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HomeMy WebLinkAboutSiddonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11 /17/2020 ��4o 4,01 ;.. Planning and Development Services Permit Number: Building Permit Application Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Replace A/C System PROPOSED IMPROVEMENT LOCATION: Address: 157 SE Calmoso Dr Port Saint Lucie, FI 34983 Property Tax ID #: 3419-550-0094-000-0 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: 2.5 Ton 14 SEER Straight Cool Split 10 KW Heater Like for Like New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: Mechanical Electric _ Gas Tank _ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 6161 _ Gas Piping Sprinklers Residential X Lot No.15 Block No. 69 _Shutters -Windows/Doors _ Pond _ Generator Sq. Ft. of First Floor: Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Frederic Siddon Name: Robert Marcella Address:157 SE Calmoso Or Company: Comfort Experts USA Inc City: Port Saint Lucie State: _ Zip Code: 34983 Fax: Phone No.772-206-6440 Address:664 NW Enterprise Dr Unit 120 City: Port Saint Lucie State: FL Zip Code: 34986 Fax: 772'873-3090 Phone N0772-873-3000 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailckongerl4@gmail.com State or County License CAC1 814439 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. f SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Address: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 an attornev before commencing work or recording vour Notice of Commencement. Signature of 0 n / Lessee/Contractor as Agent for Owner STATE OF FLORIDA � - ` ' ' Q� COUNTY OF Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this 17 day of November 2020 by 1 01\00A mi PM, Name of person making statement Personally Known OR Produced Identification Type of lcle ifjcatj R. 'f . of Notary P►Iblta:-te OtNTF"INE MI g" AState of Florida -Notary Publ Commission No. f, ', Comm'@@ggtt��pp B GG 273315 My C�Yrt'M'irssion Expires November 01. 2022 REVIEWS I FRONT COUN ER I ROEVI NING W S REVIEWOR COMPLETED Signature of Contr c r/License Holder STATE OF FLO I A 31 COUNTY OF V�l/1 Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this 17 day of November 2020 by Name of person making statement Known OR Produced Identification Type of Id ficavt'l v � ( `_ r;�,,, se — Produced � Cq l (Signature of N F _� Fb State of Commission No PLANS REVIEW I VEGETATIEV EWON SEA REVIEW TURTLE EVEWLE I MANGROVE Certificate ®f Product Ratinas AHRI Certifed Reference Number: 7502871 Dale : 11-18-2020 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: SILVER 14 Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : WA403011 Indoor Unit Model Number (Evaporator and/or Air Handier); TEM4AOB3OS31+TDR 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 AMERICAN STANDARD 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 (9517), btuh : 28600 SEER 14.50 EER (A2) - Single or High Stage (95F) : 12.00 f"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" Made] Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinas that are accompanied by WAS Indicate an involuntary re -rate. The new published ralino is shown alona with the previous (Le. WAS) ratino. 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 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(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 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; 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 1xtwrr- 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.: 132501937107279604