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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ' - 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: -/VA c PROPOSED IMPROVEMENT LOCATION: Address: iZ k Property Tax ID it:�^�Y,�� -� 0, y12_^ O&z2- Lot No. 316 Site Plan Name:NSOA//L/'bn� �/l h PG[! -N&46 Block No. !!) Project Name: �T DETAILED DESCRIPTION OF WORK: _U1i'C}7 �— 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 _Windows/Doors _ Pond _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq.Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 4�9y0 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name I Name: Alin-el Address: Company: City:e S�.�/� State: Address: S Zip Code: 43/l!zfZ Fax: City:�dl'f /.�/L� State:Phone No. ,-2422. a&44 16442 Zip Code:o3/.FQ, ,�2, Fax: E-Mail: Phone No Fill in fee simple Title Holder on next page(if different E-Mail f`` PRJ2_/578(d w from the Owner listed above) State or County License `A — l' ro C8"12 If value of construction is 2500 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. i DESIGNER/ENGINEER _Not Applicable MORTGAGE COMPANY. Not Applicable Name: Name- Address: Address: City: State:_ City: State: Zip: Phone Zip: Phone: 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 Counttyy 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 wnh 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 recordinavour Notice of Commencement. i��/ l'G(nu', & zZutE, Si Owner/Lessee/Contractor as Agent for Owner Si of Contractor/License Holder er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St /QZJ'0 cauat / COUNTYOF St I Il-i t e) .n±X Sworn to(or affirmed)and subscribed before me of sworn to(or affirmed)and subscribed before me of Physical Presence orb Online Notarization Physical Presence or K Online Notarization this_2.�day of /;l--S} .2020 by this�day of A t I.O td_,C{ ,2020 by SbrF /�1M2iU(1 �E A,m�� Name of person making statement. Name of person making statement. Personally Known 7l OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Prod ed Prod d �,�neQfl�n bl F,ti. (Sign of Notary Public-State of Florida) (Signature of Notary Public--State of Florida) Commissio . , Commission NDRA AI SH 0.)RA AI.SH -`�'" ''-State of FlorI tNotary Public .State of Florida•Nurn:y Public - g om lesion REVIEWS T My "A""4fS R OR PLANS S9U!2!IA RTftE2 Mion ANGRelas is E REVIEW DATE RECEIVED DATE COMPLETED ev.5/6/20 1578 Niemeyer Circle 772 335-2061 Port St. Lucie, FL 34952 Clean ,fir Fax x 335-1802 �D Technciceies PROPOSAL AND AGREEMENT F.A�., A/C Sales Service Installation By Jeffrey Almeida - Lic # CA-CO58660 CUSTOMER NAMEr PHONE a&2 4t %6�DATE ADDRESS—S5Z2 JOB ADDRESS CITY, STATE, ZIP b0� �'�!it lUGle u 344 WORK PHONE We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on all pages of this proposal. EQUIPMENT SPECIFICATIONS !� Make ,�71/ GIMP Model Number(s) P'79& —99�BPC SEER EER BTUH Cooling G� BTUH Heating 0k CFM Installation shall include: "dl &lflo ii Al S-ta-(' 7t'p OrOhi. X = Yes _New _Amp disconnect Make air tight plenum transition _New low voltage wiring _New dehumidistat _New reinforced equipment pad New supply diffuser _New vibration isolation pads _New duct run from t0 _New properly sized refrigerant lines _New return air filter grill _New, clean, dry ACR copper tubing Noise reducing flexible duct connector _ _Charge to manufacturers specs Clean work area to customer's satisfaction _Insulate refrigerant suction lines Y, New condensate drain system _Install refrigerant drier(s) _Install aux. condensate drain pan Evacuate refrigerant system _New high efficiency air filter Remove existing equipment from premises Meet all code requirements Install new T7 0 1 _thermostat 10 year parts warranty _New copper wire fromto ear labor warranty _Complete system start up _year compressor _year service agreement Option (below) Alternative (below) Is ( — Is not) included in price Terms:Terms: Installed Price $ �r v Taxes $ Total Amount $ 1 L Down Payment $ Balance Due $ Lp?go Acceptance b Approved Date oe_2/l, 2v2� by: Date: 9 . 21 , 2 02 J CERTIFIEcr Certificate of Product Ratings AHRI Certified Reference Number;7615303 Date:08-23-2021 Model Status:Discontinued AHRI Type:SP-A(Single-Package Air-Conditioner,Air-Cooled) Series: FRIGIDAIRE P71RE SERIES Outdoor Unit Brand Name:FRIGIDAIRE Outdoor Unit Model Number (Condenser or Single Package):P7RE-048K 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,ND,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 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 regions)for which they meet the regional efficiency requirement. The manufacturer of this FRIGIDAIRE 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 parry testing: Cooling Capacity(A2)-Single at High Stage(95F),btuh:47000 SEER:14.00 EER(A2)-Single or High Stage(95F) : 11.00 TModels with"Discontinued"Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer selling or offering for sale. Ratings that are w=moan,en h%WAS indicate an involuntary re-rate. The new oublished retina is shown aIona with the orevious fi.e.WAS1 retina. 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 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.ahridIrOCtOFY.org. AND A TERMS CONDITIONS This MSCertificate 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 utilizetl,in any form or manner or by any means,except for the user's individual, personal and confidential reference. AIR-CONDITIONING.HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information for the model cited on this ceertlficate can be verified at www.ahrldlrectery.org,click on"Verify Certificate"link wr m.tkc Wi•Ix•ner^ 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. ©2021 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 132741968305595961