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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: i LLi�LL `L k' °' `` "`y- Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X, 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: LrC PROPOSED IMPROVEMENT LOCATION: Address: �, 0CS' Le)iAca !X Property Tax ID #: 342,— rl o0 -- c2 o(_),'z — DOC— 6 Lot No.�� Site Plan Name: h S 4--� SAV,2�0 6,-_J. C1Li6 1ir�'f D/ � Block No. % Project Name: DETAILED DESCRIPTION OF WORK: I Lo Xj 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: Cost of Construction: $ Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: Named Name: 1 / Address: Company: City.�.---�.–Stater � Address: /_!�;17 ?�ZipCode: Stater Fax: Phone No.260. 61 LE -- 11 S76 Zip Code:3 �k9SZ Fax: Phone No J7,12-3. = — ,o 6 r E -Mail: '_�� Fill in fee simple Title Holder on next page ( if different E -Mail er 4 r' C%7 / lam' State or County License from the Owner listed above) 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 Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney betore commencing worK or recoraing-your ivotice or trornmencernent. as Agent for Owner Sign Co tractor/License Holder STATE OF //�� FLORIDASTATE OF FLORIDA j COUNTY OF <Z0 11— LUC.II. COO J�-J COUNTY OF— S � L-VC.\C_ t. 0 nl�� Swornt (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of ysical Presence or Online Notarization — 6ysical Presence or Online Notarization this day ofy .� \ j_ 2020 by this day of ZW 2020 by Name of person making statement. Personally Known x,,"' OR Produced Identification Type of Identification Produced // (Signature -Ick Notary Public- State of Florida ) Name of person making statement. Personally Known I,/ OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida ) Commissio Commission NDRA(WAILSH tr�F L1 WAy ?PaYP5_4? 86" State of Florida -Notary Pi State of Fiorioa-Nu,o:y Public �� r. ,, , c'nr, it r. r. 1975 REVIEWS 11 q .. T My � qq Eton DATE RECEIVED DATE COMPLETED PLANS REVIEW ission Expires 1578 Niemeyer Circle Port St. Lucie, FL 34952 Clean ,fir Techncicgies PROPOSAL AND AGREEMENT A/C Sales Service Installation By Jeffrey Almeida - Lic # CA -C058660 CUSTOMER NAME S�tJt-q M+A 1 S ADDRESS q&5_ Lc Or CITY, STATE, ZIP S�- Lc,.c d (772) 335-2061 Fax 335-1802 PHONE U,6 --(P-)_1453a 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 [zln C X '` v�') Model Number(s) L- R P )y q P N a- f SEER EER BTUH Cooling 110 C100 BTUH Heating /okw CFM Installation shall include: 3 • `5 Tbn ,;I 4z: && f4) ; f6, 6w( IYC -'1 X New Amp disconnect 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 — le'"_ove existing equipment from premises Install new 7776 f thermostat N copper wire from to (/Complete system start up 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 year parts warranty year labor warranty year compressor year service agreement Option (below) Alternative (below) Is ( _ Is not) included in price Terms: - Installed Price $ Taxes $ Total Amount $ d� Down Payment $ Balance Due $ Acceptance by: Appr ved Date 114312,r_ by: te: Certificate of Product Ratinas AHRI Certified Reference Number: 204098477 Date : 07-24-2020 Model Status : Active AHRI Type: HSP -A (Single -Package Heat Pump Air -Source) Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : LRP14HP42EP 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 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 (A2) - Single or High Stage (95F), btuh : 40000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.00 Heating Capacity (H12) - Single or High Stage (47F) : 39000 HSPF (Region IV): 8.00 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.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; 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.: 132400885646837652