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HomeMy WebLinkAbout780 W Midway RoadAll APPLICABLE INFO' MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/28/2021 Permit Number: Building. Permit Application Planning and Development Se►vices Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: MECHANICAL PROPOSED- IMPROVEMENT LOCATION: Address: 780 W MIDWAY ROAD FORT PIERCE, FL 34982 Property Tax ID #: 3403-233-0001-000-9 Lot No. Site Plan Name: 3 36 40 BEG AT PT 33 FT N OF SE COR OF SW 1/4 OF SW 1/4 OF Block No. Project Name: , I DETAILED .DESCRIPTION ,OF WORK: A/C CHANGE OUT OF A TEMPSTAR 4 TON 16 SEER SYSTEM WITH 10 KW HEAT. New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: X Mechanical _ Gas Tank ^ Gas Piping _ Shutters Electric _ Plumbing — Sprinklers Total.Sq. Ft of Construction: Cost of Construction: $ 6,441.00 ^, Generator Sq. Ft. of First•Floor: Windows/.Doors Pond Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Medfield fealty and Invest Cor Name. Donald Myers Address: 7496 Commercial CIR Company: ANC Care LLC City: Fort Pierce State: FL Address: 3324 SE Gran Park Way Zip Code: 34951 Fax: City: Stuart State: FL Phone No. (772) 216-4010 Zip Code: 34997 Fax: (772) 252-3231 E-Mail:-r.donahue@emadamsco.com Phone No (772) 266-2665 Fill in fee simple Title Holder on next page ( if different E-Mail office a@accare. biz from the Owner listed above) State or County License CAC1820029 If value of construction is 2so0 or more, a• RECORDED Notice of commencement is requirea. 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: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: 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 coriiiict 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, wails, 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 attornev before cornmencine wnrk nr rpcnrdino_ vniir Nntirp of rnmmpnrpmpnt Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor nse Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF tAnL Sworn or affirmed) and subscribed before me of Swor or affirmed) and subscribed before me of hysical Presence or Online Notarization this day of 20.� by Physical Pres nce r this day of A&i Online Notarization 20AU by Name of person maki state Name of person making Ciatement. 111111l1lfll / Personally Known OR Produ ` �� V& Type of Identification • • • " • • • 1p ``,1111111NIf1l////� Personally Known OR Produced P, �40/' Type of Identification •' • • • •'� oNot ���`� . , Produced:•aN••,'Y % o �H22,2 �y Produced �,. cl�� �•.�� — : �GH�� • s • Z s •* ski► ; r*; w (Signature of Notary Public Statue F1p1Ida ohm �: s (Signature of Notary Public- State o . d �.,,• �WI 0�► .e Bo fir. Commission No.9.py{,� Undo• ��� Commission No. i•, edlh �i '&.�".a°�o;��� AUBUC TA'��� ���� S �� *11 /C, STA'iEo,,���� I/l/f 11111 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. 5/ U/ 1u Eligible for Federal Tax Credit Certificate of Product Ratin AHRI Certified Reference Number: 9280840 Date: 04-28-2021 Model Status: Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: 16 SEER N SERIES R410A AC Outdoor Unit Brand Name: TEMPSTAR Outdoor Unit Model Number (Condenser or Single Package) : NXA648GKA" Indoor Unit Model Number (Evaporator and/or Air Handler): FXM4X48`"AL 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, NO, 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 TEMPSTAR product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 2101240 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 : 46500 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 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 Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale, Ratings 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 products) 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, As 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" IInk m,ke Iite boner' 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.: 132641092170049580