HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Plonning ond Development Services
Building ond Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (7721 462-L578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
Address: 7205 MARSH TER
Legal Description:
Property Tax lD #:Lot No
Site Plan Name:Block No.
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
H*r>n ^c-
c-ncr.-{-\t< o\^:f, lofsJ tg'3<*f\
WO permrt -nl HVAC
Electric
Gas Tank
Plumbing
[u., Piping I Shutters
Generator
l-l *,noo*s/Doors
T l_lsprtntters Roof
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
utilities: [] ru*.r. E t"*cost of construction: S
.IDOO
' c\)Building Height:
Nsms 7205 MARSH TER
Zip Code:
Phone No.
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
Name: RICAHRD LEVINSON
Address: 2755 NW63RD COURT
City: FORT LAUDERDALE State:FL
psy. 954-977-3591
phone 11e. 954-979-1100 EXT5673
E-Mait: EPERMITSGROUP@SERVICEAMERICA.COM
State or County License: CAC014619
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
MORT6A6E COMPANY:
Name:
_ Not ApplicableINEER: _ Not Applicable
BONDING COMPANY:
-Not
Applicable
Name:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no reoresentation that is srantins a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owilers Asiociation rules. bvlaws or and covenants that mav restrict <ir prohibit such
structure. Please consult with four Home Owners Association and review'your deed for any restrictions vrihich 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 exempd from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, sig\nsascreen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notite of may result in your paying twice for
nts to your property. A Notice of Com nust be recorded and posted on the jobsite
the first inspection. lf you intend to obtain finan
hcing work or recording Vour Notice of Commer
It with lender or an attorney before
Revised 071L512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
IJA It
COMPLETE
INITIALS
STATE OF FLORIDA
COUNTY QP sattlrructe
The forgoing instrument was acknowledged before me
this e day of .5
STATE OF FLORIDA
COUNW QP sarrurrucre
The forgoing instrument was acknowledged before me
of Ntbnrfublic- State of F
Known
tification Produced
AHRI Certlfied Reference Number: 6751299 Date: 5/6/2016
Product: Split System: Air.Gooled Condensing Unit, Goilwith Blower
Outdoor Unit Model Number: 4TW8048A1
Indoor Unit Model Number: *AM8C0C42V31
Manufacturer: TRANE
Trade/Brand name: TRANE
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl,lD, lL,lA,lN, KS, KY, H, U4, MD, ME,
Ml, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, Ny, OH, OK, OR, pA, Rl, SG, SD, TN, TX,
UT, VA, VT, WA, WV, Wl, WY, U.S. Territories)
Region Note: Central air conditioners manufactured prior to January 1,2015, are eligible to be
lnstafled in all regions untilJune 30,2016. Beginning July 1,2016, centralair conditioners
can only be installed ln region(s) for whlch they meet thelegional efficlency reguirement, . ,:
IEER Rating (Cooling):
Ralings followod by an asterisk (') indical6 a voluntsry rorate of prBviously published data, unless scoompanied with a WAS, whjch Indicsles sn invohntary r€rate,
DISCLAIMER
AHRI does not endorse the product(e) llsted on thls Certlncato and makeg no rep/esentations, warrantlos or guarantees as to, and assumes no rgsponslblllty fot,
tho ptoduct(s) llsted on thls Coftificato. AHRI expressly dlsclalms all liablllty for damages ot any kind ari$lng out of tho uso ot p€rtotmtncc of thc product(s), ot th9
unaulhotlzGd alteratlon of data llsted on thls Cortlflcate, Certlflod ratlngF are valid only for models and conflguratlon3 llsted In the
dl?octory at www.ahrldlr€ctory.org,
TSRMS AXD C0trtDtTlotitS
l$litffimliqffi':t::ff#:Hnil,ifi['ffifl151;'fiffi1'ff:il!ti'."$,-ff;;;TJ:$t':;;:t'ffi,?iffit1",, ffiRlentefed Into a computef database; ot otherwlse utlllzed, in any form of manner or by any means, oxcept for tho user's Indlvldual,
penonal and confldentlal referonce, Ali-CONOlTlOillNq, HEATltlG,
CERTTFICATE VERIFICATIOI{ & REFRI0ERAIION INSTIIUTE
The Infotmation for the model cited on thls canlticate can bo verifled at www,ahrldlr€ctory.org, click on 'Vorify Certltlcats' tlnk we nrake life better*and entet the AHRI Ce|tified Refercnco Number and the dats on whlch tho 6ertificat6 was issued,
whlch ls llsted above, and tho Cortlfleate No., whlch ls llsted at bottom right,
@ 2OL4 Alr-Cond itionlng, Heatlng, a nd Ref rlgerailon Instltute
This combination qualifies for a Federal
Efficiency Tax Credit yfr_e1 pla.ccd in
betuieen Feb 17,2009 ind Dec 31,201
Certificate of Product Ratin
AHRI Certified Reference Number: 6751299 Date: 5/6/2016
Product: Split System: Air-Cooled Condensing Unit, Coilwith Blower
Outdoor Unit Model Number: 4TTV8048A1
Indoor Unit Model Number: *AM8C0C42V31
Manufacturer: TRANE
TradelBrand name: TRANE
Region: All(AK, AL, AR, AZ, CA, CO, GT, DC, DE, FL, GA, Hl, lD,lL,lA,lN, K_S! lqYr L4t {4-'MD' ME'
MI,-MN, Mo,.Ms, MT, Nc, ND, NE, NH, NJ, NM, Nv, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX,
UT, VA, VT, WA, WV, Wl, WY, U.S. Territories)
Region Note: Central air conditioners manufactured prior to January 1,2015, are eligible to be
installed in all regions untilJune 30,2016. Beginning July 1,2016, centralair conditioners
can only be installed in region(s) for which ttrey meet the regional efficiency requlrement. ,, ,
IEER Rating (Cooling):
'Ratings fotlowed by an astsrisk (') indicate a voluntary rgrate of previouEly published dala, unloss accompanied with a WAS, which indicates an involunlary reralo.
dlrectory al www,shridlroctory.org.
TERMS AI{D COI{DITIONS
Thls cortiflcate and lts contenB are proprietary products ot AHRI. Thls Cerllflcate shall only be used for lndlvldual, petsonal snd
confidential referenco pufposes. Tho contents ot this Certiflcat€ may not, in whole or In paft, be reproduced; coplod; diisemlnated;
entered Into a computer databas€; or otherwlse utlllzed, In any form ot mannor or by any means, except for the usel's Indlvldual,
porsonal and contldentlal leferenco,
CERTIF!CATE VERIFICATION
The Intormatlon for the model cited on thls certlflcate can be verlfled at www,ahrldhcctory,org, click on "verlfy Certlflcate' llnk
and entet the AHRI Cottlfled Referonco Number and the date on whlch ths c€niticato was lssued,
DISCLAIMER
AHRI does not endorse the product(s) listed on thb Certiflcate and makes no tepresentatlons, warrantlos or guarantoe3 8s to, and ag3umes no responslblllty for'
the product(s) listod on this Certlflcate. AHRI expressly dlscialns all llablllty for iamages ot any kind arlslng out of the uss or performanco of lhe product(s)' or thc
unautho/lzod alteratlon ol data llsted on thls Certlflcate, Certltled rathgs are valld only for models and conflgurallonr llstod In the
AtR{ONDtTl0f{ lNo, HElnllG,
& NEFRIGERATIO'{ IN$IITUIE
rve make liie better'
whlch ls llsted above, and the Certlflcate No., whlch ls ltsted at bottom rlght,
@20t4 Ai r-Cond itlonlng, Heatlng, and Ref rlgeratlon Instltute
This combination qualifles for a Federal Energy
Efficiencv Tax Credit when placed in servlce
betvrieen Feb 17, 2009 and Dec 31,2016.
/r*isERvtcE
td{.At'lERlCA'11irsrr,ltTiTffil
Corporate Otfic€
2755 NW 63rd Court ! Ft, Lauderdale, FL &1309
www.serviceamgrioa;com
SALES AGREEMENT
1-888-201-5759
/-/aRts tt{€s€,V
C(J!toner Name;
J"t'1o57 f
Account/Contrl(f l;,"{- il./l'
I ao " enon', -l-f L- -9-t 2---5,S"St'-.-
Email Addre:c: I Othv Phone, -.-..----*
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dlrr Locrtton:r66rragc Uitic -J Cl*sl
Condcnntr Oriln Hook-up: '{Primrry Cs"condfly
I Now Conden:ate PumP 3 Slab
fi[.Auxiliary drtin prn pHotitontal drain Prn
LJ Auxilary float safoty !w;tch
3 nef.igertnt copPer liquid line rir:
il Rettigefant coPPsr tuction linc alte; ! - !.
.J Gas pioe from
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Raplacs Circu'rt Brerllr:
.J Aii Handler:
Siee - . Type
C Condenser:
Size
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Illeoter;
size lOKa) '
all wor! pattorhad n traord$cf with !rit!.g aod.r. Includ.! tll raqu'r.d pdilitt {ot wo.t patfqhrd by vt' Mstia, hrtil*t(
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Method ol Pay,rnsnt: E Crsh EFinancing
ECradit Card E Check t-
CCTypa lvira FMC D Dircovcr
Expiration Date:
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CSV*
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syst.m Investnsnt - 8 lg A
Install Kit
Cranc
Rebetay'Credltq
Utility
Service Arnerica
Other
Replacement Credit
Racoqrarl€ndetio4r!
Insulation
Duct Cleaning
UV Ught
Other
Administrative Fee
Tgtrl Inwstm€nt
Down Payment
Ediloc!-Al]!
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y'SRgParuaLaborWenantyC,on4. ? v*'
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/n rg.t worr"n , on Outdoor Coil
/M{o.l won*w on Indoor Coil/'
6 Mfg.bWarranty Prrts
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