HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Data 4/1312021 Permit Number:
9'u� LUGIIL
P G OO I3 V 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: SCHIEFEN, BARBAR
PROPOSED IMPROVEMENT LOCATION:
Address: 9202 WORLD CUP WAY, PSL, FL 34986
Property Tax lD#: Parcel ID: 3327-801-0049-COD-7
Site Plan Name:
prnicrt SCHIEFEN
DETAILED DESCRIPTION OF WORK:
3 TON BRYANT AHRI-9261352
16 SEER
8 KW
Lot No, 41
Block No.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: 7771
Additio work to be performed under this permit— check all that apply:
echanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:,
Cost of Construction: $ 5200
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
A—
Name gCV11 QACC4� Prr%-f
o,, .�
Name: DANIEL SHAWVER -
Address: C17 o 7 W or Ctl,.ioL14 A..t,�
Company: DS AIR CONDITIONING, INC
City:L� State: �Y_
Zip Code: 3 49 Sb Fax:
Phone No.
Address: PO BOX 197
City: PORT ST. LUCIE State:FL
Zip Code: 34958 Fax: 772-679-0103
Phone No 772-335-4531
E-Mail:
Fill In fee simple Title Holder on next page_I ifldifferent
from the Owner listed above)
E-Mail info@dsairconditioning.com
State or County License CAC058715
If value of construction is ZS00 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: I
Not Applicable � MORTGAGE COMPANY: _ Not
Address: Address:
City: State:_ City: State:_
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
City:
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 ermit will authorize the emit holder to build the subject structure
which is in conflict with any applicable Home Owners AssocParm
tion 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.
Inconsideration of the granting of this requested permit, I do hereby agree that 1 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 nonresidential use
WARNING TO OWNER: Your fail a to Record a Notice of Commencement may result In paying twice for
improvem pe y. A Notice of Commencement must be recorded in the public records of St.
Lu unty and p on the'0 ite before the first Inspection. If you intend to obtain financing, consult
Ithle der or an Bore co mencin ommencement.
Signature f ner/ Lessee/Coot actor as Agent for Owner
Si Bra f Contractor/License Hol er
ST O FLORIDA
STATE OF FLORIDA
UN OF
COUNTY OF
;wprn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
�1C Physical Presence or T Online Notarization
ysical Presence or Online Notarization
th�is'�,day of`'(1'l ,2�02�0
this day of 2020\by
�bjy�
1 1L31`11{�/�
/7
Na of person making sta ement.
Name of person making statement.
Personally Known v OR Produced Identification _
Personally Known ^ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Nowrr Porn¢ Sran a %boas
y.
Ih¢nne CaWarO
(Signatuf.e. pa ter�iff Florida
atureof IgPap� blil �¢ ro <,
j
CommissiMTfd^ (a� (Seal)
s clrae>) (s,
Commission 1`��ve3 .
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
eev. pro/m
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Ler-tifimic R�tiric�s
AHRI Certified Reference Number: 9261352 Date: 04-13-2021 Model Status: Production Stopped
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coll with Blower)
Series: LEGACY LINE AC
Outdoor Unit Brand Name: BRYANT HEATING AND COOLING SYSTEMS
Outdoor Unit Model Number (Condenser or Single Package) : 116BNA036'0"A'
Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DN(B,F)037L
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 regions) for
which they meet the regional efficiency requirement.
The manufacturer of this BRYANT HEATING AND COOLING SYSTEMS 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
& Alr-Source Heal Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 34200
SEER :16.00
EER (A2) - Single or High Stage (95F) :13.00
1" Active' Model Status are those that an AHRI Certification Program Participant Is currently producing AND selling or offering for sale; OR now 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
seigng or offering for sale.
Re nos that are accomnanled by WAS Indicate an involuntery re -rate. The new nuhllahnd ratlnn Ie nhnwn alnnn vdth tha nrevinua !La WASI ratinn
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), of 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 shell only be used for individual, personal and
"n--"'►J
confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copled; disseminated;
f�-/►��
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
d REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.ahrldiractory.org. click on'Verify Certificate' link
,w 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.
02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
132628099123960061