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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ,LlLCLL -m Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: /wa/ ,/m �PROPOSED IMPROVEMENT LOCATION: \J Address:_a2Q9 jays Property TeX ID#:-3?k2(`—CIO/-0/22-voo- 6 Lot No. ,57 Site Plan Name: S,-Iyq an a r' W f j — P, Q-I' pyAQ Block No. 16 Project Name: 07/ 0C New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: S Additional work to be performed under this permit -check all that apply: Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof _ Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ Utilities: —Sewer —Septic Building Height: Pond Pitch OWNER/LESSEE: CONTRACTOR: Name LaAA)ry nCo 7?01//2 Name: Address: B log ('innai pq23a g Company: G e�.o �,✓fir no%fri City: ' 70& �a_ j l t L�f�e State: mil. Zip Code: �, tL 4 & Z Fax: Phone No. q r)) - 4 0 F _ 0104 Address: 1.59S A/iPy/'_Ie-yov- cwl rC- 2: City: p S-' hj ik State: ---FL Zip Cod� e: Fgsz Fax: Phone No -7 2 - — 2A 6 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail -1 Eua AB'/_ , cau State or County Ucense G.a ..- o_S R 644-0 IT value or construction Is ZSuu 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. Not Applic BONDING COMPANY: �otAp�]�Icable t: pp Ecaoon Is ere made to obtain a permit to do the work and installation as indicated. I certify that noworkor Installation has commenced prior to the Issuance of a permit. which isinoconflicmtawithanyrapplicableiHo eOwnerstAssociationirules bylaws orandoovenantsthatmay estrictborprohibitsu h 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 attorne before commencingwork or recordingour Notice of Commencement. ev. �NA�d�'.aS��� Si fOwner/Lessee/Contractor as Agent for Owner Contractor� older STATE OF FLORID ♦ STATE OF FLORID COUNTY OF �' r!11r4Q �,D1J11'W COUNTY OF IlJP,le 619(�n�-1% Sworn to (or affirmed) and subscribed before me of • � Sworn to (or affirmed) and subscribed before me of Physical Presenc or_� Online Notarization Physical Presence or jc Online Notarization 9this day of LJ120 .202( by th(s,?.�day of ZDRLt,/'I,e .202Qby !�,a A Irylo,? � Name of person makingstatement. ,�a� Name of p son m ing statement. / Personally Known 'tom OR Produced Identification_ Personally Known __,Z OR Produced Identification Type of Identification Type of Identification Pr ed Pro ced (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of FI ida ) Commisslo Commission Ni]flA 6VAI�5H a6A'•t'r)Rq Wa1.SH =a° State of Florida-Nors:y Public gi ':State of Floritla-Notary Public REVIEWS �'•,,, orri �T My . Isslon °� �tS��R OR PLANS � o. yy Commission SEAA�iIriRTRE20 Expires MANGR VE REVIEW DATE RECEIVED DATE COMPLETED CERTIFIED' www. a h rid i rectory. urg • • ■ • • AHRI Certified Reference Number: 8560563 Date: 12-08-2020 _ Model Status :Active AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: LX SERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : PCE4A42- Region : All D DC CT CO,CA AZ AR AK, AL, , , , , , E, FL, GA, HI, ID, IL, IA, IN, KS, KY, ( LA, MA, MD, ME, MI, MN, M0, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, 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 CHAMPION HEATING AND COOLING product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, Performance Rating of Unitary Air-Conddioning & 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 : 415DO SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.00 Y"Active" Model Status are Nose that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that am being marketed but are not yet being produced -Production Stopped' Model Status are Nose that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinos Nat are atcomoanied by WAS indicate an involuntary re -rate Th Dubl'sh d rittino is shownalono with the previous (iWAS) rabn. 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 praduct(s), a the unauthorized attention of data listed on this Certificate. Certified mungs are valid only for models and configurations listed in the directory at www.ahrldlrectory.ory, TERMS AND CONDITIONS �U10' This CBrti6cel! and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and confidential reference purposes. The contemn 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 & REFRIGERATION INSTITUTE The IMMnairen for the model Chad on us certificate can be verified at www.ah,Idirectory.org, click on -verity Certificate' link we make life better' and enter the AHRI Certified Reference Number and the date on which the Certificate was Issued, which es Isted above, and the Certificate No.. which is listed at bottom right. ©2020Air-Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 132519295091246575 1578 Niemeyer Circle Port St. Lucie, FL 34952 CUSTOMER CITY, STATE, ZIP. Clean ,Air Techncloffles PROPOSAL AND AGREEMENT A/C Sales Service Installation By Jeffrey Almeida - Lic # CA-0058660 (772) 335-2061 Fax 335-1802 1\Y f o.P PHONE_------c�-�� - DATE �. 2- L0� V1 k7q 214.4,11 �Q/1�� JOB ADDRESS ( _ . 'Ez( �tL`%t�Z 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 Make Qu9 Model Number(s) �- SEER_ r t L R I BTUH Cooling _L BTU Heating � CFM InM�Ihli,.n _kMl _New _Amp disconnect New low voltage wiring "•�,. New reinforced equipment pad <i 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 _Remove existing, equipment from premises Install new " thermostat _New copper wire from_to K_Complete system start up Option (below) _ Alternative (below) = yes Make air tight plenum transition _New dehumidistat _New supply diffuser _New duct run fromto New return air filter grill Noise reducing flexible duct connector Clean work area to customer's satisfaction _New condensate drain system _Install aux. condensate drain pan _New high efficiency air filter =Meet all code requirements __�_year parts warranty -7"c _ - - -year labor warranty lG )rear compressor year service agreement Is ( _ Is not) included in price W Installed Price $ 57O-a -�I $ Z A-f_- Taxes $ / L Total Amount $ '-h9,0 Down Payment $ Balance Due $ Date: G Z -Z iO Z/