HomeMy WebLinkAboutlambert permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/19/2021 Permit Number:
-`J1ro LSUCULE
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: 13509 NW WAX MYRTLE TRL , PALM CITY, FL 34990
Property Tax ID #: 4436-601-0023-000-3
Site Plan Name:
Project Name: WILLIAM LAMBERT
Lot No.23
Block No.
I DETAILED DESCRIPTION OF WORK: I
REPLACE A/C EQUIPMENT LIKE FOR LIKE CHANGE OUT
MITSUBISHI/ NTXSMT18All2A,NTXWMT18All2A
1.5 TON, 18 SEER, HEAT PUMP i
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: $ 4195.00
_ Generator _ Roof
Sq. Ft. of First Floor:
Utilities: _Sewer Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
NameWILLIAM LAMBERT
Name:TIMOTHY WOJCIESZAK
Company:KRAUSS & CRANE
Address:904 SE DIXIE HWY
City: STUART
Address:13509 NW WAX MYRTLE TRL
City: PALM CITY State: r-I
Zip Code: 34990 Fax:
Phone No.772-340-3436
State: FL
72-283-4055
Zip Code: 34994 Fax:
Phone No772-287-1227
E-MailADMIN@KCIAC.COM
State or County License CAC18187
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
6
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.
S�f PLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DES NER/ENGINEER: Not Applicable
N�m
M RTGAGE COMPANY: Not Applicable
Na e:
Acddre
Add ss:
City: State:
Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ •cable
Name:
BONDING COMPANY:
Name:
Address:
City:
Not Applicable
Address:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work ar�d installation as indicated.
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.
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 nc n-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in payi g twice for
improvements to your property. A Notice of Commencement must be recorded in J e 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 commencing work or recording vour Notice of Commencement.
` ' r
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Signature of Owner Lesseee/Con ractor as gent for Owner
Signature of Contract r/License H Ider
STATE OF FLORIDA /
May hid
STATE OF FLORIDA t ,'M�y' + I/
I"
COUNTY OF
COUNTY OF
Swgrn to (or affirmed) and subscribed before me of
V
Swgrn to (or affirmed) and subscribed before me of
✓
Physical Presence or Online N tarization
%A MM
Physical Preslnce, or _ Online Notarization
this day of 2029 by
this � day of N,UM 020 by
1 �vrs�l,I W tit ra � �'zG �
T� tmoTT�eS�k
Name of person milking sta ment.
Name of person making statement.
ng
Personally Known OR Produced Identification
Personally Known OR Produced
Identification
Tygle.cif Identification
Type of Identification
oduc td
Prod
'(Signature of Notary P - Stat of Notary Public State of Fle
ig a of otary Pub - St
Cameron Lynn Owen
Commission No. 3�'+7 �V (92ai�v commission GG 322
Cxpeas 04/11/2023
/ �,µ'%W,
atom ission No. �37Z�J •
,.a
Notary Public State of Floii
`h (fgld@ron Lynn Owens
..., — mmisslon GG 32259
rst'
Expires 0411112023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEAT
RTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20
Certificate of Product Rati
AHRI Certified Reference Number: 202373740 Date: 05-18-2021 Model Status: Active
AHRI Type: HRCU-A-CB-O (Mini -Split Heat Pump, with Remote Outdoor Unit Air -Source, Free Delivery)
Outdoor Unit Brand Name: Trane I Mitsubishi Electric
Outdoor Unit Model Number: NTXSMT18Al l2A'
Indoor Type: Mini -Splits (Non -Ducted)
Indoor Model Numbers): NTXWMT18A112A'
Rated as follows in accordance with the latest edition of AHRI 2101240 with Addendum 1, Performance Rating of I
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independ
Cooling Capacity (95F) : 17200
EER (95F) : 10.50
SEER: 18.00
High Heat (47F) : 18000
Low Heat(17F): 11500
HSPF : 10.00
Sold in?: USA
party tesfing:
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 producodl'Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or oRedng for sale.
Ratings that are actromoanIs by WAS indicate an involunlary re -rate. The now oublishad ralino is shown alona with the previous fie. WAS) rating.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assu Ones no responsibility for,
the product($) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performs ice 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.ahridi,ectory.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; ArIM OWN
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. AIRCONDITIONMG. HEATING.
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at wwwahridirectory.org, click on Werlfy Certificate" link „-i. inalcr III. bow r'•
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued,
which s listed above, and the Certificate No., which Is listed at bottom right.
02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132658403363656376