HomeMy WebLinkAboutWOLF-12776 5TONS-r6r-
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/27/2021 Permit Number:
L (ILUAR
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 12776 N.W. MARINER CT PALM CITY FL, 34990
Property Tax ID #: 4425-603-0029-000-7 Lot No.
Site Plan Name: Block No.
Project Name: WOLFF
DETAILED DESCRIPTION OF WORK: s
INSTALL A NEW 5-TON 14.5-SEER 10KW AMERICAN STANDARD COMPLETE SYSTEM
New Electrical Meter Second Electrical Meter
FCONSTRUCTION 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: Sq. Ft. of First Floor:
Cost of Construction: $ r I �u� " oo Utilities: —Sewer ^ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name CHARLES WOLFF
Name: LUKE WALKER
Address: 12776 N.W. MARINER CT
Company: TREASURE COAST AIR
{
City: PALM CITY State: L
Address: 1055 S.W. MARTIN DOWNS BLVD
City: STUART State: FL
l
Zip Code: 34990 Fax:
Phone No. 772-336-2920
Zip Code: 34990 Fax: 772-288-7046
Il
E-Mail: N/A
Phone No 772-692-1701
Fill in fee simple Title Holder an next page { if different
E-Mail TCAC1990@ATT'.NET(TCACSVC@ATT.NET
State or County License CAC058476
i
from the Owner listed above)
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
Name:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone: i
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 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 commencingwork or recording your Notice of Commencement.
Signature of Owner/ ess / o tractor as Agent for Owner
STATE OF FLORID
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of.,-10�by
Name of person making statement.
Personally Known OR Produced identification
Type of Identification
�rtr? SHIRLEY A. SAUNTER
Comm n MY COMMISSION # HH 04425W1
Pa Q EXPIRES: January 31, 2025
Signature of C c or nse Holder
STATE IDA
COUNTY OF 1%11T/,U
Swi to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this -Zo day of 2020 by
Name of person making state ent.
Personally Known OR Produced Identification
Type of identification
Produced
//'Z� /,e— 2
(Signature of,66'tary Pubes- State of Florida )
Commission No. `������• PEE RISCO�F�
��� • S10N �� •.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETION ��A+TUAWEWL* MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIM
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DATE 20�'�'d'Y ded
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RECEIVED
DATE
COMPLETED
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Certificate of Product Ratinas
AHRI Certified Reference Number: 7944314 Date : 02-23-2021 Model Status : Active
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series: SILVER 16
Outdoor Unit Brand Name: AMERICAN STANDARD
Outdoor Unit Model Number (Condenser or Single Package) : 4A7A6061J1
Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOC6OS51+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 AMERICAN STANDARD 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 : 56000
SEER : 15.00
EER (A2) - Single or High Stage (95F) : 12.50
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 prod uced."Prod uction Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratincis that are accompanied by WAS indicate an involuntary re -rate. The new oublished ratino is shown alono 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: .■
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 „e 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. -
92021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132585690333853936