HomeMy WebLinkAboutShinn permit packet 6-5-20ahAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: "II� n o Permit Number:
L COUNTY
-
-- Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: P.1C
OrI3!2@e cu1 -
PROPOSED IMPROVEMENT LOCATION:
Address: 25110S -i �f Yl Dr, 1I-Teryson Reach , F-L• 3w959
Property Tax ID #: 35a- -- SO I - n o 4.3 - ony - 8 Lot No.
Site Plan Name:
Project Name:
Block No.
I DETAILED DESCRIPTION OF WORK: I
I CONSTRUCTION INFORMATION: 1
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: Sq.
2q Sq. Ft. of First Floor: _
Cost of Construction: $ 17� I J-10 % 45 Utilities: —Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: r
Address: S?) S . octnn w
Company:
City::12%-Y:jpn Reach State:
Zip Code: 59 Fax:
Phone No. 10 ---+?-)a - (Da 191)
Address: (Qlo;4j W • p(iiClYl�t�11 Q{�
City:?]
Zip Code: '�Z3'%459 Fax:
Phone No ` i Q IS
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail 0..1'1os C _ Q com CC s+. nek
State or County License_ Cftc-041 19 L�
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 MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City
Zip: Phone: Zip:
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 priorto 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 SF E BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
gn ure of Owner/ Lessee/Contractor a A nt for Owner
ign lure of Contractor/License Holder
STATE OF FLO DA
STATE OF FLOI IDA
(�Pcv,C(!�
COUNTY OF U\m &?UCP`
COUNTY OF 1��\M
The forgoing instrument was acknowledged before me
The forgoing instr ment was acknowledged before me
this S day of aurae 20a-oby
this 5 dayofV{Je 20acby
Name of person making statement.
Name of person maklin/gjtatement.
Personally Known OR Produced Identification
Personally Known i/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
oI
(Signature of Notary Public
State o Ff966?3h Blauvelt
(ignature
of Notary Public -State o
Florida ) Robert Blauvel
Commission No.
My COm on GG032768
Expires 09/22/2020
mmission No.
My orinmission GG
(%a Tres 09/22/20
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
Certificate of Product Ratinqs
AHRI Certified Reference Number: 204598936 Date : 06-04-2020 Model Status: Active
AHRI Type: RCU-A-CB
Outdoor Unit Brand Name: RUNTRU
Outdoor Unit Model Number (Condenser or Single Package) : A4AC4048A1
Indoor Unit Model Number (Evaporator and/or Air Handler) : A4AH4E48A1C3
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, Vr, 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 RUNTRU 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), bluh : 47500
SEER: 15.00
EER (A2) - Single or High Stage (95F) : 12.50
T"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 ofiedng for sale.
Retinas that are accompanied by WAS indicate an Involuntary re -rate. The new published relino is shown alone with the Drevious (i.e. WAS) retina.
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) Ilsted 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 Ilsled an 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 Certlflcate 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; Arms Elm
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
8 REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.ah,IdImctory.org, click on 'Verify Certificate' link „�. make lire bm"-
anti 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. 13236y640130684449
02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
Certificate of Product Ratings
AHRI Certified Reference Number: 204598936 Dale : 06-04-2020 Model Status: Active
AHRI Type: RCU-A-CB
Outdoor Unit Brand Name: RUNTRU
Outdoor Unit Model Number (Condenser or Single Package) : A4AC4048A1
Indoor Unit Model Number (Evaporator and/or Air Handler) : A4AH4E48A1C3
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, NO. 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 RUNTRU 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 8 Air -Source Heal Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2)- Single or High Stage (95F), btuh : 47500
SEER: 15.00
EER (A2) - Single or High Stage (95F) : 12.50
t'Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or ofiedng for sale; OR now models that are being
marketed but are not yet being produced'Production Stopped' Model Status are those that an AHRI Cerdfleatlon Program Participant Is no longer producing BUT is sell
selling or offering for sale.
Ratinas that are accompanied by WAS Indicate an involuntary re -rate. The new Dublished retina Is shown along with the DreVIODa (i.e. WAS) retina.
DISCLAIMER
AHRI does not endorse the products) listed an 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 A MIND
Confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copied; disseminated; ArME OEM
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 8 REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridlrectory.org, click on "Verify Certificate' link life hom-
antl 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. i
13235764013p664448
02020Air-Condltioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
Certificate of Product Ratings
AHRI Certified Reference Number: 204599822 Date : 06-04-2020 Model Status: Active
AHRI Type: RCU-A-CB
Outdoor Unit Brand Name: RUNTRU
Outdoor Unit Model Number (Condenser or Single Package) : A4AC4060A1
Indoor Unit Model Number (Evaporator andlor Air Handier): A4AH4E60A1C3
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, NO, 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 RUNTRU 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 : 55000
SEER: 14.00
EER (A2)-Single or High Stage (95F) : 11.70
t"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.
Radnas that are accompanied by WAS indicate an involuntary re -rate. The new published retina is shown alono with the Previous fi.e. WAS) rating.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warrantles or guarantees as to, and assumes no responsibility for,
the product(s) listed on this Certlflcate. 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 produces 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 pert, be reproduced; copied: disseminated; Ar� Elm
entered Into a computer database; or otherwise utilized, In any farm or manner or by any means, except for the user's Individual.
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE
The information for the model cited an this certificate can be verified at www.ahrldlrectory.org, click on'Verlty Certificate- link „ „,,,l,� 16 bvlm-
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.
02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132367e50781e64013
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number; 201851575 Dale : 06-04-2020 Model Status: Active
AHRI Type: HMSV-A-CB
Outdoor Unit Brand Name: DAIKIN
Outdoor Unit Model Number: 3MXS24RMVJU
Indoor Type: Non -Ducted Indoor Units
Rated as follows in accordance with the latest edition of AHRI 210/240 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) : 240DO
EER (95F) : 12.70
SEER: 18.00
High Heat (47F) : 24000
Low Heat (17F) : 15500
HSPF : 12.50
Sold in?: USA, Canada
t'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.'Producton Stopped' Model Status are those that an AHRI Certlflcatlon 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 mgna is shown alona with the previous (i.s. WAS) radna.
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.ah ridirectory.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;
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
B REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.ahrldlrectory.org, click on'Verify Certificate' link ,,.r. khb bow, -
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. 132357780343616620
02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: