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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/30/2021 Permit Number: 91ro WCE O 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:MECHANICAL PROPOSED IMPROVEMENT LOCATION: Address: 280 NETTLES BLVD JENSEN BEACH , FL 34957 Property Tax ID#: 4502-501-0466-000-5 Lot No. Site Plan Name: Block No. Project Name: RONALD& PAULETTE SHEARER DETAILED DESCRIPTION OF WORK: replace a/c equipment like for like change out Trane-NTXMMX20A122A, NTXWST09A112A 16 SEER, HEAT PUMP New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: J Additional work to be performed under this permit—check all that apply: ,Mechanical _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: $ 7200.00 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: t. Name Ronald Shearer Name:Timothy Wojcieszak Address:280 Nettles Blvd Company:Krauss &Crane City: Jensen Beach State:_F.L Address:904 SE Dixie Hwy Zip Code: 34957 Fax: City: Stuart State:FL Phone No.586-713-0336 Zip Code: 34994 Fax: E-Mail: Phone N0772-287-1227 Fill in fee simple Title Holder on next page(if different E-Mailadmin@kciac.com from the Owner listed above) 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 INFORMATION: kESIG.NER/ENGINEER: Not Applicable ORTGAGE COMPANY: Not Applicable eame: ess: A dress: State: Cit . State: Zip: Phone Zip: P ne: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPAN _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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in co i ict 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 Owner Lessee/Contr •tor as Age t for Owner Signature of Contractor/.J icense HoldEr STATE OF I'l COUNTY OF FLORIDA COUNT { Aa(�n COUNTY OF Nl S�n to(or affirmed)and subscribed before me of Sv n to(or affirmed)and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization this day of MM 2026 by this ab _day of M 202J by limo Wo;J esz,-4 k Name of person Inaking Matement. Name of person r6aking statement. Personally Known OR Produced Identification Personally Known V OR Produced Identification Type entification Type of Identification 7 ucep Pr u fd ( ' Ire of Notary Pu=ag n ure of Notary u lic-State blic State of FI)n Notary Public State of F4 n Lynn Owen ��l!meron L nCommission NoVlv,3a� inaion GG 3zz 4som ssion No. "16�ay1 y ei9 mere i on oO 22 e 4/11/2023 A Expires O4I170 12023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. CERTIFIEW' Certificate of Product Ratings AHRI Certified Reference Number:202373709 Date:04-30-2021 Model Status:Active AHRI Type:HMSV-A-CB(Multi-Split Heat Pump) Outdoor Unit Brand Name:Trane/Mitsubishi Electric Outdoor Unit Model Number:NTXMMX20Al22A` Indoor Type:Ducted Indoor Units 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):20000 EER(95F):10.00 SEER:16.00 High Heat(47F):22000 Low Heal(1717):12500 HSPF:9.30 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 producetl'Production Stopped"Model Status are[hose that an AHRI Certification Program Participant Is no longer producing BUT is still selling or ffering for sale. Ratings thoat era accompanied by WAS Indicate an involuntary rerale. The new published ralino Is shown alona with the previous fi.e.WAS)retina. 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 products)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the produchs),or the unauthorized alteration of date listed on this Certificate.Certified ratings are valid only for models and configurations listed In the directory at www.shrldirectory.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; irmo Mimi entered Into a computer database;or otherwise utilized,In any form or manner or by any means,except for the users Individual, personal and confidential reference. AIR80NDmONING.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 ,n,kv It,braWr- 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.: 132642626344458BB4