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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: s "-` "" 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 PROPOSED IMPROVEMENT LOCATION: Address: 4120 Selvitz Rd, Fort Pierce, FL 34981 Legal Description: 32 35 40 N 200 FT OF S 653.50 FTOF E 365 FT OF W415 FT OF SW 114 OF NW 1/4 (1.68 AC) (OR 2454-1199) 1 Property Tax ID #: 2432-233-0001-000-6 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: I Replace existing AC system with a new Lennox Ston 14.2seer AC system with 1 Qk heater. CONSTRUCTION INFORMATION: � Additional wo* to be nertormed under this permit — check all that apply: HVAC Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors Electric ❑ Plumbing Sprinklers Generator Roof I_ Total Sq. Ft of Construction:��rrS Ft. of First Floor: I Cost of Construction: $ 10-W Utilities: Septic Building Height: OWNERf LESSEE: CONTRACTOR: Name Accurate Septic Holdings LL Name: John Pankraz Address: 4120 Selvitz Rd Company: Elite Electric & Air, Inc City: Fort Pierce State: FL Address: 1691 SW South Macedo Boulevard Zip Code: 34981 Fax City: Port Saint Lucie State: FL Phone No. Zip Code: 34984 Fax: 772-340-3702 L -Mail: Phone No. 772-340-3797 Fill in fee simple Title Molder on next page ( if different E -Mail: jessicap@eliteelectricandair.com from the Owner listed above) State or County License: CAC1816433 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 represer tation that is granting a permit will authorize thepermit 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 t his 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 appli ,ations are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming po )Is, fences, 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 prope-ty. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If ijou intend to obtain financing, consult with lender or an attorney before commen 'ng work or recordiiig your Notice of Commencement. 5 ture of Ow essee/Agerit Si ure of C racto icense Holder STATE O RIDA STATE OF ORIDA CQ�J�I OF saint Lucie COUNTY OF Saint Lucie The forgoing instrument was acknowledged before me thisr15' day of 1 . 20 110 by John Pankraz J The forgoing instrument was acknowledged before me this 25 day of ml 20 l (0 by doi?n Pankraz (Name of person acknowledging) (Name of person acknowledging)4"t' ( 4&" cytt-, r Al (Signature of N ary �/Public- State A F�rida ) (Signature of Notary P blit- State of Flo ida ) Personally Known _X OR Pmluced Identification Personally Known OR Produced Identification Type of Identification Produced -- — Tgpe-af-'dentifica ion Produced rrQ ��7n, NANCY LEE L.ANGFORD G GU Ah� y LEE LA+NGF0174' i Commission No. !� (5�i_a4Y COMMISSION # El is;ion ea � � *� 11lY GiIAJ MJSSION # FE83a,: -2 EXPIRES October 12, 2016 ��" EXPIRES October t2, 201i I ora-. j (407) 398-n153 FiorirfallotarySarvice.cam 1 Revised 07/15/2014 REVIEWS FRONT ZDNING SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE I N ITIALS Certificat(i of Product Ratings AHRI Certified Reference Number: 5697894 Date: 5/25/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: XC14-060-230 ** Indoor Unit Model Number: CBX32M-060*+TDR Manufacturer: LENNOX INDJSTRIES, INC. Trade/Brand name: ELITE Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NCI, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be installed in all regions until ,lune 30, 2016. Beginning July 1, 2016, central air conditioners can only be installed in regions) for which they meet the regional efficiency requirement. Series naive: XC14 SERIES Manufacturer responsible far the rating of this system combination is LENNOX INDUSTRIES, INC. Rated as follows in accordance with AHRI Standard 2101240-2008 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)-. 57500 EER Rating (Cooling): 11.70 SEER Rating (Cooling): 14.20 IEER Rating (Cooling): FootNote 11 -The AHRI 2101240 certified EER ratings are calculated under the same methodology as the EER ratings at T1 conditions of ISO 5151:2010 and ISO 13253:2011. ' 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 "IMP Certificate and its contents are proprietary products of AHRI- This Certificate shall only be used for individual, personal and confidential reference purposes. The conte its of this Certificate may not, in whole or in part, he reproduced; copied; disseminated; no ILI 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 forthe model cited on this certificate can be verified at www,ahridirectory.org, click on "Verify Certificate" link le,nake 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. 131x386572142487842 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO,: Property Identification Site Address: Parcel H): Account #: Map ID: Use Type: .Zoning: City/County: Ownership Accurate Septic Holdings LLC 4120 Selvitz Rd Fort Pierce, FL 34981 Legal Description 32 35 40 N 200 FT OF S 653.50 FTOF E 365 FT OF W 415 FT OF SW 1/4 OF NW 1/4 (1.68 AQ (OR 2454]198) Current Values Just/Market Value: Assessed Value: Exemptions: Taxable Value: Taxes for this parcel: SLC Tax 5264,200 5264,200 $0 5264,200 Office 4120 SELVITZ RD 2432-233-0001-000-6 32997 24/32N 4800 U Saint Lucie County Total Areas Finished/UnderAir (SF): 2,080 Gross Area (SF): 4,055 Land Size (acres): 1.68 Land Size (SF): 73,180.8 This information "`s believed to be correct at this time but it is subject to change and is not warranted. © Cop, + ight 2016 Saint Lucie County Property Appraiser. All rights reserved.