HomeMy WebLinkAboutDuilding PermitAH APPUCABLE IN,FO MUST BE COMPLETED FOR APPUCAT0N TO BE ACCEPTED
Date: 6/16/2021
P
Permit Number:
Belding Perrn'o A[,o[oD ocation
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Ford Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Residential XXX
mob~
PERMIT APPLICATION FOR:
M�uhan�ca0
PROPOSED IMPROVEMENT LOCATION:
Address: 116 Queen Ann Court
Property Tax I D #: 1414-702-0032-000-2 Lot No.
Site Plan Name: Block No.
Project Name: McFarlane Residence
DETAILED DESCRIPTION OF WORK:
Like for Like AVAC Replacement 18 Seer 8 kw Lennox System Vertical -Ground
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical � Gas Tank _Gas Piping _Shutters
Electric
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 7385.00
OWNER/LESSEE,,
Spri nklers
G a or
Windows/Doors Pond
00f Pitch
Sq.of First Floor.
Utilities: _Sewer � Septic Building Height:
NameNchael McFarlane
Address: 116 Queen Ann Court
City: Ford Pierce State: --
Zip Code: 34949 Fax:
Phone No. 772464-9408
E-Mafl:
Fill in fee s6mple Title Hoider on next page if dIfferent
from the Owner Hsted above)
CONTRACTOR:
R�ame: Don Miranda
Company: Miranda Plumbing & Air Conditioning
Address. 750 NW Enterprise Drive
City'. Port St Lucie State: FL
Zip Cody: 34986 Fax:
Phone No 772-878-5123
E_MaiILdiodato@mirandacompanies.com
State or County License CAC1815486
if value of construction 'is 2500 or move, a RECORDED Not*te of Commencement is required.
If value of HAVCnors $�➢��� � ����, � I�� c��6���� ���a�� �� C��r��������a �� s require
d.
J. IWW(01�
rig
A A"-e-
signed by owner/Agent and applicant:
(signature of contractor)
State of Florida, County of C t �
ed to and subscribed before me this
—1 20 2 1.5 by L 0 oj' -,A) 1aCL-,z clix-:=
3.11y known to me or who has produced
fification.
Signature
(print name)
L }
(signature of Owner or Agent (including contractor))
State of Florida, County of
Affirmed to and subscribed before me this
20 by 7730
personally known to me or
as identification.
F.
Notary Signature:
ho has produced
h
� t .ry (print name) i"Al
1
".1 A. & 0 L: dJffi,Af
a 'ins ction documents must accompany this application. The Florida energy code submitted becoLA
d must pass final iti
inspection. "Notice: In addion to the requirements of this permit, there Y. Ir
applicable to this property that may be found in the public record of this county, and there may be a
from other governmental entities such as waste management district, state agencies, or federal agen
ltegr"a09-�"-We�a6 Florida
��t10$160lRW 00013
p etWfign tfiVellMa r 3, 2025
aa��d,�,p �l9���44arY Assn.
APPLICANT MUST BE NOTARIZED. If owner builder, applicant must sign in person. BUILDING PERMIT includes:
Building, Electrical, Plumbing, Mechanical, and Sewer only. All other trades require separate applications.
Asbestos compliance: It is the owner's or operator's resporn0bility to comply with section 469.003, Florida Statutes, and
go
to notify theDepartment of Environmental ProtectionProtection o�' his or her intentions to remove asbestos, when applicable, in
accordance with state and fedeirall Daw.
FEE SIMPILE TITLEHOLDEIB, BONDING COMPANY AND MORTGAGE 1L1EIl'llD1ER INFORMATION IS REQUIRED WHEN
THE AGGREGATE VALUE (TOTAL COST OF ALL IMPROVEMENTS AND lVO"II' .FiTS'Il' WORK AUTHORIZED BY THE
glaIDIVIIIUAL PERMIT) IS $2500 OR MORE (EXCEPT HVAC REPAIR/REPLACEMENT< $7500). PLEASE ADDRESS ALL
ffTEMS.
Fee Simple Titleholder'Titleholder's ❑ Same as Owner
Name (if other than owner):
Address;
City: State: Zip:
MortgageLender's [I Not Applicable
le
Name.
Address
City: State; Zip:
Bonding Company 0 Not Applicable
Name;
Address:
city* State: Zip:
OFFICE USE ONLY
Is the property located in a Special Flood Hazard Area (floodplain) per the current Flood Insurance Rate Map (FIRM)
❑ Yes
Flood Zone: Reviewed by: Detennination:
Permit Fee
State Surcharge
Subcontractor
Remarks
Other
❑ No
$ Plan Review Fee
Other $
Flood Review Fey $
;
Routing Fee
0
Other $
Active Code Violation El Yes ❑ No
Case #
Case Type
Reviewed by _ Date Final Check Dade
Page 2 of 2
Eligible for Federal Tax Credit
Certificate of Product Ratinas
AHRI Certified Reference Number s 20 21 2 Date: o - 2o21 Model Status: Active
AHRI T rpe : CU-XCB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series : ELITE EL18XCV SERIES
Outdoor Unit Brand Name: LENNOX
Outdoor Unit Model Number (Condenser or Single Package) a t EL1 - **
Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA25 U HV�0 - *
Region ion : All AK, AL, Ark, AZ, CA, Co CT, r r r FL, GA, H1, 11D� IL, I, I, KSi KYr L, �, �, r , M IVIs
a r �
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OKI PA, 1 1 SC SD, TN, TX, UT, VA, VT, WA, WV, Wit Wy? U.S.
Territories)
Region Note: central air conditioners manufactured prior eligible
p � r to Ja�uery 1s �� ire to be installed in all regions
until June 30, 2016, Beginning July 1, 2016 central air conditioners can only be • �ntalled in region(s) for
which they meet the regional efficiency requirement.
The manufacturer of this LENNOX product is responsible for the rating
of this stem combination,
Rated as follows in accordance with the latest edition of AKINN 210/240 withAddendum 1, Performance Rating f Unitary Air -Conditioning
Air -Source feat Pump Equipment and subject t rating accuracy racy CFI-spnoredr independent, third party testing:
Cooling Capacity A2 - Single or High Stage F, btuh : 24000
SEES ,, 18.00
EE A2 _ Single or High Stage 5 F 13.00
t"Aia" Model Status are those that an AHRI Certification Program Participant i erre
marketed but are � � Fein produced." r�tl�r producingAND selling r offering for sale; new model that are being
du ed."Produ tion Stopped" model status are those that an ALIBI Certification Program Participant
ell�n or of�'erin for sale. no to er rodin BUT E still
Ratin s that are accom aced bv WAS indicate are involunta re -rate. The new u � i
li h f ratin i shown along with the r ious �. . WAS r tiro .
AHRIAn
DISCLAIMER
does not endorse the product(s) listed on this Certificate and makes no r rs
the j��"��t listed n ��'�� ��t�flecats � � enttis, warranties or guaranteesto, �1 assumes rer�lbilir ��",
I expressly dis lalr s all liability for damages of any kind arising out of the use the
or erf
unauthorized alteration of data listed n this ertiflteR certified ratings air valid only for models and configurations listed �r� * # rave the prduts� �r the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRL This Certificate shall only
confidential reference purposes. The conic ly used for individual, personal and
contents of this Certificate may not, In whole r In part, be reproduced; copied; disseminated;
entered Into computer database; r otherwise utilized, in an fora r manner � � '
r r b an means except for
• lr the user's individual,
�►
personal and confidential reference. ,
AIR-CONDITIONING, HEATING,
�T�I��T� VERIFICATION
I*I�#��Il�'I�V rn�T�TT�
The 'Information for the model cited n this certificate can b verified at ww.ahrldir " .. � .
bra INcI � "Verify Certificate" I�n�C
and enter the AHRI Certified Reference e Number and the date on which the to was issued, , make life beat rT%,
which is listed above, and the Certificate No., which is listed at bottom right.
@2021 Air-Conditicning, Heating,and Refrigeration Institute CERTIFICATE NO,,p 132683442631653883