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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/3/2021 Permit Number: 97. n cm Q iu ° 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: 144 Pepper Ln Jensen Beach , FL 34957 Property Tax ID #: 4511-503-0031 -000-1 Lot No.25 Site Plan Name: Block No. Project Name: Thomas Brown DETAILED DESCRIPTION OF WORK: REPLACE A/C EQUIPMENT LIKE FOR LIKE CHANGE OUT TRANE - 4TTV8036A1000 / TAM9AOC36V31D 10 KW, 3 TON, 18 SEER New Electrical Meter Second Electrical Meter I CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: XMechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond _Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 7430.00 Generator Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR:'' "*p,- NameThomas Brown Name:Timothy Wojcieszak Address:144 Pepper Ln Company: Krauss & Crane City: Jensen Beach State: Zip Code: 34957 Fax: Phone No.772-708-9222 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-MailadminQa kciac.com State or County License CAC1 818726 If value of construction is Z500 or more, a RtCORUtU Nonce or %.ommencemenc is requuea. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INF RMATION: DESIGNER/ENGINEER: _ Not Applicable Name: RTGAGE COMPANY: _ Not Applicable Na e: Address: Add s: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ t 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 attorneybefore commencn work or recordin our Notice of Commencement. Signature of Owner/ ssee/Contr for as ent for Owner Signature of Contract/License Holper STATE OF FLORIDA MA0JY1 STATE OF FLORIDA MG(+Ir) COUNTY OF COUNTY OF Swop to (or affirmed) and subscribed before me of Sworn o (or affirmed) and subscribed before me of Physical Presence or _ Online Notarization Physical Presence or Online Notarization by this Q'1 day of J(Aflt: 2021) by thus _I day of c LtrW— 2024 Ti irJOlrA, fftoa-hq Wyir'eSUIK- NameName of person mal4ing statefinent. Name of person makirIg staterdent. Personally Known OR Produced Identification Personally Known VstOR Produced Identification Type of Identification Type of Identification Pr ed Pro uced ( nature of Notary Pu - State o r ; Notary Public State of Notary lic- Sta 4aasc��Camaf00 Lynn Commission No.i1 15dp MyCommiuion GG d0' myco miwion 23 NOW of ' No ry Public State of FI ;f:at n No.%i!n32�S�r{S� Lynn Owens. My Commission GG 32T51 a a g� a e Expires091112023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/b/ZO Eligible for Federal Tax Credit Certificate of Product Ratinas AHRI Certified Reference Number: 10093694 Date: 06-07-2021 Model Status: Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: XV181 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTV8036A1 Indoor Unit Model Number (Evaporator and/or Air Handier): TAM9AOC36V31 Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, 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, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured pdor 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 TRANE product Is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 2101240 with Addendum 1, Performance Rating of Unitary Air -Conditioning & AirSource Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 35400 SEER: 18.00 EER (A2) - Single or High Stage (95F) : 13.00 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 producetl'Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for Ratings thsale.at are acw .led by WAS indicate an involuntary re -rate The new Published rating. is shown alone with the previous fie. WAS) retire. 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 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.ah rid irectory.o rg. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and NEW 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 user's Individual, personal and confidential reference. AIR�CONDmONING. HEATING, CERTIFICATE VERIFICATION a REFRIGERATION INer E The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on `Verify Certificate" link t,t., aA, life bowi- 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. I----- ©2021 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132675637383646681