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HomeMy WebLinkAbout0254Scan0001.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
=3N
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:
X
Address: 373 EUROPEAN LANE
Property Tax ID #: 3410-503-0913-000-0 Lot No. 3
Site Plan Name: PALM GROVE S/D BLK H LOT 3 Block No. H
Project Name: HOPKINS
DETAILED DESCRIPTION OFWORK:
Air CHANr'�F 01 IT 3 STON 1RGFFR IQKW
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
xMechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
4p7 $`'1
Sq. Ft. of First Floor: —
Utilities: —Sewer _ Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name LAURA HOPKINS
Name: Howard Pearl
Address: 373 EUROPEAN LANE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 561-329-8502 E-
Company: PRIDE A/C & APPL INC
Address: 215o Nw 18TH ST
City: POMPANO BEACH State: FL
Zip Code: Fax: 954 977-7715
Phone No 954 977-7433
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail PERM ITSCcDPRIDEAC.COM
State or County License CAC057227
It 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 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:
BONDING COMPANY: Not Applicable
Name:
Address:
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult 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 lender or an attornev before commencing work nr rPrnrding vnur NntirP of rnmmPnrPmPnt
Signature of ontractor - 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 .2- day of 20 z_Lby
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificatio ed
(Signature of Notary Public tate of Florida)
rr-:
TERRiJACK30N1
Commission No. / ��
S (Seal)tilYt:OMIMISSl01"If«HH157118
EXPIRES:
.,
August 13, 2025
„or P 801101d
itlfU NoWy Pubb Und�nlrrlfsrs
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Eligible for Federal Tax Credit
Certificate of Product Ratings
AHR) Certified Reference Number: 75675W Date: 03-03-2022 Model Status: Active
AHRI Type: RCU-A CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series: XR14
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR4043L1
Indoor Unit Model Number (Evaporator and/or Air Handier): TEM6AOD48H41+TDR
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, HE, 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 region(s) for
which they meet the regional efficiency requirement.
The manufacturer of this TRANE product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 2101240 - 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 : 41000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
1"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
sel" or offering for safe.
Retinasthat�accompanied by WAS IrnYcate an imduntary re -rate Ths new pub8shed rating is shown bona r Ure ixevious Ii.e. WAS) ratirm.
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.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and MM
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,
pemonat 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 life bett'l,
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 fisted at bottom right _
©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: lazsoeosa225s5ri13
P f � • � •Tf PRODUCT
EXPRESS
ODUCT EVALUATION REPORT
ENGINEERING EXPRESS® EXPERT
PRODUCT EVALUATION REPORT
August 2, 2017
Application Number:
FL 19588.3-R1
FLB Project Number:
15-2530
Product Manufacturer:
Ingersoll Rand
Manufacturer Address:
6200 Troup Hwy
Tyler, TX 75707
Product Name $ Description: TRANE Condenser (Ground Mounted)
Scope of Evaluation:
This Product Evaluation Report is being issued in accordance with the requirements of the Florida
Department of Business and Professional Regulation (Florida Budding Commission) Rule Chapter 61 G20-
3.005, F.A.C., for statewide acceptance per Method 1(d). The product noted above has been tested
and/or evaluated as summarized herein to show compliance with the Florida Budding Code Sixth Edition
(2017) and is, for the purpose intended, at least equivalent to that required by the Code. Re-evaluation of
this product shall be required following pertinent Florida Building Code modifications or revisions.
Substantiating Data:
• PRODUCT EVALUATION DOCUMENTS
FLB drawing #15-2530-TG titled "A/C Unit Housing and Mounting Certification", sheet 1-1, prepared by
Engineering Express, signed & sealed by Frank L. Bennardo, P.E. is an integral part of this Evaluation
Report.
• TEST REPORTS
Ultimate test loading structural performance has been tested in accordance with ASTM E330-02 and TAS
202-94 test standards per test report(s) #0708.01-15 by American Test Lab of South Florida, Inc. Signed
and Sealed by Stephen W. Warter, RE
• STRUCTURAL ENGINEERING CALCULATIONS
Structural engineering calculations have been prepared which evaluate the product,4v*f4prlcomparative
and/or rational analysis to qualify the following design criteria:
1. Minimum ANowable Unit Width Vailid for
2. Maximum Allowable Unit Height DEL
3. Minimum Unit Weight
4. Maximum Allowable Unit Surface Area
5. Clip Configuration and Anchor Spacing = -
6. Anchor Capacity for Various Substrates
Maximum allowable roof -top heights for various installation wind FreF 4 L. Ben E.
speeds # �� F�#1; il�~
No 33% increase in allowable stress has been used in the design of this prod 70NR1- ���
111111i1i%0k
160 SW 12T" AVENUE SUITE 106, DEERFIELD BEACH, FLORIDA 33442
PHONE: (954) 354-0660 - FAX: (954) 354-0443
ENGINEERINGEXPRESS.COM
C
2, 2017
E.X.P.E.R.T. PRODUCT EVALUATION REPORT (CONTINUED) Page 2 of 2
Ingersoll Rand — TRANE Condenser (Ground Mounted)
Impact Resistance:
Not applicable to this product.
Wind Load Resistance
This product has been designed to resist wind loads as indicated on the Product Evaluation Document
(i.e. engineering drawing).
Installation
The product listed above shall be installed in strict compliance with the Product Evaluation Document (i.e.
engineering drawing), along with all components noted therein.
The product components shall be of the material specified in the Product Evaluation Document (i.e.
engineering drawing).
Limitations & Conditions of Use:
Use of this product shall be in strict accordance with the Product Evaluation Document (i.e. engineering
drawing) as noted herein.
All supporting host structures shall be designed to resist all superimposed loads and shall be of a material
listed in this product's respective anchor schedule. Host structure conditions which are not accounted for
in this product's respective anchor schedule shall be designed for on a site -specific basis by a registered
professional engineer.
All components which are permanently installed shall be protected against corrosion, contamination, and
other such damage at all times.
This product has been designed for use within and outside the High Velocity Hurricane Zone (HVHZ).
160 SW 12T" AVENUE SUITE 106, DEERFIELD BEACH, FLORIDA 33442
PHONE: (954) 354-0660 - FAX: (954) 354-0443
ENGINEERINGEXPRESS.COM
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I BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
v FORT PIERCE, FL 34982
• 772-462-1553
FAX 772-462-1578
AUTHORIZATION FORM FOR CREDIT CARD PAYMENT
TO: St Lucie County
RE: l
Permit #
Credit Card Users: 1.5010 Surcharge added per transaction.
Payments must be received in this department by 4:00 PM for transaction to be
processed that day, if not it will be processed the following business day.
___ •►,_ VISA
MASTERCARD
Credit Card Number $� 1b0 L
Expiration Date 3 22- S Zip Code 3i5U1o9
3 digit security code
Amount $ + 1.5% surcharge
Business Name:
Authorized Signature:
Print Name: --T—ep-R-4
Phone:
Fax:
Comments:
SLCPDSD Revised 4/01/2010 EN
BOARD OF
'�rir�r°" PLANNING 8 DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COMMISSIONERS • . Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Proiect Location: �513 !%!-�a2e�P = �-1& Date:
Permit Number: Technician:
RQuired Documents:
Application completely filled out with Notarized Signatures ............................ Yes /No N/A,
Sub Agreements with Notarized Signatures (prior to issuance) ..........................
Yes
No
N/A
Owner / Builder Affidavit (signed in office) .................................................
Yes
No
N/A
Filled Land Affidavit (prior to issuance) ...................................................
Yes
No
N/A
Recorded Warranty Deed, if applicable ......................................................Yes
No
N/A
Recorded Notice of Commencement (prior to issuance or inspection) .................
Yes
No
N/A
Utility Agreement or Payment Receipt (prior to issuance).................................Yes
No
— N/A
Vegetation Removal Application with copy of survey.....................................Yes
No
N/A
Plans. Calculations & Attachments ( 3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ...........................
Yes —No
—N/A
Truss Plans reviewed and approved by Engineer / Architect ............................
Yes —No
—N/A
Landscaping and Parking plan (under 6,000 sgft).........................................
Yes
No
N/A
ApprovedSite Plans........................................................................... Yes —No —N/A
Sealed Survey with Dimensions, Finished floor ........................................... Yes —No —N/A
Elevations and Setbacks.............................................................. Yes —No —N/A
Plot plan with Setbacks............................................................... Yes No NIA
Health Department approval stamped on survey and floor plan ........................
Yes —No
—N/A
Health Department Food Establishment Permit stamped on floor plan ................
Yes
—N/A
—No
Manual "J" or Manual "N" Calculations....................................................
Yes
No
N/A_
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... .Yes
—No
N/A
Sealed Wind Load Compliance Certification ...............................................
Yes
—N/A
—No
Product Review Affidavit .....................................................................
Yes
—No
—N/A
Excavatina a pond for fill:
Site plan showing 25-foot(minimum) set back from all property boundaries, size, Yes— No_ N/A_
shape, location and quantities of proposed excavation and fill areas
Side slopes not to exceed 4 to 1 to a minimum of 3 feet below water level......... Yes_ No_ N/A_
Depth of excavation does not exceed 12 feet in depth .................................... Yes_ No_ N/A_
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes_ No_ N/A_
Other:
Health Department Permit Paperwork.......................................................
Yes
—No
—N/A
CD for Fire Department if commercial or multi -family ...................................
Yes
—N/A
—No
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............
Yes —No
—N/A
Pool Barrier Affidavit..........................................................................
Yes
—N/A
—No
Ground Sign Landscape Affidavit (signs) ...................................................
Yes
No
N/A
Bum Rate for Sign Cabinets.................................................................. Yes
—No
—N/A
RV and Mobile Home Tie- awn On„1 L(2 copies)
Permit Worksheet (Tie -Down Diagram) ...................................................
Yes
—No
—N/A
Manufacture Set -Up and Installation Manual .............................................
Yes
—No
—N/A
Manufacture Blocking Documents..........................................................
Yes
—No
—N/A
Signed Penetrometer Test 0 copy).........................................................
Yes
—No
—N/A
StairDetails....................................................................................
Yes
—No
—N/A
Mobile Home Inspection Report for Relocation (used only) ...........................
Yes
—No —N/A
Copy of Title for Relocation (used only) ..................................................
Yes
—No
—N/A
Private Property not in a mobile home park
Class "A" Approval from Planning or file # ................................................
Yes
No
N/A
COMMENTS
Revised 10/5/18