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HomeMy WebLinkAboutWise Air Conditioning Permit Application 200721All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services X 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: %� G 1n tiJ� G UT S u m its PROPOSED IMPROVEMENT LOCATION: Address: Ms3 TvynviKo-.dee l:v R k toYt Q`vCe, L Property Tax ID #: Lot No. Site Plan Name: Block No. Project Name: VICfipVlq MIIVtgvM(At tM LV G 1 p cytYioQ Nov Awe -[WHO 1 61311 g0AU (L) .It a fit-r/leyiSfa :L`rom 10 KV M4 ft H 0 8100A- (I ) AMeY Tt0 2 /z . lav KW New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: 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: Sq. Ft. of First Floor: Cost of Construction: $ '7200 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name A w4 V1 E 1i m Q V1 V t, fA T Q W olv y Name: A V v® _To Address: q 61 , 4�VMMIcf lk o 19V aU Company: iSt Al's' WILIO V1IT'i LLG "y City: 1� State: F LL Zip Code: 0 Fax: �1 Phone No. b 0 q 561-31 T-45 � Address: 181 � V iM 1M i f W., K Q. 0 V City: W r 18 State: f L Zip Code: 3 a g Q Fax: Phone No 5� E-mail: civil iNiS��IVf OV1 1 1 QVIIVI�= COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail U VV0 Q 01 V (D Irl i fi D V) Ca -(Om State or County License GA 6 ' 18 1 aQ 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: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucieunty and posted on the jobsite blpre the first inspection. If you intend to obtain financing, consult with nder or aNattorney before comgj{ ncing work or recov%ng your Notice of Commencement. k' ! p f !3 igta'ature of n / s tra as Agent for Owner ` g ature of on ctor/Licens Hold O A�1� E1 STATETYOFORIDAjI 1L �1 COUNTSTATE OFO COU Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization X Physical Presen e o Online Notarization 'i �bi this � � day of J �— 2020 by this � day of V 2020 by Auvg Oyltv� VVy 10yi of CQbVG Name of person making statement. Name of person making statement. Personally Known 2C OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced_- kvi,,.� -- SH-AN�� �CI��VCMA SH 19k 1 i ature of Notary Public- Stat i a ( ature of Notary Public- State i' ��L Commission No. 2-� 420 4'6" 7aalgaary publi State of Fl handre Kellerman n/ 1 (� XFi aP�,�i► Nota Public State of rim ission NOaU `�M 2 8 a he a Kellerman '� Y Commission GG ` My Commission GG 244 pa Expires 07/31/ 08 of f► Exp;res 07/31/2022 REVIEWS FRONT ZONING SUPERVISOR S VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/b/20 Certificate of Product Ratinas AHRI Certified Reference Number: 201753476 Date : 07-19-2020 Model Status : Active AHRI Type: RCU-A-CB Outdoor Unit Brand Name: AMERISTAR Outdoor Unit Model Number (Condenser or Single Package) : M4AC403OD1 Indoor Unit Model Number (Evaporator and/or Air Handier): M4AH4P32B1 BOOAA 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 AMERISTAR 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 : 29000 SEER: 14.50 EER (A2) - Single or High Stage (95F) : 12.20 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.ahridirectory.org. TERMS AND CONDITIONS Mon 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; OWN 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-CONDITIONINGHEATING, I 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. r I 132396743946622712 ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: Certificate of Product Ratinas AHRI Certified Reference Number: 201753479 Date: 07-19-2020 Model Status: Active AHRI Type: RCU A -CB Outdoor Unit Brand Name: AMERISTAR Outdoor Unit Model Number (Condenser or Single Package) : M4AC4048D1 Indoor Unit Model Number (Evaporator and/or Air Handier): M4AH4P48B1 C00AA 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, VVI, 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 AMERISTAR 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 ; 47500 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.70 -I"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 ratina 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.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 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, AM personal and confidential reference. AIR-CONDMONING, HEATING, CERTIFICATE VERIFICATION 8c REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "verify Certificate" link Nve 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. j 132396745316011473 02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.. Certificate of Product Ratings AHRI Certified Reference Number: 201753479 Date : 07-19-2020 Model Status: Active AHRI Type: RCU-A-CB Outdoor Unit Brand Name: AMERISTAR Outdoor Unit Model Number (Condenser or Single Package) : M4AC4048D1 Indoor Unit Model Number (Evaporator and/or Air Handier): M4AH4P48B1C00AA 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 AMERISTAR 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 : 47500 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. 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.ahridirectory.org. TERMS AND CONDITIONS alln 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; OEM WWI entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at wvvw.ahridirectory.org, click on "Verify Certificate" link Ove 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. 132396745316011473 ©2020Air-Conditioning, Heating, and Refrigeration Institute [CERTIFICATE NO.: