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HomeMy WebLinkAboutapplicationAll APPLICCAB�LE, 1 INFO , MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: , LI /.// Permit Number: �ffqxsxxq Building pp Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential V 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 4160 N Al #301A Property Tax ID #: 1423-506-0008-000-1 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: Mechanical Install a 16 seer Trane 5 ton straight cool unit A/H M# TEM6AOC6OH51 S C/U M# 4TTR6061 C1000 P�Oo F 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 _Windows/Doors _Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: `{ u 5 > Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Larry West Name: Barker A/C Address: 4160 N A1A#301A company: city: Fort Pierce State: EL Zip code: 34949 Fax: Phone No. 804479-9072 E- Address: 1936 Commerce Ave city: Vero Beach State: Fi zip Code: 32960 Fax: Phone No 772-562-2130 Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail ienniferbarkerac agmail com State or County License CA0057252 If value of construction is 2100 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: Name: _ Address: City: _ Zip: FEE SIMPLE TITLE HOLDER: Name: Address: Citv: MORTGAGE COMPANY: Name: Address: City: Zip: Phone: Applicable BONDING COMPANY: Name: _ Address: city: Phone: Not Applicable Applicable 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 cord a Notice of Commencement may result in paying twice for improvements to your property. N tice of Commencement must be recorded in the public records of St. Lucie County and postjjd on the jgbsitN before the first inspection. If you intend to obtain financing, consult with lender or a t ne befor com encin work or recordin our Notice of Commencement. Signature Co ra- or - owner Builder graMlicable STATE OF FLORIDA COUNTY OF Swor to (or affirmed) and subscribed before me of � Physical Presence or Online Notarization this day of A6a a 2o2.uy Name of person making statement. Personally Known OR Produced Identification Type of Identificati n roduced fNot`ary Public- State of Florida) No. (Seal) gw 7ENNTERGINADOLORESCRISANEE MY COMMISSION N HH3174 P,XPIRES: May 25, 2024 REVIEWS FRONT ZONING SUPERVISOR PLANS COUNTER REVIEW REVIEW REVIEW DATE RECEIVED CO VEGETATION SEATURTLE I MANGROVE REVIEW REVIEW REVIEW Eligible for Federal Tax Credit certificate of Product Ratin AHRI Certified Reference Number : 8858422 Date : 03-04-2022 Model Status :Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6061C1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM6AOC60H51+TDR+UF/HR2 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 unlit 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 : 58000 SEER : 16.00 EER (A2) -Single or High Stage (95F) : 13.00 1"Active" Model Status are those that an AHRI Certification Program Panicipant is currently producing AND selling or offering far sale; OR new models that are being marketed but are not yet being produced "Production Stopped' Model Status are those that an AHRI Cenification Program Panicipant is no longer producing 6UT is still selling or oHedng 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 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 confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; A. ■■ 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.ahridirectory.org, click on Werlfy Certificate' link we make life better' 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. ©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132goR�lf�ss�4sgls