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HomeMy WebLinkAboutBuildingl Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 05/28/2021 Permit Number: r31ro LS�`�ll`-iE i, e 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: 11000 S Ocean Dr 5-H Jensen Beach , FL 34957 Property Tax ID #: 4612-701-0072-000-1 Lot No. Site Plan Name: Block No. Project Name: Ruth Nachtigal DETAILED DESCRIPTION OF WORK: REPLACE A/C EQUIPMENT LIKE FOR LIKE CHANGE OUT TRANE - RUN TRU PACKAGE UNIT 4TCA4036A1000A, 10 KW, 3 TON, 14 SEER New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: Mechanical Electric _ Gas Tank Plumbing Total Sq. Ft of Construction: _ Cast of Construction: $ 5525.00 _ Gas Piping _ Shutters -Windows/Doors _ Pond _Sprinklers _Generator _Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Ruth Nachtigal Name:Timothy Wojcieszak Address-11000 S Ocean Or 5-H Company: Krauss & Crane City: Jensen Beach State: FL Zip Code:34957 Fax: Phone No.209-777-3270 Address:904 SE Dixie Hwy City: Stuart State: FL Zip Code: 34994 Fax: 772-283-4055 Phone N0772-287-1227 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mailadmin@kciac.com 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: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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 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 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 attornev before commencing work or recording your Notice of Commencement. EJ Signature of Owner/ L see/Contract r as Agent or Owner Signature of Contrac r/License H91der STATE FLORIDA 1 ,OW OFOFLORIDA Ma►+io COUNTYOFO COUNTYSTATE Sworn to (or affirmed) and subscribed before me of Sword to (or affirmed) and subscribed before me of Physical Presence or _ Online Notarization lL this Qg�L day of JICIVL— 202J by 1' Physical Presence or _ Online Noqtarization this f`day of , ILCYL[_ 202Q by molhL,l Wt��.tosza� Tiaylhq jA)4rieS2ae. Name of person making stateFhent. Name of person malting statefnent. C/ Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Ppdabiced Pr ed ' nature of No=Public- ure of Notary Pub' - Stallotary Public Stale o/ No. lrameron Lynn Owes commiaaion GG 32 F oritla ,,1a+ Notary Public State of FloCommission m Sion No. ? a av S�teron Lynn Crv+ensy sw yy CommiaeionGG 3225Expims W/112023 Expirea0/11112023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev.S/b/ZU Certificate of Product Ratin AHRI Certified Reference Number: 204759433 Date: 06-02-2021 Model Status: Active AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Outdoor Unit Brand Name: RUNTRU Outdoor Unit Model Number (Condenser or Single Package) : 4TCA4036A1 Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, 10, 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 RUNTRU 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 -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), btuh : 35000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 YActive- 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. Ratings Nat are aaomoanied by WAS indicate an involuntary re -rate. The new Published rating is shown along with the Previous (i.e. WASI 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 produces) 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 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 usees individual, personal and confidential reference. AIR-CONDITIONING. 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,ke life bruer• 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.: 132671322247138707