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HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/20/2021 Permit Number:
OPMENNIPS
COUNTY
F 1 n R 1 c
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: I...IVAC
PROPOSED IMPROVEMENT LOCATION:
Address: 2945 Bent Pine Dr
Building Permit Application
Property TaxlD #: 1327-701-0043-370-6
Site Plan Name:
Project Name: Russo like for like ac change out
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Lot No.
Block No.
Like for like 3 ton Luxaire ac system change out with no duct work using AHU Model: AVC36BX21, CU Model # TC793621S. 8KW
AHRI #: 8882535
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 6558.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Karen Russo
Name: Robert Campbell
Address:2945 BEnt Pine Dr
Company: Building Technology SErvices
City: Fort Pierce State: FL
Zip Code:34951 Fax:
Phone No.610-331-1182
Address:7886 SW Ellipse Way
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone N0772-600-7151
E-Mail:Nssoke@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Support@breathehealthierair.com
State or County License CAC058685
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW. INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: k-' Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: XNot 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.
1 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
w Ll vn" In ■ CWnen ran Afu Avvnnncv ocanDIG DmfnDINNr: YnlID NOTICE OF COMMENCEMENT:'
Two so N%ff am
Signature of OwnermgilContractor as Agent for Owner
Signature of Contracto r/LicenstH older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFMBr<in
COUNTY OFmarun
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 20 day of Jams , 20911 by
this 20 day of .anuray
, 2061% by
Karen Russo
Robert CaRzpW
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
,5�p
Produced
LIP —0—
(Signatu a of Nota u ' - Stat q " da) DANIEL ENGLAND
ANU
nature o N Public- S t,@;"— 04,ry Public •State of Florida
.
• .y Notary Public State of Flo ids
'7� C,. �" COMM - GG 33317 �%(,�
mission No.
Commission No. a % Umm. ExPrres
�; •s: Commission = GG 333E10
°Fry �� j�j Wires May 13. 2023
_ _
BorCet:
May t 3.
23
h
throng Nations! Notary Assn.
BonCec through %ational h�tarr
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REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION
SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 21 // 19
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 Ratin
AHRI Certified Reference Number: 8882535 Date: 01-21-2021 Model Status: Active
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series: LX SERIES
Outdoor Unit Brand Name: LUXAIRE
Outdoor Unit Model Number (Condenser or Single Package) : TC7B3621
Indoor Unit Model Number (Evaporator and/or Air Handler): AVG36BX21+TXV
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, to, IL, IA, IN, KS, KY, IA, 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
unlit 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 LUXAIRE product is responsible for the rating of this system Combination.
Rated as follows in accordance with the latest edition of AHRI 2101240 with Addendum 1, Performance Rating of Unitary Air -Conditioning
& Alr-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Coding Capacity (A2) - Single or High Stage (95F), bluh : 34600
SEER: 1625
EER (A2) - Single or High Stage (95F) : 13.75
t'Acave' Model Status are those that an AHRI Certification Program Participant is cunenby producing AND selling or offering for sale: OR new models that ere being
marketed but are not yet being produced.'Protluction 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 am accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along win the previous (i.e. WAS) rating. _
DISCLAIMER
AHRI don not endorse the product(s) listed on this Certificate and makes no representatiam. 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 afting out of the use or performance of the product(s). or the
unauthorized alteration of data listed on this Certificate. Certfiled ratings are valid only for models and configuretioni; 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 repreduced; copied; disseminated; IOU- "V
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 certifieatecan be verified at wwwahridireetory.org. click on'Verlfy Certificate' link „i,n,,ke lit. heun`
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 fisted at bottom right 132557282861732954
©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: