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HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l Date: /J ' lJ Permit Number: /J— 421C RECEIVED- Building Permit Application Planning and Development Services JUL 15 .2015 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED:IMPROVEMENTLOCATION: Address: 854 SE CORTO TERR Legal Description: RIVER PARK-UNIT 7-BLK 65 LOT 5 Property Tax ID#: 3419-550-0044-000-5 Lot No. Site Plan Name: Gary Schloerb Judith Schloerb Block No. Project Name: Gary Schloerb Judith Schloerb Setbacks Front Back: Right.Side: Left Side: DETAILED DESCRIPTION .OF,WORK ,Y AC CHANGE OUT 3TONS 16SEERS 10KW CONSTRUCTION- INFORMATION: Additional work to be nertormed under tispermit—check°all that appy: HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 4500.00 Utilities:Sewer Septic Building Height: OWN ERAESSE- : . CONTRACTOR- - Name Gary Schloerb Judith Schloerb Name: RICHARD LEVINSON Address:854 SE CORTO TERR Company: SERVICE AMERICA City: PORT SAINT LUCIE State:FL. Address: 2755 NW 63RD COURT Zip Code: 34983 Fax: City: FORT LAUDERDALE State:FL Phone No.775-877-3185 Zip Code: 33309 Fax: 954-977-3591 E-Mail: Phone No. 954-979-1100 EXT 5673 Fill in fee simple Title Holder on next page(if different E-Mail: epermitsgroup@serviceamerica.com from the Owner listed above) State or County License: CAC014619 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CON STIR LIE3N LAV1/ INFORMATION: # � , " DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEESIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: 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 the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and 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, 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 use /to another non-residential use (WARNING TO OWNER:Your failure to Record a Notice of Co m cern ma result in your paying twice for te \fr Chc ents to your property. A Notice of Commencem t m st e r c rded and posted on the jobsite first inspection. If you intend to obtain financin con ul wit ender or an attorney before i work or recordingour Notice of Commence nt. ! �� u A_ s SIg tu�roQwner/Cess_eeg—Jenf Signa u e of Contr c o'r%License Holder° STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SAINT LUCE COUNTY OF SAINTLUCE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 _by this 13 day of 7 20 by RICHARD LEVINSON RICHARD LEVINSON / (Name of person ack led Ing (Name of person af w/ledging) s (Si nature of No ary Pu i State of Florida) (Signature N t izy- c-State of Florida) f PeYsonally Kn n x R Produc n Person I y Know x OR Produced Identification T pe of Iden Ifiri ,ON Typ f Identific tion Produced ,• Y r�4'% MY COMMISSION#FF 0722017 Co Ion No. =*i '•*` IRES;Novetl> n �rhers Commission N .4 SICADOTSO eal) Bonded Thru Notary PabbT� r ti g Nly COMMISSION#FF 072984 �'Qf" *' EXfgIRES;November 25,2017 'ie• - $,X Bonded Thru NotarY Ronc unuut Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS i © This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. o , left uertificatu,p% of Plao0duct Ratimn AHRI Certified Reference Number: 7942208 Date: 7/13/2015 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1636AJ1 Indoor Unit Model Number: RH1T3621MTAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: 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. Series name: r responsible for the rating of this system combination rs RHEEM SALES COMPANY, INC. Manufacture - . Rated'as.followsiin accords nce:with AHRI;Standard 210/240-2008 foc Unitary. ir-Conditioning and Air-Source Heat Pump'Equipment and subject to verification of-rating accuracy by AHRI-sponsored, independent; third party'testinoling_Capacity(Btu h): -36000 f EERlRating'�(Cooling) 13 00 SEER Rating (Cooing): 16.00 [EERRating (Cooling): - 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 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,personaland 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-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 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. ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 130812740794603153 ` /®SERVICE. Corporate Office 1-888-201-5759 AMERICA" 2755 NW 63rd Court•Ft.Lauderdale,FL 33309 1 t WWW.serviceamerica.com SALES AGR3EEMr+ENT n Customer:Name:G A P. f j S'G 60�R lAccount/Contract#: O Date: Home phone: 7 S 7-7 3/5u S.O.#: Email Address: Other phone: S.O.#Admin.Feer — 5,—.-11 SE C<VRTO :/6-RR PSI_ 9S3 Installation Address: Bldg: Apt: City: ZIP: System Type: ZSplit ❑Package_ U Water Source Aatraight Cool U Heat Pump Condenser Location: AMround U Roof U Crane Needed —#of Stories Alr Handler Location:6CGarage U Attic U Closet XY 7 7g1�5 ', '' z � . '° isi� •'cth � "*w�z?'s"'";xS��Xx.��;�� Thermostat Type: Replace Circuit Br aker Conden"sate Drain Hook-up: f�primar 0 Secondary Abigital U Air Handler:r!i/G7/� U New Condensate Pump XSlab U Programmable Size Type Q k. U Auxiliary drain pan ' U Horizontal drain pan Wiring, 0 Condenser: l�uxilaryfloat safety switch U Thermostat Size Type 1i3Refrigerant copper liquid line size: Disconnect Box y7lbieater: Elf-Refrigerant copper suction line size: i J Smoke Detector U Gas pipe from Size ��/1 Lt�' U Refrigerant line cover k410A Flush . In allation Information: :I1 f ,7 ,'Al Zl' e S ez 7 — 7 ''i f' S F� —" � ZU,q f7 1 All work performed in accordance with-existing-codes.Includes all requiredpermits for work performed by us.Mounting hardware for installation,weather resistant vibration/'isolation pads;hurricane strapping and removal of old equipment. �'3 .;`s'^�+'" iC�ra'�..�. �3":-.r.,t�' aY�e�.cr�tlh3vr�r`.$o-`s�, �T?T'�'fi'"'y .�•'�'^t '—rs r y :.'.-a -ss.q„.x,'•,'.....v:,:iFaa i?s`eW '; c. "Yt,4: ati� ..: .S1..rr rxz''+ at> ?'`.x �ti'fI l 4s's .7 ,I Make /� �E b %� i�L/�7iLd+ lylake Make Tons .3 SEER Tons SEER Tons SEER BTU ��GQ'7p4 KWH /6 BTU KWH BTU KWH Model A/H rl YI-r36,�II M / Model A/H Model A/H Mod elCond AM/b71, OR -ModelCond ModelCond Price 79 Z/-2 -)-09 price Price - System Investment yy 75 � r Install Kit 6-5-0 Z,//7 ' Crane it-"GE C!T,_ �LSAE Parts&Labor Warranty A/H�_Yrs. Rebates/Credits �� SAE Parts&Labor WarrantyCond. �_Yrs. Utility U` T Mfg.'s Warranty on Compressor %O Yrs. Service America Sn� 5'Mfg.'s Warranty on Outdoor Coil �d Yrs. Other rU O F�• Mfg.'s Warranty on Indoor Coil 6 Yrs. Replacement Credit Mfg.'s Warranty Parts / Yrs. Recommendations: Insulation +" • Duct Cleaning UV Light Method of Payment: ❑Lash EDFInancing I]Credit Card ❑Check# Other CC Type. O Visa .0 MC O Discover Administrative Fee _ Inommlundablel Total Investment Credit.Card# Down,Payment Expiration Date: CSV# Balance Due ��O � Signature:. Installation Date: 7 Z` ' LE Financing Company: Terms I accept this Sales'Agreement and the specifications and conditions above:You areauthorized to perform work as specified.It is agreed and understood by the parties that aff egmpmentwhrch is sofdpursuani hereto shall not become fixtures or part of thereat estate where they are placed untilpayrnentin full is received.Buyers right to cancel.You the Buyer may cancel this transaction without penalty or obligation at anytime prior to midnight of the third business day after the date of this transaction by proper notification.Payment due to installers in full upon completion of installation. My signature acknowledges acceptance of the terms above.l have read and understand all information on the front and back:of this Salegreement. Customer Signature: Date: Comfort Consultant' Ladder required for inspection:Z)Yes )io Size: S—Anenca LICi's CACTI 14619.ECoaa 22,CFCU.%991 Wtute npy•Of6m• Wil—Crpy.CLmmicr • Pmt Copy.Finance •Gota Capy•Fik April.IS