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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/2/2021 �o ��►IC�Q� O Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 4741 Jorgensen Road Fort Pierce Property Tax ID #: 3403-502-0143-000-1 Site Plan Name: Project Name: Hampton -Residence DETAILED DESCRIPTION OF WORK: Like for Like HVAC System Replacement 3 Ton-15 Seer-9kw-Ground-Vertical Lennox 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: $ 7243.00 _ Generator Residential xxxx Lot No. Block No. _ Windows/Doors Pond Sq. Ft. of First Floor: _ Roof Pitch Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameClaudia A Hampton Name: Don Miranda Address:4741 Jorgensen Road City: Fort Pierce State: _ Zip Code: 34981 Fax: Phone No.772-878-5123 Company: Miranda Plumbing & Air Conditioning Address:750 NW Enterprise Drive City: Port St Lucie State: FL Zip Code: 34986 Fax: Phone N0772-878-5123 E-MailLdiodato@mirandacompanies.com State or County License CAC1815486 E-Mail: Fill in fee simple Title Holder on next page ( if different 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 INFO DESIGNER/ENGINEER: — Not Applicable M Name: N; Address: Ac City: State: Ci Zip: Phone Zil FEE SIMPLE TITLE HOLDER: Not Applicable — BC Name: Nz Address: Aa City: cit Zip: Phone: Zir RMATION: i ORTGAGE COMPANY: — Not Applicable 3me: Jdress: ty: State: 3: Phone: )NDING COMPANY: Not Applicable ime: (dress: y: 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. Inconsideration 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 b ded in the public records of St. Lucie Cou rid posted on the jobsite before the first inspe f you inten o obtain financing, consult with I der or an a torne before Commencingwork or re rdin our Notice of,Commencement. of Owner STATE OF FLORIDA COUNTY OF St Lucie ntractor as Agent for Owner Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this day of _ 2020 by Don J Miranda Name of person making statement. Personally Known x OR Produced Identification Identification Pr9,d a'� Lori Diodato Pr rr�e �', '� ��� Commission # GG069258 Expires: Feb. 9, 2021 nature of Notary Public - Commission No. FF945187 (Seal) REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF Stt.ucie Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this day of 2020 by Don J Miranda ivame of person making statement. Personally Known x OR Produced Identification Type of Produceldentification `�q'. ,,�� Lori 1-0 ata s� ` = Commission # GG9 � "= Expires: Feb. 9, 'Fii�''•�.F Bonded thru Aaron I (Signature of Notary Public- State of Florida ) Commission No. FF945187 (Seal) SUPERVISOR REVIEW F PLANS ;EVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/31/2020. Certificate of Product Ratinas AHRI Certified Reference Number: 202566187 Date : 04-02-2021 Model Status : Active AHRI Type: HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Series : Merit ML14XP1 Series Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : ML14XP1-036-230A** Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA27UHE-036-230*+TDR The manufacturer of this LENNOX product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHR1210/240 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 : 33600 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 Heating Capacity (H12) - Single or High Stage (47F) : 32600 HSPF (Region IV) : 9.00 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. Ratirs 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;. �■ entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, ILI 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 132618592139872190 g g g CERTIFICATE NO.: