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HomeMy WebLinkAboutSUBMITTED PAPERSe Due:-- r ri Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34082 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing Cp 13VAC ❑ Fence ❑ Shed ❑ Demolition 1 ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for spe 1. Location/Site Address: --/VU 0-J C..) C J I I (-A L-A jy 1 ► 1 LL- ' �- 2. ParcelIDNumber: `34 (9- SIC) 0010 -- 000 -- .© �C gA Ot''7tk 3�g83 Township Range Map Page g La Use Initials Office Use Section Only J— 4. Owners Information 5. Contractors Information Name: I�f 1 l FL Reg/Cert %� #: Address- 300 06 �k�� County Cert#: City: Lock& State: Business Name: Zip: Phone Phone: 6. Value of Construction: $ Fax: OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws regulat' ' construction d zonN a PRINT OWNER OR CONTRACTOR N SIG ATURE OF OWNER R CONTRACTOR r STATE OF FLORIDA, COUNTY OPqN4 ^•',�^�• lsd� ,��J%jj�� ACKNOWLEDGED BEFORE ME THIS d��w DAY OF� , 20 , BY /) nm\\i tom-{ ! Tc 'WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED LIA AS MENTIFICATION. d J (seal) SIGNAT OF V T E PRINT N O NOT Y COMMISSION NUMBER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $750 0,•;Rv Py��., AUDREY B. HUMPHREY r L �o•., MY COMMISSION # EE 061159 Revised 04/26/2010 :,; EXPIRES: March 6, 2015. RF °� Bonded Thni Notary Public Underwriters` NOTICE TO OWNER: FAILURE RECORD A NOTICE OF COMMENCEMENT E. JAESULT IN':YOUR.PAYING'TWICE FOR avROy"_,.u,'NTs TO YOUR PROPERTY. IF YOU INTENp'--- 0, OBTAIN FINANCING, CONSULT wITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUk'NOTICE OF COMMENCEMENT., EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. INSTRUCTIONS Please complete all information in the space provided. All information must be printed (use black or blue ink only) or typed. This permit application is.to' be used only for those activities that are not otherwise included under a primary building permit. This.application may not be used for any activity that includes structural alteration. The information to be provided with this application includes: 1. Location/Site Address 2. Parcel ID Number 3. Description of Project or Work Activity 4. Owner Information 5. Contractor Information 6. Value of Construction Indicate the street address or general location of property where the building activity is taking place. Indicate the tax identification number of the property where the building activity is taking place. Fully describe the activity to take place. Indicate the name and address of the owner of the property on which activity is taking place. Indicate the State of Florida registration number (if applicable), St. Lucie County contractor license number and the name of the business doing the work. Indicate the total value of the work to take place. Total cost of construction includes all current retail material and labor costs associated with the building/construction activity. Construction value is used to determine the permit fee. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction.. ❑ Gas Attach 2 piping schematics with tank . size, location, and BTU of each appliance - ❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2.anchor specifications ❑ Fence Attach 2 plot plans showing location of fenceheight of fence and type of fence ❑ Siding Attach 2 copies of manufactures specifications :1 ❑ HVAC Attach 2 residential energy studies, 2 manual J.calculations: 2 sets of duct layouts for .+ new,system or-full.replacement This application can be submitted to, St. Lucie County_ Building and Zoning, 2300 Virginia Avenue, Fort Pierce, .FL 34982:; All permit, applications must be filled out completely before submission. No applications will be accepted for processing after 4:30. P.M. `For assistance in completing this application; please -call (772) 462-1553, during regular offiee hours'(8:00 AM,- 5:00 PM);.Monday through-Friday. NOTE: Emergency electric service change out inspections will not be performed after 3: 00 PM without special arrangements and additional fee paid. Upon issuance of this permit; -.required inspection can be scheduled by calling (772) 4624261. fa Planning & Development Services Department Building & Code Regulations 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S. 489.103 (7) EXEMPTIONS State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must provide direct, on -site supervision of the construction yourself. You may build or improve farm outbuildings, a one -family or two-family residence or a commercial building at a cost of under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within one year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building; it is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all appli bIllaws, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on h t the minimum code. Initial ;'_ I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled in a civil court with the.advice of an attorney. This department will not mitigate any contract disputes. Initial��C�J I understand that if I compensate any person or company for work performed they are required to be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and li 1�te cost of the license. Initial . I understand that if any person that is unlicensed and uninsured gets injured on my construction project - they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relate is I cost, which could include loss of wages during recovery from their injury. Initial 1 To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application and initial the above. I hereby acknowledge that I have read and understand the above disclosure statement and that I fiurther understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and �2 Depar t to the Florida StaS� Department of Professional Regulation Signed and acknowledged on this !day of of 20 13 . Owner Builder Signature STATE OF FLORID COUNTY OF ' �Il The f regoing instrument was acknowledged before me this d� day off , 20l' • , by k'9 who is personally known to me, or who has produce as identification. ',1AAKk 6f�t '/ 'Sign ure o Not Type or Print Na e of otary (Seal) Title: Notary Public Commission Nu&ber SLCPDSD Revised 07/22/2010 Py4 �f.: AUDREY B. HUMPHREY r: r MY COMMISSION # EE 061159 EXPIRES: March 6 2015 'F�„nf�fd`v Bonded Thru Notary Public Underwriters 1 Project summary � -` Job: 1451 W%htSOft. Date: May 17, 2013 CoolereBy Design ' Entire House n By: Shawn Russell Project Information For. Karen Chile, Cool Breeze 'O�ILE 360NE Solida Or, Port St. Lucie, FL 34983 Email: 2shawnrussell@bellsouth.net -COPY Notes: � Weather. Fort Pierce, FL, US Winter Design Conditions Outside db Inside db Design TD Summer Design Conditions 43 OF Outside db 70 OF Inside db 27 OF Design TD Daily range Relative humidity Moisture difference Heating Summary Structure 16640 Ducts 3365 Central vent (0 cfm) 0 Humidification 0 Piping 0 Equipment load 20004 Infiltration Method Construction quality Fireplaces 90 OF 75 OF 15 OF L 50 % 61 gr/lb Sensible Cooling Equipment Load Sizing Btuh Structure 17121 Btuh Btuh Ducts 6910 Btuh Btuh Central vent (0 cfm) 0 Btuh Btuh Blower 0 Btuh Btuh Btuh Use manufacturer's data n Rate/swing multiplier 0.95 Equipment sensible load 22830 Btuh Simplified Average 0 Heating Cooling Area (ftz) 1188 1188 Volume (ft3) 10692 10692 Air changes/hour 0.45 0.23 Equiv. AVF (cfm) 80 41 Heating Equipment Summary Make Trad e Model AHRI ref Efficiency Heating input Heating output Temperature rise Actual airflow Air flow factor Static pressure Space thermostat Latent Cooling Equipment Load Sizing Structure 1712 Btuh Ducts 1444 Btuh Central vent (0 cfm) 0 Btuh Equipment latent load 3156 Btuh Equipment total load 25986 Btuh Req. total capacity at 0.70 SHR 2.7 ton Cooling Equipment Summary Make American Standard Trade ALLEGIANCE 15 Cond 4A7A5030E1 Coil 'AM7AOB3OH21 AHRI ref 4385746 100 EFF Efficiency 13.0 EER, 16 SEER 6.4 kW Sensible cooling 20720 Btuh 21891 Btuh Latent cooling 8880 Btuh 20 OF Total cooling 29600 Btuh 987 cfm Actual air flow 987 cfm 0.049 cfm/Btuh Air flow factor 0.041 cfm/Btuh 0 in H2O Static pressure 0 in H2O Load sensible heat ratio 0.88 Bold/Itallc values have been manually ovenldden Calculations approved byACCA to meet all requirements of Manual J 8th Ed. 2013-Ma 1714:09:57 c wri ht S0ft° r ,.�.. � 9 RightSuite® Universal 2012 12.1.07 RSU09070 Page 1 ACCK C:\UserslShawn%DoeumentslAC LOADS11200 SQ FT.rup Cale = MJ8 Front Door faces: E This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. Nplpldy �� �'.. r+• f, �' 4 � ' 4 =� k "a •c° , �F F Fd vat # AHRI Certified Reference Number: 4385746 Date: 5/17/2013 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4A7A5030E1 Indoor Unit Model Number: *AM7AOB3OH21 Manufacturer: AMERICAN STANDARD, INC. Trade/Brand name: ALLEGIANCE 15 Manufacturer responsible for the rating of this system combination is AMERICAN STANDARD, 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 Capacity (Btuh): 29600 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 ' Ratings Wowed 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 product(s) Osterd an 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 fisted In the directory at mnvw.ahridirectom;:org. TERMS AND CONDITIONS This Certificate and Its contests are proprietary products of AHRL This Certificate shag 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 CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahr1dIrectorywg, Ot1di$i®iilfl�, H®O$Itl�, click on "verify certificate" link and entertheAHW Alf-C Certified Reference Numberand the date on and and elsttiOro Institute the certificate was Issued, which Is fisted above, and the Certificate Na, which Is listed below. 02013 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130132824868847248