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HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3^ S—,)-( Permit Number: LU'i� LL Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential bj 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: , .&_ PROPOSED IMPROVEMENT LOCATION: Address: Property Tax I D #: Site Plan Name: _ Project Name: I _' f%>7 - d 2-0b-, "12- Lot No. 4.3 Block No. 24 DETAILED DESCRIPTION OF WORK: I CIS �!23IJ New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $Ti Sq. Ft. of First Floor: _ Utilities: —Sewer _ Septi, Building Height: OWNER/LESSEE:>� CONTRACTOR: Name ig-'awetT Name: 1 ��r�i7//�-�� Address: 9-9C'��aL. ;✓Z /ter t" Company: City: State: Zip Code: tc �- Fax: Phone No. 6i i • 6242 4�2 Address:, l �J� � ,�l2 i y g / l✓ -o City: yl , �l [ / Stater Zip Code: Fax: Phone No 17 a __ 4.4t E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail41e42�4 / S/j kg;'.4&/ _ G � State or County License if value of construction is 2500 or more, a RECORDED Notice of commencement is requirea. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Name:_ Address: City: Zip: Phone Applicable State: MORTGAGE COMPANY: Name: Address: City: Zip: Phone:. _ Not Applicable State: 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 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 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." � '�ww' � Si f Owner/ Lessee/Contractor as Agent for Owner Sig o Contractor/License Holder STATE OF FLORIDA 1 Coo STATE OF FLORIDA "cla COUNTY OF ,,>T L,>cis COUNTY OF ST The fo oing instrument was a knowledged before me The forgoing instrument was acknowledged before me this day of 20�/ by this day of 2021 by iGLY j 4 / 1n air/�+,'�s-I Name of person making statement. Name of person making statement. Identification Personally Known Z OR Produced Identification Personally Known rl" OR Produced _ Type of Identification Type of Identification Produced Produced v V � ///n��� ) 2" l// �AL `IaMA (Signature of Notary Public- State of Florida) (Signatur - e f Florida Commissio Ng,.�y���., �n��DRA Commissi .""""� SANDRA W r`"a��- �i sStaxe eFlorida-Notary Pubtic ,� _SH 4 ` sState of Florida -Notary Public _ y `= Commission # GG 197984 REVIEW My Commission i°tZONT E 0OIVIKE12022 pires SUPE ISOR PLANS A nl 11 0 2 ROVE REVIEW REVIEW REVIEW R IEW DATE RECEIVED DATE COMPLETED Rev. 1/ // 19 Certificate of Product Ratings AHRI Certified Reference Number: 7615303 Date : 03-05-2021 Model Status : Production Stopped AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: FRIGIDAIRE P7RE SERIES Outdoor Unit Brand Name: FRIGIDAIRE Outdoor Unit Model Number (Condenser or Single Package) : P7RE-048K 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, SD, 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 FRIGIDAIRE 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 (95F), btuh : 47000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.00 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. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published 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.ahridIrectory.org. TERMS AND CONDITIONS "lop This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and 0% confidential reference purposes. The contents of this Certificate may not, In whole or in part, be reproduced; copied; disseminated; A. Masi 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 betteT- 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. CERTIFICATE NO.: 132594429261841935 ©2021 Air -Conditioning, Heating, and refrigeration institute 1578 Niemeyer Circle Port St. Lucie, FL 34952 Clean ,fir Teclincicgies PROPOSAL AND AGREEMENT A/C Sales Service Installation By Jeffrey Almeida - Lic # CA-0058660 CUSTOMER NAME kre-Z ?4 ADDRESS r6Ie CITY, STATE, ZIP_ L .1 (772) 335-2061 Fax 335-1802 PHONE ,Z-% 6. 2_— ?CDATE?,_; JOB ADDRESS WORK PHON We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on all pages of this proposal. EQUIPMENT SPECIFICATIONS Make %` Ca�ilG �` Model Number(s) %91 SEER EER BTUH Cooling .�?&V,0 BTUH Heating / ' CFM Inctallatinn _hall New Amp disconnect New low voltage wiring New reinforced equipment pad New vibration isolation pads New properly sized refrigerant lines New, clean, dry ACR copper tubing Charge to manufacturer's specs Insulate refrigerant suction lines Install refrigerant drier(s) Evacuate refrigerant system Remove existing equipment from premises Install new_ is t -c 1 R ,"'t thermostat New copper wire from to :14complete system start up Option (below) Terms: Alternative (below) X = Yes - Make air tight plenum transition New dehumidistat New supply diffuser New duct run from to New return air filter grill Noise reducing flexible duct connector Clean work area to customer's satisfaction New condensate drain system Install aux. condensate drain pan New high efficiency air filter VMeet allcoderequirements 1V i_ year parts warranty i year labor warranty year compressor _year service agreement Is ( _ Is not) included in price Installed Price $ 6' 0 Taxes $ .4 ev L_� Total Amount $ c� 6 -77 Down Payment $ Balance Due $ Acceptance by: Approved Date �, 02 by:77-17-77 � Date: �t-