HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/7/21 Permit Number:
MCC
ding Permit App
Pionning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34.982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR;
Address: 5406 RAINTREE TRL
3402-610-0061-000-1
Property Tax ID
Site Plan Name:
Project Name: nancy harris
Residential X
Lot N o.
Block No.
LIKE FOR LIKE A/C CHANGE OUT 1.5 ton, 17 seer, no kw -mini split
New Electrical Meter Second Electrical M
Additional worl<to be performed underthls permit—checkall that apply:
'xMechanical _Gas Tank
Electric Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 4843.00
Gas Piping
Sprinklers
_Shutters
Generator
Windows/Doors _Pond
Roof _Pitch
Sq, Ft, of First Floor:
Utilities: Sewer _ Septic Building Height:
Name nancy harris
Address: 5406 RAINTREE TRL
City: fort pierce State: fj
Zip Code: 34982 Fax:
Phone No. 561-789-6717
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Christopher Langel
company: Sea Coast A/C and Sheet Metal Inc.
Address: 3108 Industrial 31 st Street
city: Ft Pierce state: FL
Zip Code: 34946 Fax: 772-448-4416
Phone No 772-466-2400s E-Mail info eacoastair com
State or County License CMQ035421
value of construction Is 2500 or More, a RECORDED Notice of Comm
If encement Is required.
If value o4 HAVC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
LP�1l1,IN�ORMA[Id[
I�RPIEM NTF1 GONSRI�C-f'fQN��N .� .,.
_
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address:_ Address:
City: State:City: State: _
—
Zip,_—_—._—Phone_—g. .. �—._�_— -_---p= ---- _
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name: _
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 count yy makes norepresentationthat is granting a perm it will authorize the ermit holder to bulld the subject structure
rules,such
an applicable Ow�ers Assoc anon and view yowldeed for any restrictions whichtmay applyhlbrt
structurenPieaslecconsult
--In-consideration of- the -granting of this requested. permit, I.do hereby agree that ]will, In all respects, perform.tiie work",
in with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
accordance
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 atto/rne before commencingwork or recordin our Notice of Commencement,
ufi z /f
Signature of Contractor/License Holder
Signature of Owner/ Lessee Contractor as Agent nor Owner
STATE OF FIX 1 P STATE OF FLORfRA
NTY COUOF bj,0 -e1 COUNTY OF rC t
S orn to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before me of
Physical Presence or _ Online Notarization Physical Presence or _ Online Notarization
by
this day ofJune .202( by this lMdayof Tune 20ZI
_7tIl
riS Sher I
0hr(t)
�LV,nP
Nat me of person mlaking statement. J - Name of person making statement.
X� OR Produced Identification Personally Known x OR Produced Identification
Personally Known
Type of Identification
Type of Identification
Produced Produced .—
ignature of Notary Public-t��at��e��ot Florida (Sig ture oftar Noy Public- State of Florida )
Commisslon No.�I1,Svo2. (Seal) ommission No.
L
�;{'?y JU3TINAL,HOPKINSCON
GQ
'y?4"��,, Jl1STINAL.HOPKINSCONNHLL s+a MtdSSI
44 3
1ti0"�i0 tu: ES:OacembartT,20
I
•� S
FRONLANS VEGETATION „!'fkSnded RdNutcFk3tdEde !
REVIEWS ,'I�PIThNNa�@3�ette VIEW REVIEW
COUNT
DATE
RECEIVED
DATE
COMPLETED
eV.
AHRI Certified Reference Number : 10574896 Date : 06-07-2021 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: DAIKIN
Outdoor Unit Model Number: RXB18AXVJU
Indoor Type : Mini -Splits (Non -Ducted)
Indoor Model Number(s) : FTXB18AXVJU
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) : 18000
EER (95F) : 10.50
SEER: 17.00
High Heat (4717) : 17900
Low
HSP
Sold
f"Active" Model Slalus 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
R
a g Io fferinfor sale. flogs that acc mo I d by WASindicate an involuntary re -rate. Then w Published rail an ihown along 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 products) 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,ahrid]rectory.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;
Aim
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. AI RECONDITIONING, HEATING,
C&REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The Information for the model cited on this certificate can be verified at www.ahrldiroctory.org, click on "Verify Certificate" link we make life better^
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. "' 132675647999624077
02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: