HomeMy WebLinkAboutBuilding permit application 09/29/2020 TUE 11! 56 FAX 772 3367566 AC Advantage, inc. 2001/003
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q— ` -ONO o Permit Number: )0 09—O 09
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial XXX Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:HVAC. ac change out only
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Address: 9800 5 Ocean Dr
Property Tax ID#: 4502-504-0000-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Island Beach Club
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AC change out only York 3ton 14seer system 10kw
New Electrical Meter Second Electrical Meter
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Wlndows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq.fit of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 4424 Utilities: —Sewer _Septic Building Height:
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Name Island Beach Club, a Condominium Name:Scott Camire _
Address;9800 S Ocean Dr Company:AC Advantage Inc
City' Jensen Bch State:_ -Addr'essiJ-92E 5W Bil M=o St
Zip Code; 34957 Fax: City: PSLucie State:F1
Phone No. Zip Code_ 34984 Fax: 7723367566
E-Mail: Phone N07723367366
Fill In fee simple Title Holder on next page(If different E-Mail csrQa acadvantageinc,com
from the Owner listed above) State or County License CMC1249807
If value of construction is 2500'or more,a RECORDED Notice of Commencement Is requires{.
If value of HAVC Is$7,500 or more,a RECORDED Notice of Commencement is required,
09/29/2020 TUE 11: 56 FAX 772 3367566 AC Advantage, ine. f�002/003
I
50P0tEMEENTAL:i,9N'5TR.U. TIQN LI:E('J 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 I
improvements to your property. A Notice of Commencement must be recorded in the Public records of St.
Lucie County and posted on the jobslte before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work orrecordinFvour Notice of Commencement.
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S' nature of Owner/Lessee/Contractor as Agent for Owner S" nature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY O1FS1L.d16 COUNTY OF at Lucie
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
xx Physical Presence or Online Notarization xx Physical Presence or Online Notarization
this 26 day of Pap[ 12020 by this 25 day of saint 2020 by
Scott camtre 6cou Cadre
Name of person making statement. Name of person making statement.
Personally Known xxx OR Produced Identification Personally Known xxx OR Produced Identification
Type of Identification 'type of Identific n
Produced Produced
Jamie PamB
(Slgna ure of Nota y Public-State NOTARY PUBLIC {Sig tUre of Otary PubIIC-S 1 TE OF FLORIDA
�TATE OF FLORip GG26M3
Commission No. eczeiaza OtYKrt GG287323 Commission No. cc2a�sss e
Expires 10128/202 xA 10i29I2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE _ MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
t?v. I
09/29/2020 TUE 11: 56 FAX 772 3367566 AC Adva:nt:afge, inC. f�J003/003
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RMSENWILI
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Certificate of Product Ratings
AHRI Cartlfied Reference Number:202513453 Date:09-21-2020 Model SLatUa:Active
AHRI Type:RCU-A-CB(Split System:Alr-Cooled Condensing Unit,Coll with Blower)
Outdoor Unit Brand Name:YORK
Outdoor unit Model Number (Condenser or Single Package):YCE30822
Indoor Unit Brand Name.ADP
Indoor Unit Model Number(Evaporator and/or Alr Handler)!SM6(6,9)36+TD
Region: Southeast and North(AL,AR,DC,DE,FL,GA,1-11,KY,LA,MD,MS,NC,OK,SC,TN,TX,VA,AK,CO,CT.ID,IL,
W 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: Control air conditioners manufactured prior to January 1,2015 are eligible to be Installed In all reglona
until June 30,2016.Beginning July 1,2010 central alr conditioners Can only be Installed In region(s)for
which they most the regional efficiency requirement.
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Rated asYollgCys In accordeiica with,the la%eet etlltion of ANSI/ANNR12101240sN16itAtld6nda'1''and`' ;;;erFopne�ee Rating of•Ueltary',• ,"
Air•Co dikonirtg;&.Air,'Soum'elHest.Rur.pp F-quipment and,subjec+'td rE ing-qcduradq AHFt s ghsored'Inds ends f"third s 'iestl
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'f"ActiveO 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 ere those that an AHRI CertifrcaHan Program Participant.is no longer producing BUT Is atilt
ell fig yr offerin aacodlg for sale, '
hat are led by WAS indicate an involuntary re-rate. The new oubliahad rallno is shown along with the orev��r�j.� W�3)ratl�n
DISCLAIMER
"•"AHRI daeisnet'tlntlorCa'tn�preauaT(s�tgtt}'d"on'tn�g CerpTln&tA UN'd'Wt'bR�3FPrsYa�Y��pPI�(t1�H31'U)d'I'Pd'fttTe'4'Df'�Og'F81itte7t�6kt5;'�fhe7'a3E�Rr11�S'P1d'127lpdAltlbllrt�.ts1;....._r'. "—'"
the product(s)Ilatetl on thls 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 gre vglld only ter models and configurations Ilatetl In the
directory at www,ahrldlrectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprletary products of AHRI,This Certificate shall only be used for individual,personal end �1
Confidential reference purposes.The contents of this Certificate may not,In whole or In part be reproduced;eopledi disseminated;
entered Into a Computer database;or otherwlae utilized,In any form or manner or by any means,except for the user's Individual,
personal and confidential reference. I AIR•CONDITIONINO,HEATING,
CERTIFICATE VERIFICATION &REFRIOCRATION INSTITUTE
The Information for the model cited on this'Certificate can be verified at www.mhridiroctury.org,click an"Verity Certificate"link lye niJl r Ilfi•llrller
and enter the AHRI Certified Reference Number and the date on which the eerllflcate was Issued,
which Is listed above,and the Certificate No.,which Is Ilatetl at bottom right v ,rr::.;,•;,... --- "
02020AIwCondFtloning,Heating,and Refrigeration Inatitute , LR'r(FICATE NO.: 132451700771297502 t
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