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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/30/2020 Permit Number: Building. Permit Application Planning and'DevelopmentServices Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: MECHANICAL PROPOSED IMPROVEMENT LOCATION: Address: 2756 BROCKSMITH RD Property Tax ID' #: 2320-501-0060-000-5 Residential X Lot No. Site Plan Name: SUBDIVISION OF MC NURLEN FARMS BLK 4 LOT 8-LESS W 76.23 FT- 8.81 AC)Block No. Project Name: DETAILED DESCRIPTIONDF WORK: A/C CHANGE OUT OF A LENNOX 3.5 TON SYSTEM 15 SEER WITH 9 KW HEAT AND REPLACMENT OF DUCT SYSTEM New Electrical Meter Second Electrical Meter [CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: X 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: $ ll_►A3,C]C) Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Richard A•Sampson Address. 2170 SW Conant AVE City: Port Saint Lucie -State: FL Zip Code: 34953 Fax: Phone No. (772) 380-2811 Name: Donald Myers Company: A/C Care Address: 3324 SE Gran Park Way City: Stuart State: FL Zip Code: 34997 Fax: 772 252-3231 Phone No (772) 266-2665 E-Mail: rich@sampsontree.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail office@accare.biz State or County License CAC1820029 It 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: Address: City: Zip: Phone State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name:_ Address: City:_ _ 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, wails, 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 allarnra'v�3'efore commencing wnrk rir rprnrrlinn uniir nlr,tir-p of re.%mmonrom, nt Signature of ner/ Lessee/Contractor as Agent for Owner Signature of Contra ar/License Holder STATE OF FLORIDA STATE OF FLORIDA - COUNTY OF COUNTY OF t4 Swo to (or affirmed) and subscribed before me of Sworn (or affirmed) and subscribed before me of Physical Presence or Online Notarization this day of ?O�by �hysical Pr ence or Online �o. rization thls mQday of 2(_ by + __ 1 �L�l-LSJ� SAL, Name of person makings aterrl nt. Name of person making s aterAent. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signat PINZON (Signature c F N� pub[ic-£'4f y.�; _ ARL_Y Commis it?!1 =_mY COMM1SS10N # GC(fAW 0 Commission _ = MY COMMISSION # 003 2no .Y_ fGGfCC LL8811 March 2F �i�2►I EXPIRES March 22. 2021 qn.L . REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE - RECEIVED DATE COMPLETED C.Y..01 V1 Lv This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/31/2020. Certificate of Product Ratinas AHRI Certified Reference Number: 201851180 Date : 09-30-2020 Model Status : Production Stopped AHRI Type: HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Series: MERIT 14HPX SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : 14HPX-042-230-22 Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA38MV-042-230'+TDR 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 : 42500 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 Heating Capacity (H12) - Single or High Stage (47F) : 42000 HSPF (Region IV) : 8.50 1"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 safe. Ratin s that ara accom anied by WAS Indicate an ImoluMary re -rate. The new ublished rating Is shown alo na with the prevIous fl.a. WAS fing. 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 valfd only for models and configurations listed In the directory at www.ahridirectory.org. TERMS AND CONDITIONS At "IMF 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; .■ r� entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, viiiii 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 n,al<e life hettec" 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.: 132459465681059024