HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:&nm Permit Number:
•
Building Permit Application
Planning and Development Services
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: Mechanical
640 e �• „ - c �+k,� s -
Address: L./ �VT P..Q,V� P IQal
Legal Description: 3 3& rPreSRS VC Pti O 1
Property Tax ID#: 4-- (�P X27 5 Lot No. 5
Site Plan Name: Block No.
Project Name: O_U
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE A/C CHANGE OUT — U"VIDA } • 'S}Jt-1 fl9St-elr' rJk
c 6xa-1LA" o � / x0 I'-o 19
01 r V
�r^ Zr'.: +� '�'x ig '" '�,�a r �� s r - <'. �,,'' `�`.,•*1c aaa-:
Additionalwork toa er orme under this permit—check a appy: 4'
❑HVAC 11Gas Tank ❑Gas Pi _Shutters Windows/Doors
_ Piping
❑Electric ❑ Plumbing Sprinklers Generator F] Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ �q� ' Utilities: Sewer 0Septic Building Height:
Name Mi RA S b -C, Name: JOSE RAMIREZ
Address: RD Oin-e Pil Placa. Company: EAST COAST MECHANICAL
City: �br4 t-�,,+ w i<� State:FL Address: 1500 N HIGH RIDGE RD
Zip Code: W Fax: City: BOYNTON BEACH State:FL
Phone No. (� —! ��,� Zip Code: 33426 Fax: (561)493-2701
E-Mail: Phone No. (561)586,-3739 EXT 2020
Fill in fee simple Title Holder on next page (if different E-Mail: PERMITS@ECMSERVICE.COM
from the Owner listed above) State or County License: CAC036812
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: Stater
Zip: Phone: Zip: Phone:
A
FEE SIMPLE 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,fetices,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/Aqlenf essee Signature of Contractor/Lic nse4iolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALMBEACH COUNTY OF PALMBEAC14
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this T day of 20 fLoo by this 11 day of llAfA-f 201(te by
JOSE RAMIREZ JOSE RAMIREZ
(Name of person acknowledging) (Name of person acknowledging)
C�at,9----..
l_J
(Signa re of Notary Public-State of Florida ) (Sig ture of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
GILLIAN CHIULa, U_ilt.4tlAN GhUt,e.
Commission No. �TARY PUBLIC Commission No. S ARY PUBLIC
M-is STATE OF FLORID: STATE OF FLORIDA
Revised 07/15/2014 Pkf4r°`' 4� a-,rn" Fxolrec4/'7»n,^
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
This combination qualifies for a Federal Energy
r%m anal CERTIFIED° Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
www.ahridirectory.org
rtif irate of
AHRI Certified Reference Number: 7533475 Date: 2/17/2016
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: XP14-018-23OA10
Indoor Unit Model Number: CBX27UH-018-230*+TDR
Manufacturer: LENNOX INDUSTRIES, INC.
Trade/Brand name: ELITE
Series name: XP14 SERIES
Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, 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): 18000
EER Rating (Cooling): 13.00
SEER Rating(Cooling): 16.00
Heating Capacity(Btuh)@ 47 F: 17500
Region IV HSPF Rating (Heating): 8.50
Heating Capacity(Btuh)@ 17 F: 11100
FootNote 12-This air handler is equipped with an Electronically Commutated Motor(ECM)
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,personal and PiLIEW
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 -make hie bvuer^
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.
131001988750012440
02014 Air-Conditioning, Heating,and Refrigeration InstituteI _J
CERTIFICATE NO.: