HomeMy WebLinkAboutG Watson PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z l "l 1 Z2- Permit Number:
6 .. J. 11 -
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: HVAC
Me.chani cal A
I C C,awncou_t
PROPOSED IMPROVEMENT LOCATION:
-~
Address: 2-2. QKC V (StCli ,.I V 1. 105 Port St'. I1, l e� F L. LAT 2
PropertyTaxlD#: - 5u0'' - 0z 51 "(�oc - 2-Lot No.
1
Site Plan Name: . �1C.. c UJO . 2_2_ r n� r1i�n 0 Block No,
Project Name: �1Lf��e�,�( 1Qi��! l �_, �JI"'1V� ►Q'e-� W► L� F--� T �4� �.� 1
DETAILED DESCRIPTION OF WORK:
�ns�-al� �heem 2-i-�r, i� peer Strat J�hr cook L.) 1 sly
�1ec�teY U�c�. FOR LIKE
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 _ Sprinklers
Total Sq. Ft of Construction: �rn
Cost of Construction: $ 5- 3 :. , V U
(Affidavit required)
Windows/Doors Pond
Generator — Roof _ . Pitch
Sq. Ft. of First Floor:
Utilities: — Sewer _ Septic
OWNER/LESSEE: CONTRACTOR:
Name r
Address: Z2_i tQTrl. 105
_
City:y k ckc State: EL
Zip Code: 3 SZ- Fax:
Phone No. 7` L - E-
Mail: . W . WcLtSO h CorncQ,SJ ,n(
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name:
Building Height:
1M
Company: AJ f 7f,MQ1
Address: Isiq K mnner mve
City:.F0 rt L�y , Lu 6 e State:
Zip Code: $ Fax:
Phone No Z Z 3 Q ILI 0
E-Mail
State or County License _LA
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.
1AW PO
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.
certify that no work o- 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 conflicts with au applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consullt with your Homeowners 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 fender or an attorney before commencing work or recording our Notice of Commencement.
Signature of C ntractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF
.
Sworn to (or affirmed'. and subscribed before me of Physical Presence or Online Notarization
this day of L 20 -2 by
eta artoSinme
Name of person making statement.
Personally Known ✓{ OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
Commission No. (Seal) Notary Pueiie state
�,►� &4k� of Fioriae
Brianna V Lorenz
x My Commission HH 042089
$�wr` Expires0B114=24
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
-T-
COMPLETED
ev
AHRI Certified Reference Number: 201276526 Date : 02-04-2022 Model Status: Active
Old AHRI Reference Number : 7940572
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coll with Blower)
Outdoor Unit Brand Name : RHEEM
Outdoor Unit Model Number (Condenser or Single Package) : RA1624AJ1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RBHP-17
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
t.ntil 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 RHEEM product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 210/240 - 2017 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 : 22800
SEER: 15.00
EER (A2) - Single or High Stage (95F) : 12.50
t"Active" Model Status are those that an AHRI Certifcation 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.
Raids that are accam anied hy WAS indicate an involunta i re -rate. The new ublished ratin is shown alon with the revious i.e, WAS ratin .
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.ahridlreotory.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•SONDITIONfNG, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.altridirectory.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, we make life better -
which Is listed above, and the Certificate No., which Is listed at bottom right,
@2022Air-Condition ing, Heating, and Refrigeration Institute I CERTIFICATE NO_- 132884562911554887