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HomeMy WebLinkAboutFosberry Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3, 3l 2oa ( Permit Number: 'moo LSI� I��LS O ° Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:MECHANICAL PROPOSED IMPROVEMENT LOCATION: Address: 3135 SCARLET TANGER CT PORT ST LUCIE , FL 34952 Property Tax ID #: 3424-702-0019-000-2 Site Plan Name: Project Name: ROBERT FOSBERRY Lot No.9 Block No. 58 DETAILED DESCRIPTION OF WORK: J INSTALL MINI SPLIT IN SUN ROOM MITSUBISHI - NTXSMT24A112A / NTXWMT24A112A 18 SEER, 2 TON, WALL MOUNTED, HEAT PUMP New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: XMechanical _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: $ 4445.00 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Robert Fosberry Name:Timothy Wojcieszak Address:3135 scarlet tanager Ct Company: Krauss & Crane City: Port St Lucie State: Zip Code: 34952 Fax: Phone No.518-338-9975 Address:904 SE Dixie Hwy City: Stuart State: FL Zip Code: 34994 Fax: Phone N0772-287-1227 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 CAC1 818726 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 IN RMATION: DESIGNER/ENGINEER: _ Not Applicable Name: ORTGAGE COMPANY: _ Not Applicable N e: Address: Ad ess: City: State: Zip: Phone City: State: Zip: Phon FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: _Not plicable 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 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 our Notice of Commencement. Signature of Ownerf Lessee/Corftractor a Agent for Owner Signature of Co actor/Lice se Holdel STATE OF FLORIDA i STATE OF FLORIDA , COUNTY OF M a0 n COUNTY OFN' AY+ n Sn to (or affirmed) and subscribed before me of VPhysical Swot to (or affirmed) and subscribed before me of Presence or Online Notarization Physical Presence or Online Notarization this _�_L day of MA,Y-6F 202f by this,qL day of Jd&,h_ 2020 by +A k- Ilrn0, TIV'Av_�hA�1Ap'lrif-AAjC- Name of person making st tement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type Identification Type of Identification Pr uc Pro ed 19 ' re of Notary Pu I -State PI a .,,,5 Notary Public Stale of Cameron Lynn Ow re of Notary c-State f UW a ) 10dda �y, Notary Public State of FI Cameron Lynn Owen Commission No. ri 30�95 I 11M� +�. E) My Commission GG 3 Expires g as95 Commission GG 32 2rt m ion NO 3a gi(pires 041112023 04N7/2023 ae REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Certificate of Product Ratinqs AHRI Certified Reference Number: 202373741 Date: 03-25-2021 Model Status: Active AHRI Type: HRCU-A-CB-O (Mini -Split Heat Pump, with Remote Outdoor Unit Air -Source, Free Delivery) Outdoor Unit Brand Name: Trane / Mitsubishi Electric Outdoor Unit Model Number: NTXSMT24AI 12A• Indoor Type : Mini -Splits (Non -Ducted) Indoor Model Number(s) : NTXWMT24A112A' 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 (95F) : 22400 EER (95F) : 8.60 SEER: 18.00 High Heat (47F) : 26000 Low Heat (17F) : 18500 HSPF : 10.00 Sold In?: USA 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 Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Rafinas that are acoomoanied by WAS Indicate an involuntary re -rate. The new published ratings shown alonq with the previous (i.e. WAS) ratirw DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibilityfon 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; ArIM OWN 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�CONDMONING. HEATING. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified atwwwahridirectory.org, click on `Verify Certificate" link wr m.A, lifc bowr- 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.: 132611497537462046 KRAUSS & CRANE • AIR CONDITIONING 904 SE Dixie Highway • P.O. Box 1259 Stuart, Florida 34995-1259 License 772-287-1227 • Fax 772-283-4055 • Email: kandc@kciac.com CAC1818726 PROPOSAL Submitted To /SoB ,er_ f�vSdt�t�y Street 35' dc" _T--- City, St, Zip oiv- Sr /1x� sg sa Phone Job Location Date 3 -o13-i E-Mail We Hereby Submit Specifications For The Following: MISCELLANEOUS All Required Permits Disposal Of Old Equipment'o Outside Unit Pad t10— Cmne Service Secured To Hurricane Code 7ze::� All Work Complies With Existing Codes Alu All Work To Be Performed In A Neat Manner By Our Own Journeyman Class Technicians/' OPTIONAL EXTENDED LABOR WARRANTIES �m4a'a NOTES:�i SMft� a wig ?a /{9_ A%Al �tt.SrJi'ttl,�r.y� To 10 Years -No Deductible $ 2nA4 422�V v:',r- �A.ni3O b /tc�.yL f�,eT 6 AE Thke Decline Extended Labor Warranty_—f pJrAdAlz uAlim STANDARD DELUXE PREMIUM Brand u, , /f Brand Brand Outside Unit a? f Outside Unit Outside Unit Inside Unit Inside Unit Inside Unit VertHoa Heat Kw Vert/Horz Heat Kw Vert/Horz Heat Kw Thermostat Thermostat Thermostat SEER Capacity SEER Capacity SEER Capacity WARRANTY WARRANTY WARRANTY Labor Years Labor Years Labor Years Comp Years Comp Years Comp Years Coil p Years Coil Years Coil Years Parts V Years Parts Years Parts Years Maintenance Years R V(sds/Year) Maintenance Years (z Visits/Year) Maintenance Years (2 Visits/Year) System Cost $ — System Cost $ System Cost S FP&L Rebate $ p FP&L Rebate S FP&L Rebate S Additional Rebate V Additional Rebate Additional Rebate S Balance Balance Balance ACCEPTED /_(J/L 1 c5y Krauss & Crane CAC I 726 PAYMENT DUE IN FULL UPON COMPLETION DATE c) jW THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS OUTLINED ABOVE. ALL MATERIALS AND EQUIPMENT REMAIN THE PROPERTY OF KRAUSS & CRANE UNTIL PAYMENT IN FULL. KRAUSS & CRANE RESERVES THORIGHT TO TAKE POSSESSION OF ANY EQUIPMENT AND/OR MATERIALS DUE TO NON-PAYMENT. ACCEPTED DATE 3 — 2-q — ZI Meth d Of Payment Check Credit Card _ Financing With Approved Credit THIS PROPOSAL MAY BE WITHDRAWN IF NOT ACCEPTED WITHIN 10 DAYS M41NIiAa