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WOLF-12776 2TON_0001
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01/27/2021 Permit Number: `7 1�-L� L 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: X PROPOSED IMPROVEMENT LOCATION: I Address: 12776 NW MARINER COURT 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: INSTALL A NEW 2 TON 15 SEER 5KW AMERICAN STANDARD COMPLETE SYSTEM. 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 Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 7,000.00 Generator T Windows/Doors , Pond Sq. Ft. of First Floor: Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name CHARLES WOLFF Name: LUKE WALKER Address: 12776 N.W. MARINER CT Company: TREASURE COAST AIR City: PALM CITY State: Zip Code: 34990 Fax: Phone No. 772-336-2920 Address: 1055 S.W. MARTIN DOWNS BLVD City: STUART State: FL Zip Code: 34990 Fax: 772-288-7046 Phone No 772-692-1701 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail TCAC1990 ,ATf.NET/TCACSVC@ATT.NET State or County License CAC058476 11 value or construuion is [Duu or more, a KtL(JKIJt!) Notice of CommenCement is required. If value of HAVC is 57,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I DESIGNER/ENGINEER: Name: Address: City: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: _ Zip: __ Phone: x Not Applicable State x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: x Not Applicable Name: Address: City: Zip: Phone: UWNER/ LONTRACTOR 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 commencing work or recording your Notice of Commencement. Signature of Owner as Agent for Owner STATE OF FLORIDA COUNTY OF_s`C:tC- Sworn to (or affirmed) and subscribed before me of 1� Physical Presence or Online Notarization this � day of Fib,, onv'a 29-W by Name of person making statement. Personally Known __ OR Produced Identification Type of Identification Produced , . 4-i s , cP� SHIRLEY A. SALINIER Com m i M °� MY COMMISSION 4 HH 04mal ) EXPIRES: January 31, 2025 REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Signattyrre of Contrackor/Ltense STATE)OF-FC6RIDA COUNTY OF /t'1.4/1�j.✓ Swor o (or affirmed) and subscribed before me of Physical Presence or Online Notarization this a day of Z%?:AAy 2020 by Name of person makings ement. Personally Known OR Produced Identification Type of Identification Produced �rf (Signatur ota ic,`�� � id/ a } ������ ptrL RISO. /``/t� 1) Commission No. �� •• •.. O SUPERVISOR I PLANS VEGETZwo SeA RTLE; ANGROVE REVIEW REVIEW REVI& ; I, -Way; �Q114REVIEW Certificate of Pr6duct-Ratings AHRI Certified Reference Number: 7502848 Date : 02-23-2021 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series : SILVER 14 Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4A7A4024L1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOB24S21+TDR 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 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 : 24000 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."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinqs that are accompanied by WAS indicate an involuntary re -rate. The new Dublished rating is shown alona with the Drevious (i.e. WAS1 ratina. 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. 132585688191616309 ©2021 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: