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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: O L> Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 769 Lomas St Port St Lucie , FL 34952 Property Tax ID #: 3419-515-0133-000-7 Site Plan Name: Project Name: Maude Brandt DETAILED DESCRIPTION OF WORK: REPLACE A/C EQUIPMENT LIKE FOR LIKE CHANGE OUT TRANE - 4TTR6030J I TEM6AOB30H VERT , 8 KW, 2.5 TON, 16.5 SEER New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION:.... .. Additional work to be performed under this permit —check all that apply: A Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 8365.00 _ Generator Sq. Ft. of First Floor: Lot No.28 Block No. 24 Windows/Doors _ Pond _Roof Pitch Utilities: —Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Maude Brandt Name:Timothy Wojcieszak Address:769 Lomas St Company: Krauss & Crane City: Port St Lucie State: FL Zip Code: 34952 Fax: Phone No.954-632-4411 Address:904 SE Dixie Hwy City: Stuart State: FL Zip Code: 34994 Fax: 772-283-4055 Phone No772-287-1227 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFOf�MATION: DESI NER/ENGINEER: _ Not Applicable Name. M RTGAGE COMPANY: Not Applicable Na e: Addres : Add*s: City: State: City: State: Zip: Phone Zip: Pho 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 Home Owners Association bylaws any applicable rules, 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 ttorne before commencin work or recording our Notice of Commencement.. Signature of Owner/ L see/Contractttas Agent f r Owner Signature of Contrac /License Holder r i STATE OF FLORIDA COUNTY OF M6r+1n STATE OF FLORIDA COUNTY OF NA( n SVn to (or affirmed) and subscribed before me of PJiysical Presence or Online Notarization this (t'�l day of MOL16GT 202t by Swo� to (or affirmed) and subscribed before me of Physical Presence or Online N tarization this LL day of MartWi 202� by _Tivni) ht4 Wol GieszalK— T(Ynv�hq WC46owt— Name of person Making statement. Name of person makingistatement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type f Identification Pd ro PMr uc Z (5—griature of Notary P ic- State o I 4e Notary Public Stela M G_/ 3 G�✓ Cameron Lynn Commission No. �{..1 7✓"✓l� g ) My CommiWa, GG 3 ba ExpiresoVt117043 re of Not Public- State of Florltla ng �✓` Note P Yf�nmi ion No.66 522`� S = I)CemeranDL rSlntaifF Mycommi"on GO Or ExPlraa 04/11 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/6/20 MI ritla , 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 Ratings AHRI Certified Reference Number: 8626669 Date: 03-09-2021 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR603OJ1 Indoor Unit Model Number (Evaporator and/or Air Handier): TEM6AOB3OH21+TDR 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 TRANE 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 : 29200 SEER: 16.50 EER (A2) - Single or High Stage (95F) : 14.00 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 for by WAS indicate an involuntary re-rate.re-rate. The new publish d a6nc is h n alone w'Ih 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 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; cooled; disseminated; entered Into a computer database; of otherwise utilized, In any form or manner or by any means, except for the usees Individual, Arl= OWN 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 [if, bralcr• 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.. 132597942442583867