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HomeMy WebLinkAboutWolter, David SLC - Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2/4/21 Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMITTYPE: HVAC PROPOSED IMPROVEMENT LOCATION: Address: 5693 TRAVELERS WAY Fort Pierce, FL 34982 Property Tax ID #: 3410-503-0037-000-0 Site Plan Name: Project Name: Wolter - Like for like ac ct DETAILED DESCRIPTION OF WORK: out Lot No. Block No. Like for like 2.5ton Luxaire ac system change out with no duct work using AHU Model:AVC36BX21, CU Model: TC7B3021S, 5kw AHRI# 8882028 , 17 Seer CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: X Mechanical Electric Gas Tank _ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 5,410.00 Gas Piping _ Sprinklers _ Shutters Generator Sq. Ft. of First Floor: _ Windows/Doors Roof Pitch Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name David E Wolter Name: ROBERT CAMPBELL Address: 5693 TRAVELERS WAY Company: BUILDING TECHNOLOGY SERVICES City: Fort Pierce State: FL Zip Code: 34982 Fax: Phone No. Address: 7886 SE ELLIPSE WAY STUART City: Stuart State: FL Zip Code: 34997 Fax: Phone No 772-600-7151 E-Mall: SUPPORT@BREATHEHEALTHIERAIR.COM 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: Not Applicable MORTGAGE COMPANY: Not Applicable Name: -_ Name: Address: City: State: _ Address: - City Stater Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: &Not Applicable BONDING COMPANY: 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 wont and installation as inascatru. 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 Oe s Ass�,aaoantand review lour deed any restrictions�mwhich aor applyhibit such structure. Please consult with your Home Ow Y 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 INSPECTUM IF YOU INTEND TO OBTAIN FINANCING, CONSULT 1FITH YOUR LENDER OR AN ATTORNEY_ BEFORE RECORDING YOUR NOTICE OF COM MlENCENENT." Signature of Owner/ Lis—s-egfPontractor as Agent for Owner Signature of Cont6l;�cense Holder STATE OF FL COUNTY OF The forgoing instrument was acknowledged before me this day of . 200( by Name of person making statement. Personally Known ?O OR Produced Identification Type of Identification Produced STATE OF FLORI!!R COUNTY OF _gL"i C&M. The forgoing Instrument was acknowledged before me this = day of K &M 202 by %wuD 4eA- Name 6freirson making statement. Personally Known >0 _ OR Produced Identification Type of Identification (Signature of N ubltc lor[da jOANtEL EkGtANC (Signature of No lic- S Ida ) DANIEL EKGLAI,O . S ` . - notary Pt;Qik - State of Florida Motary Pubk - State of FW Commission No. V ��' a 333870 a GG 333870 ,- ri{ M �. Exmresatay t3. 20i3 Commission No. �+ . OKWIM' Bon#ay 13. 21 Bonged tt wo rotational Xot&V Assn. Borrdea through National Notary A REVIEWS FRONT ZONING I COUNTER I REVIEW SUPERVISOR1REVIEW I PLANS REVIEW I VEGETATION 15 �� I MANGROVE RECEIVED r F 11V'y �TLt�^ •ij�4 ��l AHRI Certified Reference Number . 8852028 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12131/2020. I Date: 01-21-2021 Model Status ;Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Bbwer) Series: LX SERIES Outdoor Unit Brand Name: LUXAIRE Outdoor Unit Model Number (Condenser or Single Package) : TC783021 Indoor Unit Model Number (Evaporator and/or Air Handier): AE36BX21+TXV Region: All (AK, AL, AR. AZ, CA, CO. CT. DC. OE, FL, GA, HI, ID, IL, IA, IN. KS. KY. LA. MA. MO, ME. hit, MN, MO, PAS. MT, NC, NO, NE. NH, NJ. NM, NV, NY. OH, OK, OR, PA. RI. SC. SO. TN. TX. UT, VA, Vr. WA, Vi 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 requiremenL The manufacturer of this LUXAIRE product is responsible for the fabng Of this system combination. Rated as follows in accordance with the latest edition of AHRI 210240 with Addendum 1, Pedomtance Rating of Unitary Air -Conditioning 3 Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Coaling Capacity (A2) - Single or High Stage (95F), blurt : 29200 SEER: 17.00 EER (A2) - Single or High Stage (95F) : 14.25 t-Achve Model Status are those that an AHRI Cemlicabon Program Pamcipam :s currently producing AND senmg or offering for Sara: OR new models mat are being marketed but are not yet being produced 'Production atapped' Model Status are those that an AHRI certification Program Participant is no longer producing BUT is still ar sale. Ratingsithoffering t a e accomoamed by WAS indicate an smoluntary rrarate. The new published mine is shown along; with the previous p.e. WAS) rain. - DISCLAIMER r! AHRI does not er a orsa the products) fated an this eertfdcater and makes no mirmsenumoni wartanum at guarantees as e. and assumes her resparafbfihty for. y the produd(st listed an this Certificate. AHRI expresdy dlsdainu all liability for damages of any kind arising out of the use of performance of the product(s). of the unauthorized alteration of data Wed on this Cer6Ntate, Certified ratings are valid only for models and caMgumthns listed In the " directory at TERMS AND CONDITIONS This Certificate and its contents are propnetnry products of AHRL This Certificate Shan arty be used for mdwfdual. personal and confidential reference pretenses. The contents of this Certificate may not. in whole or in part be reproduced: replied: disseminated: 4" iw ® entered into a computer dabbose: or interwar, uWued. in any form or manner or by any means, except for the user's indi idual. 1I�� permmil and confidential reference. I F rl'•' CERTIFICATE VERIFICATION '`'=1 MnIITUr- 99 The Information for the model died on this certificate on be votfded at dim on - -ink i and enter the AHRI Certified Reference Number and the date on which the confiscate was issued, i which is leled above, and the Certificate No.. which is listed at bottom right ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132557288829701139