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HomeMy WebLinkAboutnancy.belvis.permit1) All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: f �' - Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID #: -'5"'U , V-) U I ' ( )(_) 11 I ' l.J ► U rZ Site Plan Name: No n CV 8 e N i S . Project Name: a Lot No. Block No. DETAILED DESCRIPTION OF WORK: I t. r / Ll5 RPAP - S New Electrical Meter Second Electrical Meter (Affidavit required) 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: $ 55 56 Generator T Windows/Doors _ Pond Sq. Ft. of First Floor: Roof Pitch Utilities: _ Sewer _ Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name NoncA - -- _ _ -- - Address�:^^ � K2Arnc id- Name: A rn" no, _& n+ou r, Company: O! it F AMzfICCA r City: O f a' ytev c. e. State: ft- Address: l t Q iu i t&q r Z k o 1. Zip Code: 3�gI2 Fax: City: mitamar State: FI. Phone No. 7 I I '3Z 4Z 15 Zip Code: 33071 Fax: E-Mail: Phone No J00 • 7S3 - 7 i110 Fill in fee simple Title Holder on next page ( if different E-Mail qU4104411 r ' 4 i 5 i I- om State or County License U09 2G 20 Z from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires. 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: Address: City: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 attorney before commencing work or recording your Notice of Commencement__ auor re of O / Less Contractor as Agent for Owner STATE OF FLORIDA COUNTY OFirUward Sworn to (or affirmed) and subscribed before me of �! Physical Presence or Online Notarization this i o day of 3 u�I{y , 2021 by Name of person making statement. Personally Known OR uced Iden ification Type of Identification Produc C A (Signature of Notary Public- State,6Morida j Commission No. (Seal)ft Namrx czf F LUIS MIERYTERAN My C.t![nn"S" HH 128079 QI Exp"m 03/31/2025 �� ON REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev Certificate of Product Ratinas AHRI Certified Reference Number: 202566561 Date - 07-28-2021 Model Status : Active AHRI Type RCU-A-CB (Sp#it System: Air -Cooled Condensing Unit, Coil with Biowert Outdoor Unit Brand Name RHEEM Outdoor Unit Model Number (Condenser or Single Package) RA1442CJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1 Q4221STAN Region : Southeast and North (AL, AR. DC, DE. PL, GA, HI KY, LA, MD, M5 NC, OK, SC. Ti TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO. MT. ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD. UT. 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 regien(s) for which they meet the regional efficiency requirement. The manufacturer of this RHEEM 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 & 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 : 40500 SEER: 14.00 EER (A2) - Single or High Stage (951 : 11,50 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 prod ured. "Prod uction Stopped" 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 accontoan»gd_b_y WAS indicate an involuntary re -Tale. The new published rating is shown alona with the previous (i.e. WAS1 rat,na. 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 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 pros isl, 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.ahridlrectory.org. TERMS AND CONDITIONS At Un 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 user's individual, ILI 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 we make the xuer 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. (N021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132719784189377991 MIAMI-MIAMI-DADE COUNTY PRODUCT CONTROL SECTION I1805 SW 26 Street. Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RFR) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (796) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) wNvii.miamidadc.stoweconomv Rheem Sales Company, Inc. 5600 Old Greenwood Rd. Fort Smith, AR 72917 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER-Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami -Dade County) and/ or the AHJ (in areas other than Miami -Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone, DESCRIPTION: Mechanical Unit Steel and Aluminum Tie -Down Clips for Grade and Rooftop Applications APPROVAL DOCUMENT: Drawing No. 20-28800, titled "Wind Load Certification of Mechanical Unit Cabinetry and Steel/ Aluminum Tie -Down Clips: At Grade and Roof Mounted Applications", sheets 1 through 7 of 7, dated 05/14/2015, revised on I 0 19/2020, prepared by Engineering Express, signed and sealed by Frank L. Bennardo, P.h., bearing the Miami -Dade County Product Control revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Section. MISSILE IMPACT RATING: None LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state, model/ series, and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been tiled and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/ or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida. and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official - This NOA renews and revises NOA # 18-0719.07 and consists of this page 1 and evidence pages E-1, E-2, E-3 and E-4, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. NOA No. 20-1102.09 Expiration Date: February 25, 2026 Approval Date: March 4, 2021 Page 1 Rheem Sales Company, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED 1. Evidence submitted under previous NOAs A. DRAWINGS "Submitted under NOA # 15-0903.08" 1. Drawing No. 15-2543GA and 15-2564RE, titled "Wind Load Certification of Mechanical Unit Cabinetry and Steel/Aluminum Tie -Down Clips: At Grade and Roof Mounted Applications", sheets 1 through 7 of 7, dated 05 14/2015, revised on 11/20/2015, prepared by Engineering Express, signed and sealed by Frank L. Bennardo, P.E. B. TESTS "Submitted under NOA # 15-0903.08" 1. Test report on Uniform Static Air Pressure Test per FBC, TAS 202-94 along with marked -up drawings and installation diagram of Rheem RA Series Mechanical Units, prepared by American Test Lab of South Florida, Test Report No. 0323.01-15, dated 05/18/2015, signed and sealed by Stephen W. Warter, P.E. C. CALCULATIONS "Submitted under NOA ## 15-0903.08" 1. Anchorage calculations prepared by Engineering Express, dated 11/20/2015, signed and scaled by Frank L. Bennardo, P.E. D. QUALITY ASSURANCE 1. Miami -Dade Department of Regulatory and Economic Resources (RER) E. MATERIAL CERTIFICATIONS 1. None. F. STATEMENT "Submitted under NOA # 15-0903.08" 1. Statement letter of code conformance to the 5" edition (2014) FBC issued by Engineering Express, dated 08/24/2015, signed and sealed by Frank L. Bennardo, P.E. 2. Statement letter of no financial interest issued by Engineering Express, dated 11/20/2015, signed and sealed by Frank L. Bennardo, P.E. 3. Distributor agreement dated 11/1212015, Carlos M. Utrera, P.E. Product Control Examiner NOA No. 20-1102.09 Expiration Date: February 25, 2026 Approval Date: March 4, 2021 E -t Rheem Sales Company, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED 2. Evidence submitted under NOA # 18-0321.11 A. DRAWINGS 1. Drawing No. 15-2543GA and 15-2564RE, titled "Wind Load Certification of Mechanical Unit Cabinetry and Steel/Aluminum Tie -Down Clips: At Grade and Roof Mounted Applications", sheets I through 7 of 7, dated 05/14/2015, revised on 01/12/2018, prepared by Engineering Express, signed and sealed by Frank L. Bennardo, P.E. B. TESTS 1. None. C. CALCULATIONS 1. None. D. QUALITY ASSURANCE 1. Miami -Dade Department of Regulatory and Economic Resources (RER) E. MATERIAL CERTIFICATIONS 1. None. F. STATEMENTS 1. Statement letter of code conformance to the 60 Edition (2017) FBC issued by Engineering Express, dated 0319`2018, signed and sealed by Frank L. Bennardo, P.E. Carlos M, Utrera. P.E. Product Control Examiner NOA No. 20-1102.09 Expiration Date: February 25, 2026 Approval Date: March 4, 2021 E - 2 Rheem Sales Company, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED 3. Evidence submitted under NOA # 18-0719.07 A. DRAWINGS 1. Drawing No. Drawing No. 15-2543GA through 15-2543GD and 15-2564RE, titled "Wind Load Certification of Mechanical Unit Cabinetry and Steel/ Aluminum Tie - Down Clips: At Grade and Roof Mounted Applications", sheets 1 through 7 of 7, dated 05/14/2015, revised on 01/12/2018, prepared by Engineering Express, signed and sealed by Frank L. Bennardo, P.E. on 07/17/2018. B. TESTS 1. None. C. CALCULATIONS 1. None. D. QUALITY ASSURANCE 1. Miami -Dade Department of Regulatory and Economic Resources (RER) E. :MATERIAL CERTIFICATIONS 1. None. F. STATEMENTS 2. Models removal request, dated 07/17/2018, signed and sealed by Frank L. Bennardo, P.E. Ed% ! -a -- Carlos M. Utrera, P.E. 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