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HomeMy WebLinkAbouthvacAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: / � •-��_�. Permit Number: �`�� L�C�vL � ,:��. �'` �� . ° � °' 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 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: �/7 �� S ���.�ny�.c•. Q � � /,�D Property Tax ID #: ��/) � - C_i�rD � ���y- �Dt7 - � Lot No. Site Plan Name:���; �r_�_P�n ��r1S Block No. Project Name�L�,��_f'�,p��(' DETAILED DESCRIPTION OF WORK: � New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: (Affidavit required) Additional rk to be performed under this permit -check all that apply: _ echanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond _ Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ ��� - oa Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name / Name: /7'I i�/�, .�J! ��g � Address: /f 7�2�Q/r,�l ,��-n�� s� Company: pi�c�acdiS �e�r.,� a�1�1-C City:�o�r, h � lf� �i �S State: � Address: �_� C �' '`' l -�i. `y Zip Code:��,�,�(o Fax: City: �/��/'��� State: Phone No. q �/ - /i 9 • (� /l �I' E- Zip Code: � c/9 % �% Fax: Mail: Phone No o /- ��a� 3ci'� � E-Mail � .- ` � Cd'�"`- Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License 7 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. SUPPLEMENTAL CONSTRUCTIO lEN LAW INFORMATION: DESIGNER/ENGIN-- ,.� EER: `Not Applicable Name: Address: City: State: Z`p° ___________ Phone _— FEE SIMPLE TITLE HOLDER: v�fVot Applicable Name: Address: City: Zlp:.__ Phone: MORTGAGE COMPANY: i� Not gpplicable Name: Address: City: State: Zip: �_ Phone:_. _� BONDING COMPANY: ..�qP Ip acl b el Name: Address: City: ziP� Phone• OWNER/ CON7'RACTpR 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 Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which is in con�ict with any applicable Home Owners Association rules, bylaws or andpcovenants that may restrict or rohibi structure, Please consult with your Home Owners Association and review your deed for any restrictions which may apply, t such Inconsideration of the granting of this requested permit, 1 do hereby agree that I wilt, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and 5t. 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 "N'ARNINC TO OWNER: YQUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING 'PWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED ANp POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN ANCING, CON5UlT bY1TF! YOUR !ENDER O AN ATT Y BE_FORI: RECORpiNG YQUR NOTICO�OF COMMEN ME '— J-, � :, ._-" r Signature of Owner Les a/Contractor as Agent fo caner STATE OF FLC+RIDA COUNTY OF /1? �y--��7 The for��ing instrUm nt was acknowledged before me this � day of OC �c7 %s�� 20 � by Name of person making sta ment. Personally Known �R produced Identification Type of Identification Signature of Contract /License Holder �. STATE OF FLORIDA COUNTY OF /%?i`lr�'E�✓ The forgoing instr�m n was acknowledge before me this � day of (.�(��c�/�,a� , 20� by . Name of person making st ement. Personally Known OR Produced Identification Type of Identification ��� I ri 7 (Sig ature of Nota y Public- State of Florida) ��" (Sign ture of Notary ublic-State of Florida ) Com issio A�_!"���_.:_.�. sws` r (Seal ?�l ��':' �o;ary �uDiic � State o� Florida COm SSIOn '� � �_ Corr:mission : GG 3t5a66 :.=Q�a`��'-der. KELLIE J. $WEFT Mq C°rrrr. ,zpires .—yi3"jQp3 tea, .. Notary Public $[dte or r'loridd REVIEW �sn� u � ' r Assn. `,4: 773'Si6%�, �-j.{6-b--- SUPERVISOR PLANS ° "0 "'' Com ,. cx�ues COUNTER REVIEW EGETgTd�hro ��-'�02� DATE �----- �_ _. __ REVIEW REVIEW ssn. RECEIVED COMPLETED REVIEW Certificate of Product Ratings AHRI Certified Reference Number : 10197403 Date : 10-14-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series : 14 SEER R SERIES R410A AC Outdoor Unit Brand Name : ARCOAIRE Outdoor Unit Model Number (Condenser or Single Package) : R4A436(A,G)KB* Indoor Unit Model Number (Evaporator and/or Air Handler) : FEM4P36**AL Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, 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 regions) for which they meet the regional efficiency requirement. The manufacturer of this ARCOAIRE 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, Pertormance 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 : 33000 SEER : 14.00 EER (A2) -Single or High Stage (95F) : 12.00 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 produced."Production 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 accompanied by WAS indicate an involuntary re -rate The new published rating is shown along with the previous (i.e. WAS) rating. 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 products) 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.ahrldlrectory.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 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-CONDITIONING, HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrfdlrectory.org, click on "Verify Certificate" link �,�. ,,,,,I;o t�l� bcurr" 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. 132786947221480056 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: