arg, dick on 'Verity Certificate' link we and order the AHRI'CerdlRod RMemnco Number end the data on which the cortiflpptn Was Issued, makelik better" which Is listed above, and the Certificate No., which is listed at bottom right. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132271207429980906