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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICA E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: / ' _ 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 7825 LONG COVE WAY PORT ST LUCIE, FL 34986 Legal Description: THE RESERVE LOT 65 Property Tax ID #: 3321-803-0069-000-1 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE AIR CONDITIONING CHANGE OUT K Lot No. 65 Block No. i lona wor o e er orme under is perms —check a appy: Z✓ HVAC 11 Gas Tank F]Gas Piping Shutters Q Windows/Doors 11 _ Electric F1 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: Sq. of First Floor: Cost of Construction: $ 4180.00 Utilities: L _I Sewer 11 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name SHASHI BHALLA Name: PHILIP NISA JR Company: NISAIR AIR CONDITIONING Address: 7825 LONG COVE WAY City: PORT ST LUCIE State: FL Address: 3700 S US HWY 1 Zip Code: 34986 Fax: City: FORT PIERCE State: FL Phone No. 772-342-0657 Zip Code: 34982 Fax: 772-468-9745 E -Mail: Phone No. 772-466-8115 E -Mail: NSIMMONS@NISAIR.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: CAC041199 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: State: Zip: Phone: Zip: Phone: 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, 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 property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspe ion. If you intend to obtain financing, consult with leer or an attorney before commencing work oif ilecording your Notice of Commencement. ,, _ mature of Owne Lesse Agent STATE OF FLORID COUNTY OF <_�� � i- '6cLe i Theforgoing instrument was acknowledged before me this , U day of OC•, C, ij 20 4—by me of pdrson acknowledging) Signature of Contr for/Lie Holder STATE OF FLORI A COUNTY OF STL IE The forgoing instrument was acknowledged before me thist0 day of AUGUST 20 by PHILIP NISA JR (Name of person acknowl (Signature of Notary Public- State of Florida ) I (Signaturef N Personally Known OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced I Type of Identification Produced Commission No. (Seal) Revised 07/15/2014 W COMMISSION # FF 918485 Bw*d mru Notary Public th,*w t m REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in services between Feb 17, 2009 and Dec 31, 2016.1 C e r fil f i c t e o f P r ro- , s, 4d up oc t R aa- t i n q s AHRI Certified Reference Number: 7941343 Date: 8/10/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1630AJ1`- ` Indoor Unit Model Number: RH1T3617STAN j Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD 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, ND, 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 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: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, 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): 29000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): IEER Rating (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 vv% wr.,hmJi>cc ofy.or,'. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and = confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; b d x 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. A 11, - CC ON 01'iiQNiNG, o-tw'MrxiNC CERTIFICATE VERIFICATION rr .ta�'ra�re The information for the model cited on this certificate can be verified at s,, vv w.tahHdir; Qtory, ori, click on "verify' Cort,iflcatm" 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. 131153313637312060 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: