Loading...
HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: I n L_U., c. LL Lk 4 L Building Permit Application Planning and Development Services i 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: Property Tax ID #: Site Plan Name: _ Project Name: DETAILED DESCRIPTION OF WORK: ,7.._ . 111 _ /- , vs i N104 AC Q C'2 lf -2- X 1-T 'Zk 4 I e4;L- New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Lot No. 2 Block No. Additional work to be performed under this permit- check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 7i Sq. Ft. of First Floor: _ Utilities: —Sewer _Septi Building Height: OWNER/LESSEE: CONTRACTOR: u Name Name: Company: Address: 81 a24AZeW City: �-� . �(�ft�!-P� State: Zip Code: Fax: Phone No. -4096 Address: s �1 City:State:_16�_ Zip Code: Fax: VJhoneNo �? .7- 7-D�� E -Mail: Fill in fee simple itle Holder on next page ( if different from the Owner listed above) E -Mail ��o 1� � iv. /_tel% State or County License — /�p 'g -'Rao If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. 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 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Si Af Owner/ Lessee/Contractor as Agent for Owner Si ontra or/license Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 5+ Luc Com AA COUNTY OF ST Lucie Cc>y The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this a day of`1 `�� 24Qv by this L day of J—'-) i � 20-10 by Name of person making statement. Name of person making st tement. Personally Known r,--'OR taOR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced .� W'J a 02L,,'_ (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) CommissCommissi A WALSH A WAL H State of Florida -Notary Public =_° �g'aState of Fiorida-Notary Public aq' M Com ission Expire REVIE �ry'��.ii ��°``1�RON Apr IaC�OJi3 S PERVISOR PLANS 1TI C rr�t►p�s,�ipr�,icire NGROVE EVIEW REVIEW R� ��22UU FF EVIEW RECEIVED PLETED DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: ,�', ,r. ,xwlJ'.. _ 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: 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 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Si Af Owner/ Lessee/Contractor as Agent for Owner Si ontra or/license Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 5+ Luc Com AA COUNTY OF ST Lucie Cc>y The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this a day of`1 `�� 24Qv by this L day of J—'-) i � 20-10 by Name of person making statement. Name of person making st tement. Personally Known r,--'OR taOR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced .� W'J a 02L,,'_ (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) CommissCommissi A WALSH A WAL H State of Florida -Notary Public =_° �g'aState of Fiorida-Notary Public aq' M Com ission Expire REVIE �ry'��.ii ��°``1�RON Apr IaC�OJi3 S PERVISOR PLANS 1TI C rr�t►p�s,�ipr�,icire NGROVE EVIEW REVIEW R� ��22UU FF EVIEW RECEIVED PLETED 1578 Niemeyer Circle clean Air (772) 335-2 Port St. Lucie, FL 34952 Fax 335-1 2 Techncicuies t PROPOSAL AND AGREEMENT J� A/C Sales Service Installation Com, By Jeffrey Almeida - Lic # CA -C058660 ut4 �y CUSTOMER NAME�U�"" '0 11/' PHONE i7��27� S ��� DATE ADDRESS d I S 1�✓ `CC JOB ADDRESS CITY, STATE, ZIP WORK PHONE We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on all pages of this proposal. �• EQUIPMENT SPECIFICATIONS �b rw Make 2- e%'h, Model Number(s) SEER EER�4TUH Cooling /U &:1� 13TUH Heating CFM Installations Q include: l��it- � �//tet —� r�c� %lJ0 �� �Ud& 7Ti 1114--- !/h ////,/ C4-j4e#- (ee-/ TG /1"-e 41'� 7'l„r� f�r�'_ flay/ ��St LN /ir►i Option (below) Alternative (below) Is ( _ Is not) included in price Installed Price Taxes $ Total Amount $ Down Payment $ u. Balance Due $ �Q Acceptance by:K) Approve � 2G,Za Date: by: Date X = Yes ewAmp pe-4ake airtight plenum transition41 Nstat �eyw low voltage wiring �, -�IVew reinforced equipment pad Z/11 New suppldehuy diffus New supply diffuser New vibration isolation pads New duct run from to New return air filter grill New properly sized refrigerant lines New, clean, dry ACR copper tubing i a reducing flexible duct connectors mak,¢ Charge to manufacturer's specs lea.D work area to customer's satisfaction Insulate refrigerant suction lines -New condensate drain system Install aux. condensate drain pan Install refrigerant drier(s) Evacuate refrigerant system w high efficiency air filter Meet all code requirements .�Re�Dove existing equipment from premises stall new on rT-J thermostat 16 year parts warranty ;7 New copper wire from to / _2—year labor warranty 1Qyear compressor mplete system start up / __/ year service agreement Option (below) Alternative (below) Is ( _ Is not) included in price Installed Price Taxes $ Total Amount $ Down Payment $ u. Balance Due $ �Q Acceptance by:K) Approve � 2G,Za Date: by: Date Certificate of Product Ratings AHRI Certified Reference Number: 7845704 Date : 07-02-2020 Model Status : Production Stopped AHRI Type: SPY -A Outdoor Unit Brand Name : LENNOX Outdoor Unit Model Number (Condenser or Single Package) : LRP14AC48P 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 LENNOX 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 : 46000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.00 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. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) 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 only for models and configurations listed in the directory at www.ahridlrectory.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; A..■ `� 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 we 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.: �3zsa�sss��22asoa7