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HomeMy WebLinkAboutCarroll Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 09/29/2020 Permit Number: O 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:MECHANICAL PROPOSED IMPROVEMENT LOCATION: Address: 17 Lake Vista Trail Apt 210 Port St Lucie , FL 34952 Property Tax ID#: 3422-500-0232-000-5 Lot No. Site Plan Name: Block No. Project Name: Walter Carroll DETAILED DESCRIPTION OF WORK: REPLACE A/C EQUIPMENT LIKE FOR LIKE CHANGE OUT TRANE 4TTR4024L1000/TMM5B0B30M21SA 2 TON , 15 SEER , 8 KW New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: 7C 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: $ 5,143.00 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Walter Carroll Name:Timothy Wojcieszak Address:17 Lake Vista Tri Apt 210 Company:Krauss&Crane City: Port St Lucie state: F/ Address:904 SE Dixie Hwy Zip Code: 34952 Fax: City: Stuart State:FL PhoneNo.772-529-5440 Zip Code: 34994 Fax: 772-283-4055 E-Mail: Phone N0772-287-1227 Fill in fee simple Title Holder on next page(if different E-Mailadmin@kciac.com from the Owner listed above) State or County License CAC1 818726 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: D SIGNER/ENGINEER: Not Applicable ORTGAGE COMPANY: _ Not Applicable N me: me: Ad ress: A ress: Cit State: City: State: Zip: Phor Zip: hone: FEE SIMPLE TITLE HOLDE • of Applicable BONDING COMPA Y: 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 in icated. 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 covenantsthat 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 ttorgne before commencin work or recordingour'Notice of Commencement. 1} — X ---W T/ �—Irr� ,J KJS1u: � /lam Signature of Owner/ ssee/Con ractor as gent for Owner Signature of Co ractor/Lic nse Holdyr STATE OF FLORIDA STATE OF FLORIDA COUNTY OF M Win COUNTY OF &Aal'4I n Sw�pn to(or affirmed)and subscribed before me of Sw rn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization is Physical Pres����.o,r,�T Online Notarization this J day of aAVk lam✓ 2020 by this day of y�2020 by T\ �Ao'lfi2.SZl t- �1mt 1/ tAlDI�I?_C741 . Name of person making statephent. Name of person maki g state ent. Personally Known _ OR Produced Identification Personally Known X-�&R Produced Identification Type f Identification Type of Identification rucr-- Prod 94 Si ature of NotakeAdtstate r' o Notary Pu - tate of Florida) Notary Public State of Florida Commission No. gI) Cameron Lynn n€ommi ion No. JavtS•iJ " alouryaubiicsmte Fli a pd� My commission GG 3 2595 ameron Lynn Expires 04/11/2023 My Commiulm GG 5 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. Fon Kilo CERTIFIEW ficate of Product Ratings AHRI Certified Reference Number:9057028 Date:09-29-2020 Model Status:Active AHRI Type:RCU-A-CB(Split System:Air-Cooled Condensing Unit,Coil with Blower) Series:XR14 Outdoor Unit Brand Name:TRANE Outdoor Unit Model Number (Condenser or Single Package):4TTR4024L1 Indoor Unit Brand Name:TRANE Indoor Unit Model Number(Evaporator and/or Air Handier):TMM5A0B30M21SAA 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,NO,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 TRANE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSVAHRI 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),bluh:24000 SEER:15,00 EER(A2)-Single or High Stage(95F) : 12.50 t"Active"Model Status are those that an AHRI CergFlcatlon 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. Retinas That are accOmoanled by WAS Indicate an involunlary re-rate. The new oublished ralin0 is shown elono with the orevi0us fi.e.WASI retina. DISCLAIMER AHRI does not endorse the products)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the products)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising Out of the use or performance of the product($),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;copled;disseminated; ArmW MEN 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�CONDmONING.HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTRUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org,click on'Verify Certificate"link lifv bm,e- 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.: 132458795369683943