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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR: / PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID#: �/ � '7�6 d���-� 6'r 2 Lot No.. Site Plan Name: So'✓fin n a c-la b t -&-mP_ Block No. Project Name: DETAILED DESCRIPTION OF WORK: -1w e'd 'P fT�& - o 44 Z' � /Z/- �f Lt� `71 = New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Addit ional 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:� Sq. Ft.of First Floor: Cost of Construction:$ ��-4 Y(�V Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: pp_ Name ` Name: . nGCl�( Address: Company:-1.�✓ ? -f'� yr�� i City: Address: �? Zip Code: Fax: City:;/<a'7 !yf. �LeU State.' Phone No.',°7/,2�,02 6 d� Zip Code: 32�gQ" --- Fax: E-Mail:- /N /! �� Phone No s�7 2_ 3 C 2,o Fill in fee simple Title Holder on next page(if different E-Mail Al- _ • �. from the Owner listed above) State or County License % (to 6, o 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 INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: 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 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." SigpOW44f Owner/Lessee/Contractor as Agent for Owner Sig u of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF t�-T L.0 C I G coo tJ);� COUNTY OF S T "c ti= a �w>, The forgoing instrument was ac nowledged before me The forgoing instrument was ac)mowledged before me this_✓ day of 44' 20� by this�day of - " 200 by Name of person making statement. Name of making statement. Personally Known v"' OR Produced Identification Personally Known__Z_OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public-State of Florida) (Signatur ,ihtic-State of Florida Commissio N¢toJt 1om4— °^.�DFiA M SH Commissi `�4'- SAN orida-Nota�rylRublic ;State of Florida-Notary Public P Commission # GG 197984 My Commission E pires +�""1"" Aril 11 0 2 REVIEW lit RONT 401NINQd022 SUPS ISOR PLANS ROVE REVIEW REVIEW REVIEW R IEW DATE RECEIVED DATE COMPLETED ev. 1578 Niemeyer Circle Clean ,fir (772) 335-2061 Port St. Lucie, FL 34952 Fax 335-1802 12 II-ectincilugies 7. PROPOSAL AND AGREEMENT A/C Sales Service Installation By Jeffrey Almeida - Lic # CA-0058660 CUSTOMER NAME •( PHONE DATE ADDRESS ClS ?,;�, �IC/3;?/1f JOB ADDRESS J �� C✓�ILLs` '?f i CITY, STATE, ZIP �S L (vc �Tt,S WORK PHONE 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 A6 /I p Make PR . 64 Model Number(s) 1� /-7/?e o SEER EER BTUH Cooling '�' /1 ,4'1-BTUH Heating /CA CFM Installation shall include: A,,-eW 6/, C-41 )OAC A I- G Wi✓�� to�liL/ ,y,,�r � X = Yes New Amp disconnect ke air tight plenum transition w low voltage wiring New dehumidistat New reinforced equipment pad � ` New supply diffuser New vibration isolation pads New duct run from to New properly sized refrigerant lines New return air filter grill New, clean, dry ACR copper tubing Noise reducing flexible duct connector Charge to manufacturer's specs mean work area to customer's satisfaction Insulate refrigerant suction lines New condensate drain system Install refrigerant drier(s) Install aux. condensate drain pan Evaeuate refrigerant system fyew high efficiency air filter emove existing equipment from premises /Meet all code requirements stall new thermostat 1 year parts warranty New copper wire from to 1 year labor warranty n /, Complete system start up Z-- 1 ge�y year compressor -�- �year service agreement Option (below) Alternative (below) Is ( _ Is not) included in price Terms: Installed Price $ �cr Taxes $ '� G- Total Amount Down Payment $ Balance Due $ Acceptance by: � ,r�� Approvef 2 c, Date ,3/q/,2/ by: / Date: 6. CERTIFIEDO 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(9517) :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. Ratings 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 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; A. ■■ -' 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 better- 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.: 132594429261841935