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HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q Date: SCANNED Permit Number: 003(, BY St. Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1SS3 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: - Address: 7804 WHITE IBIS LN Legal Description: EAGLES RETREAT AT SAVANNA CLUB PropertyTax ID #: 3424-701-0046-000-7 Site Plan Name: Project Name: SERVICE AMERICA Setbacks Front Back: A/C CHANGE OUT 4TON 13SEER OHVAC LJ Gas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 3663 Right Side: 10 Piping Left Side: Shutters ors L__J Generator S Ft. of First Floor: _ Utilities: Sewer E]Septic Lot No. 11 Block No. 55 ❑ Windows/Doors Roof Building Height: OWNER/LESSEE: s CONTRACTOR: Name EDWIN A STUBBS Name. RICHARDLEVINSON Address:7804 WHITE IBIS LN Company: SERVICE AMERICA City: PORT ST LUCIE State: FL Zip Code: 34952 Fax: Phone No. 772-871-1764 Address: 2755 NW 63RD CT City: FT. LAUDERDALE State: FL Zip Code: 33309 Fax: 954-977-3591 Phone No. 954-979-1100 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: EPERMITSGROUP@SERVICEAMERICA.COM State or County License: CAC014619 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. f' SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: Zip: Phone: State: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 thepermitholder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit,) do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building odes and St. Lucie County Amendments. The following building permit applications are exempt from un going a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen hkorns and accessory uses to another non-residential use TO OWNER: Your failure to Record a Notice ofAomi encement may result in your paying twice for ,nts to your property. A Notice of Commenc nt ust be recorded and posted on the jobsite T?Vr inspection. If you intend to obtain finankink qD It with lender or an attorney before STATE OF FLORIDA STATE OF FLORIDA COUNTY OF \n-i-1�1_i n _I COUNTY OF in+ UAC to instrument,was.ack_nowledged before me "of'` 1 I 20 14 by person (Seal) Revised 07/15/2014 The fo oing instrument was acknowledged before me this day of 1 20 14 by person Commission No. of Florida ) OR Produced Identification MY COMA EXPIRES: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratin AHRI Certified Reference Number: 1076049 Date: 11/19/2014 Product: Year -Round Single -Package Air -Conditioner, Air -Cooled Model Number: RSNM-A048JK Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Series name: RHEEM RSNM SERIES Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Cap city.(Btuh): ❑ 64 00011130 y / F_a�t'Ing+(Col II9)_ ,lq j� /Jl)7 ,7U FI_I 0 SEER Rating-(Cooling):i 13:00 IEER Rating (Cooling}: �il� I�3it��YV l6(u)n�d�lf I Ratings followed by an asterisk r) Indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which Indicates an Involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no rep resentatlons, 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 IM confidential reference purposes. The contents of this Certificate may not. In whole or In part, be reproduced; copied; disseminated; MIJ 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.shridlrectory.org, click on -Verify Certificate" link ,c 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 - 130608873997287( ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: Certificate of Product Ratin AHRI Certified Reference Number: 1076049 Date: 11/19/2014 Product: Year -Round Single -Package Air -Conditioner, Air -Cooled Model Number: RSNM-A048JK Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Series name: RHEEM RSNM SERIES Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling pao•(Btuh): © 46000 r� � EER"Rating (Co`oling): y -�� 1_;1.30 SEERR Rating'(C of no — f . 1'3 00 { t r{R Via{ IEER Rating (Cooling):, c a I IJon@,�S00 TT, e��f O) Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which Indicates an involuntary rerate. 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 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 "lid only for models and configurations listed In the directory at www.ahridlrectory.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 farm or manner or by any means, except for the user's Individual, personal and confidential reference. AIR-0ONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can beverified at www.ahrldlrectory.org, click on 'Verify 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 130606673997287007.,E ©2014Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO:: Property Appraiser- St.Lucie ,, ~nty, FL Page 1 of 1 PROPERTY RECORD CARD Edwin A Stubbs Record: 1 of 1 «Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Properly Identification Site Address: 7804 White Ibis Ln ParceIID: 3424-701-004E-000-7 ,�V.ICIE CO'. Sec/Town/Range: 24:36S:40E Account #: 152185 / Map ID: 34124N Use Type: Mob Homes 17� Zoning: City/Cnty: Saint Lucie County Ownership and Mailing Legal Description Owner: Edwin A Stubbs Marcia A Stubbs EAGLE'S RETREAT AT SAVANNA CLUB (PB 42-24) BLK 55 LOT 11 Address: 7804 White Ibis Ln (OR 1897-867) Port St Lucie FL 34952 Sales Information Assessment 2014 Total Land and Building Date Price Code Deed Book/Page 2014TRIM: 69900 Land Value: 19000 Acres: 0.16 2/5/2004 0 01 LE 1897/0867 Assessed: 69900 Building Value: 50900 9/30/1997 4000000 02 WD 1106 / 1324 Ag.Credil: 0 Finished Area: 1633 SgFt Exempt: 69900 Taxable: 0 Taxes: 422.37 BUILDING INFORMATION Exterior Features View: - RoofCover: - RoofStruct: - ExtType: MHA - MHA YearBlt: 2004 Frame: - Grade: SAVL-SAVL EffYrBlt: 2004 Prime Wall: - StoryHght: 0010 - 1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 2 Electric: - PrminlWall: - FullBath: 0 HeatType: FHA - FrcdHotAir AvgHUFI: 1/28ath: 0 HeatFuel: ELEC - Electric Prm.Flors: - %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBIL No. Use Type Type Measure Depth 1 0200-Mob Homes N -Flat 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.paslc.org/pasle/prc.asp?prelid=342470100460007 11/19/2014 t., NOU-18-2014 .18:28 From: �' To:9545903412 P.2,4 - / SERVICE Co pi, `-tints 1-888-201-5759 Jyy 1 2755 NW Bard Court• Ft. Lauderdale, FL 33309 -. _ A tvww.serviceamericacam SALES AGREEMENT Customer Name: Esw/.t/ S7ub�s 3Y.9.3d�b Accop dC reract Ili Date: rSezu=AlitiCyL�L -t Xome phone:". 7 S % � ^ / ?1�+ S.O.e: Email Address: ze Other phone:- _ 5.0.9Admin.Feal..._.— '79-OV Ln/. V52-. Y95e2 Installation Address: Bldg: Apt. City. ZIP. System Type: USplit ffiPodage UWater Sourco Alsteight Cool UHeat Pump Card .... r Location: wound URoof UCrane Needed 1 _e of Stories- I Air Handler Location: a Garage UArtic uClosat •: SPECIFICATIONS CONTROLS & ELECTRIC DRAIN Thermostat Type: JdDigital Replace Circuit Breaker. 4Air,,Handler; Condensate Drain Hook-up: "rimary USecondary ❑ Programmable Sae�^Type ❑ New Condensate Pump USlab ❑Auxiliary drain pan ❑ Horizontal drain pan wiring: UCondenser. ❑Auxllary float safety switch U Thermostat Size _Type_ U Refrigerant copper liquid line size: U Disconnect Box 4 Heater: U Refrigerant copper suction line size:_, U Smoke Detector Size /Q UGas pip. from - ❑ Refrigerant line coiner Qfd10A Flush Installation lido tion: 11V5 //UtY /N /i%srGt M 2R7"�•lFN Al work performed in acmrdance with existing mdm. lndudus A r quimd permfn for wmk p.rfo.med by se. Mounting hvdwam for im,i4ztian. emathe. ..mnet Nb•atioNisole[lon ped; humkano strapping and remewl 01 old eeulpmere. Make Make Make Tons 4- SEER ,3 Tons _ _ SEER _ --- Tons SEER BTU rf(—oa0 KWHut B'TU KKWH _ BTU _ KWH �16 Model A/X 9-* M } T 01 I, r Pj'C16 S Qdsl -_ MoA/H Medel A/li Model Cord _, Model Cond Model Cond - Price -.... Price _. _. Price System Investment Install Kit UtAE Parts & Labor Warranty A/H Yrs. Crane _._ G(SAE Parts & LaborWarranty Cond. Yrs. .Ru/Cred'ds VMfg.'s Warranty on Compressor /0 Yrs. utility .--_.. "Ilg.'s Warranty � 0. Service America —.-- on Outdoor Coil ,_ Yrs. Other I's ift/'s Warranty, on Indoor Coil /0 Yrs. Replacement Credit -�ra� I fg-'s Warranty Parts /0 Yrs. Recommendations: Insulation Duct Cleaning _ UV Light /NQL-- Method of Payment: FICash OFlnancing Other ❑ Credit Card I1 Check 4 -- Administrative Fee Ne,(,r CCType OVisa OMC ❑'Discover ' rma,cn..twxq Total Investment �6 '3 Credit Card k.. ., Down Payment —j-- 36 ,' Expiration Date: _ CSVH . Balance Due Signature: .. _ Financing Company: I6..� Installation Date: //' / ' / Y ianns,aaept rr,v dutmwhdnbWd,n amwr1 i*ieweaiNueonfaMavfMwidomaPose.fd.r.lnMtowhwedey... olkasaperifedd.aybaahaear�Noeeddareen,exnwneohrs. lrynn aiinoclvoWloyeen oany d..pd.mmidngatonMrudbu.s.nn4rotun. Peeneinduto imtallen in full upon completion *fmsW raton. Beyamonda..ttrrytia�oMhntnbmry. p,rro;.pfer My signature acknowledges acceptance of the terms above. I have read and understand all information on the front and back of this Sales agreement , / Customer Signature: a Lw Date; //-1,f- •/ Y�r�� � Comforequired rt ConsUltan , ladder ire/f d far inspection: D Yes ° 7 Size: i Sertnramm-a LLerY CACOIuIAtr leS3.6GbYee, NT4e Capy-p6ce. Yells apr'-loav[e.r Copy. Nuo,ne•aLJr F roWGpy. rile Fe62614