HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 1-6-2016 Permit Number:
Building
Plonning ond Development Services
Building and Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (772) 462-1578
Permit Application
Commercial Residentia I x
PERMIT APPLICATION FOR: Mechanical
PROPOSED I M PROVEM ENT LOCATION :
Address: 4917 TAMOKA COURT
Legal Description:
Property Tax lD #:
Site Plan Name:
1312-801-01 35-000-5 Lot No
Block No.
Project Name:
Setbacks Front Bacl<: Right Side:Left Side:
I orrntrD DESCRTPTToN oF woRK:l______
LIKE FOR LIKE CHANGEOUT
(1) 3 TON 16 SEER 10 KW
Vl HVAC
Electric
Gas Tank
Plumbing
[--lou, Piping
rFat ap
I I sr.,
Io.T-l_l sprirrklers
Total So. Ft of Construction:
Cost of Construction, 5 4868.00 Building Height:
OWN ER/LESSEE:CONTRT\CTOR:
J12 ms LEROY/DIAN E FREAM Name: JOHN V L-ANGEL
Address: 491 7 TAMOKA COURT Comoanv: SEA COAST A/C
Cty FT PIERCE cl
Statre:' 'Address: 2601 INDUSTRIAL AVE 3
zi^ r^'lo. 3495'1 City: FT F'IERCE trl5tate: I L
phone p6.468-8352 7in caAa. 34946 psy. 466-3053
phone 11.,. 466-2400
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mait : TLSEACOASTAI R@AOL,COM
State or Countv License: CACO16446
lf value of construction is 52500 or more, a RECORDED Notice of Commencernent is required.
SUF TION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:State:
zip.Phone:
City:
zip:
MORTG/\GE COMPANY: _ Not Applicable
Name:
Address:
State:
Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Ad d ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zio: Phone:
I certify that no worl< or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is srantins a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv a'pplicable Home Owhers AsSociation rules, bvlaw:s or and covenants that mav restrict or prohibit such
structure. Please consult With your Home Owners Assor:iation and review your deed for any restrictions Which may apply.
ln 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
\TVARNING TO OJ /NER: Your failure to Record a Notice of Commencement may result in yourfaying twice forim . A Notice of Commencement must be redorded and posfled on theiobsite:5 \wi,w::fti,'xLlL'J:& consurt *'yt"'f r or anlfornffire
Signature
STATE
COUN
The forgoirrg
this 6 diay
JOHN V LANGEL
(Name
FLORIDA
Qpsr lucre
instrument was acknowledg fore me
of lnruunnv ,20 by
eof
OR
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
_ Signatgf,of Owner/ Lessee/,
STATErcF FLORIDA
COIJXTY Qf srructr
The forgoing instru
this day of
acknowledging )
Personally
Comm-tssion sru::ulr56iax1';
This combination qualifies for
Efficiency Tax Gredit when
between Feb 17. 2009
ffi ffiS$wm*m ffiff tuxffig $Wm*ffirre
AHRI Certified Reference Number: 7892988 Date:11612016
Product: Split System: Air-Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: CA16NA036*0**A
Indoor Unit Model Number: FX4DN(B,F)049L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER AIR CONDITIC|NING
Region: Southeast and North (AL, AR, DC, DE, FL, GA, Hl, KY, Ll\, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, lD, lL, lA, lN, KS, MA, ME, Ml, MN, MO, MT, ND, NE, r\lH, NJ,
NY, OH, OR, PA, Rl, SD, UT, VT, WA, WV, Wl, Wy, U.S. Territories)
Region Note: Central air conditioners manufactured prior to January 1,2015, are eligible to be
installedinall regionsuntil June30,2016. BeginningJulyl,2016,central airconditioners
can only be installed in region(s) for which they meet the regional efficiency requirement,
Series name: 16 SEER PURON AC
Manufacturer responsible for the rating of this systern combinatiion is CARRIER AIR CONDITIONING
Rated as follows in accordance with AHRI Standard 2101240-20013 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 Capaoity (Btuh)
EER Rating (Cooling):
SEER Rating (Cooling):
IEER Rating (Cooling):
35200
'13.00
16.00
' Ratings followed by an asterisk (.) indicate a voluntary rerate of proviously published data, unless accompanied with a WAS, which indicates an involuntary rerate
DISCLAIMER
AHRI does not endofse the product(s) listed on this Certificate and rnakes r1o representations, wan'anties or guarantees as to, and assumes no resporlsibility tof,
the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or pertormance 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,ahrldirectoly.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for irldividual, personal and
confidential reference purposes, The contents of this Cedificate maV not, in whole or in part, be rel)roduced; copied; disseminated;
entered into a computer database; or otherwise utilized, ilr any torm or manner or by any means, except for the usef's individual,
personal and confidential reference.
CERTIFICATE VERIFICATION
The informatioll forthe model cited on this certificate can be verified at www.ahrldlrectory,ofg, click on "Vetify Certlflcato" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
.\ji ili)i, ,i :''1 r; ir: :il:,,.
,, lj: i::ltil:f 1\i,i. )1:,: : i:i\i.
'r; iti.t:,,'li;( r', i
which is listed above, and the Cettificate No., which is listed at bottom right,
@ 201-4 Ai r-Con dition i nE, H eatinE, and Ref ri geration I nstitute i GERTIFICATE 1 3096586552051 6637