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HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: iCOUNTY Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE: Permit Number: Building Permit Application Commercial Residential '>4,_ PROPOSED IMPROVEMENT LOCATION: I Address: Property Tax ID #:C� ) Site Plan Name: ��-1 A/_L/ _VA GL Project Name: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: Mechanical Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ �� Utilities: —Sewer —Septic Building Height: Lot No. Block No. _ Windows/Doors Roof Pitch OWNER/LESSEE: CONTRACTOR: Name Name: / a &L61 Company: /i Address:�3i'2__16LMUZZ2 City: �fE�f �1d 1.1P, State: Wit— Address: �R Zviam/IZ Zip Code: �i Fax: City: .—State:L� �?j� Phone No. �21%'D- g�� ��� Zip Code:7iTi �' Fax: Phone No 12Z— E-Mail: Fill in fee simple Title Holder on next page ( if different E-Mail l Z,6? A State or County License / — K_ c from the Owner listed above) If value of construction is Szsuu or more, a Ktt-UK000 IVOUfa UI anun.c.•a c...c... • y..•. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: _ Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone Not Applicable 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 wrrw vne eQ 1 FIMER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT A �; Z171 sigOW416f Owner/ Lessee/Contractor as Agent for Owner S' n u e of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 5} LuC 1 tE C� Li� _ COUNTY OF 5-T The f oing instrument was acknowledged before me The fQmoing instrument was acknowledged before me this Cf day of Sv &0 by this day of v1 26,�D by .20 alneJA Name of person making statement. Name of person making tement. taOR Produced Identification Personally Known ,-,"'OR Personally Known OR Produced Identification Type of Identification Type of Identification Produced IJV?ers�, Produced t 1t^t�d�/ (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida } Commiss..... ��fiA V1iAL.SH Commissi . a A WAL H ;State of Florida -Notary Public :State of Florida-Ho#ary Public gaz REVI - My Com IX . I I A fission Expire f �� S PERVISOR PLANS TII Cspira NGROVE EVIEW REVIEW EVIEW D E RE EIVED D E C MPLETED Rev.J Z/ //1y 1578 Niemeyer Circle Port St. Lucie, FL 34952 Clean Air Tectincicgies PROPOSAL AND AGREEMENT A/C Sales Service Installation By Jeffrey Almeida - Lic # CA-0058660 CUSTOMER NAME ADDRESS J J Z % i.1 J0J° (' 14ye- CITY, STATE, ZIP�2— (772) 335-2061 Fax 335-1802 PHONE 17'72_ �%% i �% DATE JOB ADDRESS WORK PHON 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 Make Model Number(s) SEER_EER BTUH Cooling ^M'0012 BTUH Heating CFM Installation shall include: New Amp disconnect New low voltage wiring New reinforced equipment pad New vibration isolation pads New properly sized refrigerant lines New, clean, dry ACR copper tubing Charge to manufacturer's specs Insulate refrigerant suction lines Install refrigerant drier(s) Evacuate refrigerant system Remove existing equipment from premises Install new thermostat New copper wire from to Complete system start up Option (below) Alternative (below) Terms X=Yes Make air tight plenum transition New dehumidistat New supply diffuser New duct run from to New return air filter grill Noise reducing flexible duct connector Clean work area to customer's satisfaction New condensate drain system Install aux. condensate drain pan New high efficiency air filter Meet all code requirements Wyear parts warranty _year labor warranty Nyear compressor _year service agreement Is ( _ Is not) included in price Installed Price Taxes Total Amount Down Payment / Balance Due Acceptance by: Q—� _ / " ^ Approved _ Date` by: �-,E Date: D , 8 -) o)) , Certificate of Product Ratings AHRI Certified Reference Number: 7615285 Date : 07-09-2020 Model Status : Active AHRI Type: SP-A Series: FRIGIDAIRE P7RE SERIES Outdoor Unit Brand Name: FRIGIDAIRE Outdoor Unit Model Number (Condenser or Single Package) : P7RE-036K 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, Wl, 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 FRIGIDAIRE 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 : 35000 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. Ratinas 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.ahridfrectory.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. 132387713602839572 ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: