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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: lT LUCLr =�J a , u 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: PROPOSED IMPROVEMENT LOCATION: Address; 3/71%7 DC���y ✓ D/� iI PropertyTaxlD#: Site Plan Name: -rklz SP�ir.2 Project Name: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Lot No. 2_ Block No. 4 S Additional work to be performed under this permit —check all that apply: 7`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:_ e Cost of Construction:$ u,3 i Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ' Name: Address: Company: City: q%Zl'l' Cp/ //.//� State: Zip Code: Ji_��CZ Fax: Phone No. 9 RJ' — S / S —/ Oil C Address:%_ /6 City: �'f • �cG(.!G State- Zip Code: �l-L Fax: Phone No -f22- 2.ZC— E-Mall: FlII in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail 7 / 9 GY.c4 4 State or County License LA if value of construction is 2500 or more, a RECORutu Notice or a.ommencem=HL o If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. _ Ai id• � S. rN. DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone State:_ City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable 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 Ccunty makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU BNTEND TO OBTAIN FINANCING, CONSULT w vntm t F uncR no AN ArrnRNFY REFIRE RECORDING YOUR NOTICE OF COMMENCEMENT.? Si ' bwner/ Lessee/Contractor as Agent for Owner Si " - Contractor/License Holder STATE OF FLORIDA Coo STATE OF FLORIDA welt COUNTY OF � LueiL- tAA COUNTYOF ST inpwf The forgotng instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 'YIiQ�I/� .20� by this day %YI/�! V ,2016y Name o person making statement. Name of person making statement. Personally Known vl*� OR Produced Identification Personally Known _1/01' OR Produced Identification Type of Identification Type of Identification Produced Produced w 1 f�Y l" �+V �'%�YV / i A (Signature of Notary Public -State of Florida) (Signatur - F orida SANDRA pA�l.g$,�� Commisslo N"'�' SAND SH Commissi - orlda•No'taiyY+ublic _ ':State of Florida•Notary publics ' •= Commission # GG 197984 a NTMy mmissi,; E iONCO2REVIEW P SUP ISOR PLANS 2 ROVE REVIEW REVIEW REVIEW EMI DATE RECEIVED DATE COMPLETED Rev. 2///19 Certificate of Product Ratings AHRI Certified Reference Number: 7615294 Date: 05-11-2021 Model Status : Active AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: FRIGIDAIRE P71RE SERIES Outdoor Unit Brand Name: FRIGIDAIRE Outdoor Unit Model Number (Condenser or Single Package) : P7RE-042K Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA, 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 FRIGIDAIRE 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), bluh : 40500 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.00 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. Rahnms that are accamnaniad by WAS indicate an involuntary re -rate. The new Dublished retina is shown. alono with the previous (e. WAS) ratina. DISCLAIMER AHRI does not endorse the produces) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the produChs) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind ansing out of the use or performance of the producus). or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at viww.ahridlreetory.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, personal and confidential reference. AIR-CONDITIONING, HEATING. CERTIFICATE VERIFICATION a REFRIGERATION IN51RUTE The Information forthe model cited on this certificate can be verified at www.ahridlreetory.org, click on "Verity Certificate" link 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.: ta2ss22asts2aa7sa7 1578 Niemeyer cle Port St! Luce, FL'r34952 Clean Air (77 335-2001 Fax 335-1802 CUSTOMER NAME C Technologies PROPOSAL AND AGREEMENT A/C Sales Service Installation By Jeffrey Almeida - Lie # CA-0058660r PHONE DATES, JOB ADDRESS w� o WORK PHONE We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on all pages of this proposal. EQUIPMENT SPECIFICATIONS Makeirri6�24Model Number(s) JP'?Ra'04'2_4 SEER 1 t� EER r BTUH Cooling 40,00 i0 BTUH Heating CFM Installation shall include: tir)af _New " Amp disconnect _New low voltage wiring _New reinforced equipment pad New vibration isolation pads _New.properly sized refrigerant lines New, clean, dry ACR copper tubing _Charge to manufacturer's specs _Insulate refrigerant suction lines _Install refrigerant drier(s) _Evacuate refrigerant system VRemove existing equipment from premises Install new T 10 t thermostat ew copper wire from to Complete system start up Option (below) Terms: Alternative (below) Acceptance by. LAJ"CxuL Date f o1v X =Yes Make air tight plenum transition _New dehumidistat _New supply diffuser _New duct run from to _New return air filter grill _Noise reducing flexible duct connector --,,LClean work area to customer's satisfaction _New condensate drain system _Install aux. condensate drain pan _New high efficiency air filter ,Meet all code requirements --6- 10 year parts warranty —V— 2 year labor warranty 1Q ear compressor J L _year service agreement Is ( _ Is not) included in price Approve by: Installed Price $ 3 $ Taxes $ N� Total Amount $ 00` Down Payment $ Balance Due $ Date: Terms and Conditions 1. All orders not paid in full in advance are subject to approval by the Company's credit department. .. 2. This proposal may be withdrawn by the Company if not accepted within 30 days. 3. The Company shall provide only trained and qualified technicians employed or supervised by us. 4. All labor is to be performed during Company's regular working hours, unless noted in this proposal. 5. Warranty work is performed during Company's normal business hours, but can be performed after normal hours if Customer pays the difference between standard labor rate and overtime labor rate. 6. Until final payment is made, the Company will retain the title to all materials and equipment it installs. 7. Unless noted in this proposal, payment is due in full upon completion of work. A monthly finance charge, equal to the highest allowable interest rate, may be levied on Customer's account if delinquent over 30 days. 8. In the event Customer's account must be referred to attorneys for collection, Customer agrees to pay reasonable attorney fees. 9. Customer will carry fire, extended coverage and other necessary insurance. 10. Customer shall assume risk of loss or damage to equipment after it is set in place on the job. 11. Every attempt will be made to complete the work on the date(s) specified, but because the Company may have no control over equipment availability and delivery, all completion dates are estimates only. 12. The Company shall not be liable for damage, loss or delays resulting from fire, explosion, flooding, the elements, labor troubles, or any other cause beyond our control. 13. The Company shall use ordinary care in performing all work, but shall not be liable for incidental or consequential damages, or shall it be liable for injuries to persons or damage to property except those directly caused by negligent acts of the Company's employees. 14. The Company shall not be responsible for any damages incurred due to inability of the building structure to properly support the installed equipment, or for expense incurred in removing, replacing or refinishing part of the building structure necessary for the performance of any service or installation, unless otherwise noted in this proposal. 15. The Company shall not be liable for any present and future taxes, charges or other government fees, or any items of equipment, labor or special tests required or recommended by insurance companies, equipment vendors or governmental authorities. 16. The Company shall not be liable for the identification, detection, abatement, encapsulation, storage, removal or transportation of any regulated or hazardous substances. Regulated or hazardous substances may include, but are not limited to asbestos, certain refrigerants and refrigerant oils. If any such products or material are encountered during the course of work, the Company can discontinue work until regulated or hazardous materials have been removed or hazard or liability eliminated. The Company shall receive and extension equal to the time of delay to complete the work an reserves the right to be compensated for any loss due to a delay. 17. This agreement contains the entire understanding between the Company and the Customer, any modifications, amendments or changes must be in writing and signed by both parties.