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HomeMy WebLinkAboutSmith Permit Application - revisedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 05/18/2021 Permit Number: S 1901111 COU T'Y Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 12788 NW Mariner Ct Palm City, FL 34990 Property Tax ID #: 4425-603-0035-000-2 Site Plan Name: Project Name: Daryl & Joyce Smith Residential x Lot No. Block No. DETAILED DESCRIPTION OF WORK Replace A/C Equipment like for like change out "* Upstairs"...: JVACj ('I Trane / 4TTV0036A , TAM9A0B30V h e, H-VTV 00 'Up A T 4o 6 3ov 3 Ton, 21.5 Seer, SKW , Of) 'Z 1, 4G7 S of r Kw New Electrical Meter Second Electrical Meter I 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: $ 11,102.99 _ Generator Sq. Ft. of First Floor: Windows/Doors _ Pond Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR:;1x'` Name Daryl Smith Name:Timothy Wojcieszak Address:12788 NW Mariner Ct Company: Krauss & Crane City: Palm City State: rG Zip Code: 34990 Fax: Phone No.973-886-2791 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 IT vame of construction is z5oo 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 MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ 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 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 andcovenantsthat 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 vnur Nntirp of Cnrrlmprnrprrlpnt IQ Signature of Ownelf Lessee/Cof tractor a gent for Owner Signature of Contrafor/Licens Holder STATE OF FLORIDA �t COUNTY I,AGiY h STATE OF FLORIDA �n OF r COUNTY OF M Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online N tarization Physical Presence or Online Notarization this �, day of 54a , 202� by this 70 day of NIW 2020 by _Irno4+)L,4 tilJ�r�Ie52UK— j✓rrulh,a b1J �.�eC2cK— Name of person making sfatement. Name of person —makin statenlent. Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification P od ced Pro ed 1 NtSIgnature of Nota blic- 5 tTNI ry Public StaleW Floritl nature of Notar (y llC- St �,l!,�9 Commission No. �J•�7"IS •ameron piroS GG 322595 Lynn OwensUF:fdi 09/11I2023 Notary Public State of Flom�ommission C mission No.G�Cnsu (fagtgron Lynn Owens iExPi dmmisa 32259 EapIre609H1/2023 12 23 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED nev..3/o/ZU Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number: 10093682 Date: 05-20-2021 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: XV201 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTV0036B1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TAM9AOB3OV31 Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, IA, 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 unfit 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 TRANE 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 Heal Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 34800 SEER: 21.50 EER (A2) - Single or High Stage (95F) : 13.50 }'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 Slopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT Is still selling or offering for sale. Ratings that are axomoanied by WAS indicate an Involuntary re -rate. The new Published retina is shown along with the previous (i.e. WAS) ratinO. DISCLAIMER AHRI does not endorse the product(s) listed on this Certlficate 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 and confidential reference purposes. The contents of this Certificate may not, In whole or In pert, 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. AIRCONDITIONING. HEATING, CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on `Vsflfy Certificate' link lily Letter` and enterthe 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.: 132659984291911509