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HomeMy WebLinkAboutErivrude Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: s oo LuCu ` Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 1300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR:MECHANICAL PROPOSED IMPROVEMENT LOCATION: Address: 12083 South Indian River Dr , Jensen Beach , FL 34957 Property Tax ID#: 4504-602-0011-000-7 Lot No.11 Site Plan Name: Block No. Project Name: Sharon Evinrude DETAILED DESCRIPTION OF WORK: l REPLACE A/C EQUIPMENT LIKE FOR LIKE CHANGE OUT TRANE 4TTV0048A1000/TEMBAOC42V41 D 10 KW ,4 TON ,LD SEER ar.eAXCY 4b Ax,A New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: )LMechanical _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: $ 12003.00 Utilities: —Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Sharon Evinrude Name:Timothy Wojcieszak Address:12083 South Indian River Or Company:Krauss&Crane City: Jensen Beach State:_ Address:904 SE Dixie Hwy Zip Code: 34957 Fax: City: Stuart State:FL Phone No.772-323-0962 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-Mail admin@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. S PPLEMENTAL CONSTRUCTION LIEN LAW INF RMATION: DE IGNER/ENGINEER: _ Not Applicable M RTGAGE COMPANY: Not Applicable Na e: Na e:__ �\ Add ess: Ad ss! City: State: City: State: Zip: Phone Zip: Ph e: FEE SIMPLE TITLE HOLDER: _N p 'cable BONDING COMPANY: Not Applicable Name: Name: Address: Address: 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 amp attorney before comment:ng work or recording our Notice of Commencement. Signature of O er/Less /Contr for as Agent for Owner Signature of C tractor/L cense HAIder STATE OF FLORIDA STATE OF FLORID/{ ,Ma(�r) COUNTY OF Malrbn 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 OC±fLI�!<Y ,2020 by this day ofjZ�f,(.✓ .2020 by �; n�oa-hN lND`Irfe,S2�1k -r,4X 4-ht4 WJiuesuaE_ Name of person making/ a inngg stathment. Name of person m king stafement. ` Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Pro d P u d ( ' nature of Nota P ic-State o of N ar ic-State of Florida ) `a �y, Notary Public Slate f Flonoa Commission No.�?019915 '� I)• CemeranLynnO yrtiss nNo. �ja„�� �O'W'w($ aagqt�eeryPublic stereofFln +A My Commiwion G 3 ,eCB'meron Lynn Owen ypp Expires 04/1112 0 2 3 +� My Commission GG 322191 oi-• Es ices 0411112023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.VMIJ Fficate of Product Ratings AHRI Certified Reference Number: 10149782 Date:09-28-2020 Model Status:Active AHRI Type:RCU-A-CB(Split System:Air-Cooled Condensing Unit,Coil with Blower) Series:XV201 Outdoor Unit Brand Name:TRANE Outdoor Unit Model Number (Condenser or Single Package):4TTV0048A1 Indoor Unit Model Number(Evaporator and/or Air Handier):TEM8AOC42V41+TDR Region: All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,ID,IL,IA,IN,KS,KY,LA,MA,MD,ME,MI,MN,MO,MS, MT,NC,ND,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SO,TN,TX,UT,VA,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 2101240 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:45500 SEER:19.75 EER(A2)-Single or High Stage(95F) :12.50 t'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 offedng for sale. Retinas That are accompanied by WAS Indicate an involuntary re-rate. The new published retina is shown alone with the Drevious(i.e.WASI ration. 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 product(s)listed on this Certificate.AHRI expressly disclaims all Ilablllty for damages of any kind arising out of the use or performance of the producus),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.ahrldirectory.org. AND A TERMS CONDITIONS This MSCertificate 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 users Individual, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTfrUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on`Verify Certificate"link Hr,nakc lif,bcuer^ antl enterthe 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.: 132457716235643355