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HomeMy WebLinkAboutButler Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 02/22/2021 9 . L�1�1 oudwftA F `coE a, • 0. Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Co co m e rc i a 1 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:Mecha(IICal PROPOSED IMPROVEMENT LOCATION: Residential x Address: 3251 NW Dockage Way Palm City, FL 34990 Property Tax ID #: 4436-510-0014-000-8 Lot No.10 Site Plan Name: Project Name: Alicia Butler DETAILED DESCRIPTION OF WORK: REPLACE A/C EQUIPMENT LIKE FOR LIKE CHANGE OUT TRANE - 4TTR403OL1000 , TAM9AOB3OV31 D , 8 KW 2.5 TON, 15.5 SEER New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: Block No. X Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond _ Electric _ Plumbing _Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 6492.00 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameAlicia Butler Name:Timothy Wojcieszak Address;3251 NW DSockage Way Company: Krauss & Crane City: Palm City State: _ Zip Code: 34990 Fax: Phone No.772-834-6160 Address:904 SE Dixie Hwy City: Stuart State: FL Zip Code: 34994 Fax: Phone N0772-287-1227 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mailadmin@kciac.com State or County License CAC1818726 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. CONSTRUCTION LIEN LAW INFORMATION: A City: \ State: Zip: Ph FEE SIMPLE TITLE HOLDER: _ of Applicable COMPANY: _ Not Applicable Zip: BONDING COMPANY: \ _Not Applicable Address: I Address: City: City:_ Zip: Phone: Zip:_ DWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as I certity 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 attorney before commencing work or recording your Notice of Commpnr:ement. 0 l -tt L i W V ', Jr 'JI�...u.L/ �\ �/V S l is T Signature of Owne Lessee/C tractor Agent for Owner Signature of Contr for/License older STATE OF FLORIDA f p� STATE , ar-h COUNTY OF IV 1 COUNTOY OF'�/' I l I o Swtyn to (or affirmed) and subscribed before me of V Sworn to (or affirmed) and subscribed before me of ✓ P ysical Pre��c-e_or� Online Notarization this .�i day of 202« by P ysical Presenceor Online Notarization this oi�da�y rViand 2024 by T►mo�(A tjeSZAIC- �ofL I lff xrr f ►U W� s-ZAK- Name of person milking stat ment. Name of person making st ement. !/ Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Pr du d Prod (Signature of Notary - State o Notary Publk Stale ¢¢ e of Notary Pu c- State o ' r F Notary Public State I Cameron Lynn O Commission No.66-1 3do'47"1 +d ap My Commisalm GG aon en3 lieanmis on No.0 l7� 3, %�Com,"on GG y �p Expires 04/11/2023 g pia Expires 04/11/2023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 516/20 Certificate of Product Ratin AHRI CerUfled Reference Number: 10093784 Date: 02-22-2021 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) : 4TTR403OLl Indoor Unit Model Number (Evaporator and/or Air Handier): TAM9A0B30V31 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 TRANE 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 & 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), btuh : 29000 SEER: 15.50 EER (A2) - Single or High Stage (95F) : 13.00 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 offering for sale. Ratings that are accompanied by WAS Indicate an involuntary re -rate. The. new ublished rating Is shown along with the Previous (i.e. WAS) rating 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 product(s) 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.ahridireotory.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 a REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we u,A, li(r b,-u, ' 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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132584844573886503