HomeMy WebLinkAboutComplete Permit AppAll APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 20 -0232
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 452-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 10680 S Ocean Dr Unit 1005 Jensen Beach, FI 34957
Property Tax ID #: 4511-516-0102-000-0
Site Plan Name: Island Crest Condominium unit 1005 and Undiv Share In Common Elements MCM-90491
Project Name: Leonard Holtzman
DETAILED DESCRIPTION OF WORK:
AC change out like for like
National/NCPE-424-1010 National/NCPAH-24-A1
2 Ton, 5KW, 12.00 SEER
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
X
Lot No.
Block No.
Additional work to be performed under this permit -check all that apply:
V Mechanical — Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
Electric — Plumbing , Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4,950.00
OWNER/LESSEE:
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Name J
Address.-I-lq 1 S. 115 i _
City: Lucle State: EI
Zip Code: 3LAQ5Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Name: —)0LCY,(_rJ 1 D u &\a t'1
Company. 02 Ck Lb-
Address:C00k MQ� Y'i[C4�- -�tije_
City: D kj C= State: T1
Zip Code: 3L!7Q?)?— Fax 45
Phone No —1`1
E -Mail X. (T tAgh)gC62[bI1,C1: Y
State or County License d
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:
or recording our Notice of Commencement,
DESIGNERANGINEER: —__ Not Applicable
Name:
MORTGAGE COMPANY: _ NotApplicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: '
Address:
City:
Zip: Phone:
AS►TRICnI I"f16k1Tn A/.T.... a
FLORIDA
--T-i-..i --i e nni. i vn Arriuvii 1: 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 finnncin consult
with lender or an attorney before commencing work
or recording our Notice of Commencement,
% &J_C�
Signature of Owner/ Lessee/Contractor as Agent
for Owner
Signature of Contractor/License Holder
FLORIDA
STATE OF FLORIDA
COUNT lVOF St Lucie
COUNTY OF
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this 4 day of _ June 2020 by
this 4 day of June '2020 by
Samuel T Durham
"011Edi
it
T Durham
Name of person making statement.
*
Name of person making statement.
Personally Known x OR Produced Identific r '
Personally Known x OR Produced Identificat'
Type of Identification
'a z
Type of Identification
Produced
m
M
Produced,'ZZ
/
#
, M
gUm
(Signature of Notary ic- tate of Florida)
n
{Signature of Notary u lic- State of Florida)
Commission No. GG263239 {Seal)
N W 6 CIS
GG26323sCno. (Seal)
O W T Y
N
N
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev.516/20
Certificate of Product Ratings
AHRI Certified Reference Number: 8641228 Date : 06-03-2020 Model Status: Active
AHRI Type : SCP-RCU-A-CB
Outdoor Unit Brand Name: NATIONAL
Outdoor Unit Model Number (Condenser or Single Package) : NCPE-424-1010
Indoor Unit Model Number (Evaporator and/or Air Handler) : NCPAH-24-A1
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 NATIONAL 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 testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 23000
SEER : 12.00
EER (A2) -Single or High Stage (95F) :10.50
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.
Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS} ratinst
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 far,
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.ahridlfectory.org.
TERMS AND CONDITIONS BIN
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;
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, Irm
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.ahFidirectory.org, click on "Verify Certificate" link we make lire better -
and enter the AHRI Certified Reference Number and the date on which the certificate was leaued,
which is listed above, and the Certificate No., which is listed at bottom right.
0202QAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132356877445862841