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HomeMy WebLinkAboutI-95 South Bound Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5/19/2021 Permit Number: Building Permit Application IN and Development Services 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: South Bound Address: 9602 Interstate 95 Ft Pierce FL 34946 Property Tax ID #: 2303-111-0025-000-8 Site Plan Name: Project Name: I-95 Rest Stop S Bound Mile Marker #133 DETAILED DESCRIPTION OF WORK: Install new Mitsubishi mini split (heat pump) M# SUV-KAl2NA2 M# SVZ-KP12NA 1 ton, 18.00 SEER New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Lot No. Block No. 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: $ 4,550.00 Utilities: Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name State of Florida DOT Name: Samuel T Durham Address:3400 W Commercial Blvd Company: Advantage AC of the TC Ft Lauderdale p y� City: State: V'L Address:601 S Market Ave Zip Code: 33309 Fax: N/A City: Ft Pierce State: FL Phone No. N/A Zip Code: 34982 Fax: 772-465-4945 E-Mail: N/A Phone No 772-465-1608 Fill in fee simple Title Holder on next page ( if different E-Mail Advantagepermits@hotmail.com from the Owner listed above) State or County License CAC039664 If Value of rnn-ztrnrtinn it irnn - -- -- -- -- -. ..., ­v, b 111—c—urwiern 15 requlrea. 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 MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: Zip: Phone State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: Zip: Phone: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Count 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. 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 commencin work or recordingour Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF Srn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of ZPhysical Presence or Online Notarization X Physical Presence or Online Notarization this. day of 2020 by this is day of t-Anki 2020 by c C i.� r lm Name of person making statement. Name o person making statement. Personally Known Produced Identification Personally Known - OR Produced identification Type of Identification Type of Identification Produced Produced (Signature of Notary Pub ic- It of Florida) (Signature of Notary Pu ' - Stat of Florida Commission No. q (Seal) Commission No (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED DATE COMPLETED ev. °6 JENWER E. CAGAS Notaiv Public, State of Flerida Foramiss"On JENNIFER E. CAGAS Comr-;ssien too GG263239 Notary Public, State of Florida Cuilrnlssi')q Expires 0),30i2022 Commission No. GG253239 Expires p13012022 Eligible for Federal Tax Credit. Certificate of Product Ratings AHRI Certified Reference Number: 202392053 Date: 05-20-2021 Model Status : Active AHRI Type : HRCU-A-CB (Mini -Split System: Heat Pump with Outdoor Unit -Air -Source, Ducted) Series Name: M-Series Outdoor Unit Brand Name: Mitsubishi Electric Outdoor Unit Model Number: SUZ-KAl2NA2 Indoor Type: Mini -Splits (Ducted) Indoor Model Number(s) : SVZ-KP12NA 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) : 12000 EER (95F) : 1270 SEER: 18.00 High Heat (47F) : 15000 Low Heat (17F) : 9900 HSPF : 12.10 Sold in?: USA, Canada 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 fur sale. Ratin s that are accom anted WA indicate an involunta r -rate. The new ubl!shed ratino is shown alona 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 a entered into a computer database; or otherwise utilized, in any form or manner or by any meansnd confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; , except for the user's personal and confidential reference. individual, AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information forthe model cited on this certificate can be verified at www.ahridirectory.org, click on "Verity Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, make life better - which is listed above, and the Certificate No., which is listed at bottom right. � ©2021 Air -Conditioning, Heating, and Refrigeration Institute ! CERTIFICATE NO.� 132659917820027855