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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:RUESCHHOFF PROPOSED IMPROVEMENT LOCATION: Residential X Address: 10725 S. OCEAN DR. #44 JENSEN BEACH 34957 Property Tax ID #: 4511-501-0215-000-9 Lot No.44 Site Plan Name: Block No. _ Project Name: JEFF RUESCHHOFF DETAILED DESCRIPTION OF WORK: INSTALL 2 TON 16 SEER 5KW RHEEM COMPLETE SYSTEM. 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: $ 4670.00 Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameJEFF ROESCHHOFF Name:LUKE WALKER Address:10725 S OCEAN DR. #44 Company: TREASURE COAST AIR CONDITIONING INC. Address: P.O. BOX 460 City: JENSEN BEACH State: _ Zip Code: 34957 Fax: Phone No.937-726-2683 City: JENSEN BEACH State: FL Zip Code: 34958 Fax: 772-288-7046 Phone No772-692-1701 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-MailTCAC1990@ATT.NET State or County LicenseCAC058476 • •... - ­­- I- - uwIc, a nLV.vnvw INULICe UT t ammencement Is requIrea. 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: Zip: Phone City: State: 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 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 before commencing work or recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization this day of 2020 by this day of , 2020 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. Certificate of Product Ratings AHRI Certified Reference Number: 201166846 Date: 12-19-2019 Model Status : Discontinued Old AHRI Reference Number: 7490964 AHRI Type: RCU-A-CB Outdoor Unit Brand Name : RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1424AJl Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T2417STAN Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 RHEEM 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 : 24000 SEER: 15.50 EER (A2) - Single or High Stage (95F) : 13.00 tModels with "Discontinued" Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer 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) ratin 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 AME 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, swim 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. ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132212444566682377 MARTIN COUNTY BUILDING DEPARTMENT 900 SE RUHNKE STREET STUART, FL 34994 (772) 288-5916 permitting@martin.fl.us Air ConditioninE Chance Out Form 6th Ed (2017) Florida Building Code Air Conditioning System ResidentialX Commercial Single Package Unit: Split System X Ductless Mini Any Duct Replacement: Yes X No Refrigerant Line Replacement:_YesX No *Rooftop A.C. Stand Installation : YesX No *Smoke Detector Installation (over 2000 cfin) : —Yes X No *Commercial Permits Only One form required for each separate A/C system installed NEW REPLACEMENT System Components Manufacturer RHEEM AIR HANDLER Model No RH 1 T2417 SEER/EER 16 Size2 tons Heat Strips KVA/KW HACR Breaker/Fuse size: Min.30 Max. Wire size 10 Refrigerant piping sizes (Lid 3/8 (Suc) 3/4 Refrigerant type410A Location: Existing New Configuration: Horizontal Vertical Manufacturer RHEEM CONDENSER Unit Model No RA1424 SEER/EER 16 Size2 tons HACR Breaker/Fuse size: Min.35 Max. Wire size 10 Refrigerant piping sizes (Lid 3/8 (Suc) 3/4 Refrigerant type410A Location: Existing —New Location: Ground Roof top OLD EXISTING System Components Manufacturer if known N/A SEER/EER if known 16 Size2 tons Heat Strips KVA/KW Existing HACR Breaker/Fuse size:30 Existing Wire size 10 (A.W.G.) Refrigerant piping sizes (Liq)3/8 (Suc) 3/4 Refrigerant type410A Manufacturer if known N/A SEER/EER if known 16 Size2 tons Existing HACR Breaker/Fuse size: 35 Existing Wire size 10 (A.W.G.) Refrigerant piping sizes (Lid 3/8 (Suc) 3/4 Refrigerant type410A Certification With the uthorization of the installing Contractor, I certify that the information entered on this form accurately represents t system(s) installed. 08/17/2020 Signature of cant Date ADA Accessibility Disclosure Statement — This document may be reproduced upon request in an alternative format by contacting the County ADA Coordinator (772) 320-3131, the County Administration Office (772) 288-5400, Florida Relay 711, or by completing our accessibility feedback form at www.martin.fl.us/accessibility-feedback. Rev. 04-20