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Building permit -SIGNED PERMIT APP
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q Date: Permit Number:�yoV ~C�lu2 PLC,ff`ILf�,'=- 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: A,id,,,,- 10725 S. OCEAN DR. #44 JENSEN BEACH 34957 Property Tax ID #: 4511-501-0215-000-9 Site Plan Name: 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: Residential X Lot No.44 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: $ 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 If value of construction is 2500 or more, a RECORDED Notice of c:ommencemem: is requires. 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 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 le e r an attorney before commencing work or recordin ur Notice of Commencement. gnatL re of Owner/ Le ontractor as Agent for Owner ignat re of Contracto Lice se Ho STATE A COUNTY OF /-IA12% IX) STATE F FLORI COUN %LT;.C% Swoyrito (or affirmed) and subscribed before me of Swor o (or affirmed) and subscribed before me of ✓✓ Physical Presenff�je or Online Notarization this X6 day of �T &p,,),r 2020 by Physical Presence or Online Notarization this _2,,�7 day of Aj4ojU, 2020 by � 0�� �L- 1g(_ I(I-Cle G 0& Name of person making st ement. Name of person making sta ment. Personally Known OR Produced Identcation Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced IIIIIJJIJ/ It! (Signs ofN of i -. t ids) ,•�1.1SSION•,•�..., Commission Nc >� E13 2 9� (§ al) (Signature of tary Pub ic- RrRj� ij/ Commission No. GE13,2�) REVIEWS Z :,Z ikiH /�� I ondedt can 59 y. _ Y SUPERVISOR REVIEW PLANS REVIEW VEGETATIOSi� y 4TU�RI' E\e�y'Q/J,�VGROVE REVIEW i 5� .' n ec+e" P`,§tVIEW DATE RECEIVED /C,ST ��� e� •....• aF �� DATE COMPLETED ev. Certificate of Product Ratinas 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) : RA1424AJ1 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 (9517), btuh : 24000 SEER: 15.50 EER (A2) - Single or High Stage (95F) : 13.00 f Models with "Discontinued" Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer 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) rabn 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 wevw.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, 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.: 132212444568682377