HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: August 25, 2016
COU NTy
P L Ca R i D Fk
A
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 xxxxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 1788 Bar Harbor Drive, Ft. Pierce, FL 34945
Legal Description: 3 35 39 NW 114 -LESS AVON MANOR -UNITS 1 AND 2 AND LESS W 615.5FT LYG S OF AVON MANOR
UNIT 1 AND LESS CANAL AND RD RSIW AND LESS 1-95AS IN OR 237-1372-(99.02 AC) (OR 630-131)
Property Tax ID #: 2303-211-0025-000-5
Site Plan Name:
Project Name: GOLDEN PONDS
Setbacks Front Back: Right Side: Left Side:
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Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work toe e orme un er this permit — check a appy:
HVAC 11 Gas Tank []Gas Piping. _ Shutters ❑ Windows/Doors
I_I Electric ❑ Plumbing Sprinklers Generator 11 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4000.00
SFt. of First Floor:
Utiliities:cn Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LEROY SENECA
Name: KELLY CERTOSIMO
Address: 1788 BAR HARBOR DRIVE
Company: AIR TEMP AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No. 772-216-6872
Address: 651 NW ENTERPRISE DRIVE #107
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 772-340-0740
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
E -Mail: AIRTEMPAC@YAHOO.COM
State or County License: CAC1814837
if value of construction is $2500 or more, a RECORDED Notice of Commencement is regwrea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applica
Name:
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
— Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Xac 4-1
Signature of Owne Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ZiT Lu et 1 F
s
Signature of Cont tor/License Ho
STATE OF FLORIDA
COUNTY OF �. �_\.%itE_
The forgoing instwypent was qcknowiedged before me The for ing instr ent was acknowledged before me
this�ay of 20/by thiay of - 20 /0 by
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(Name of person acknowledging } (Name of person acknowledging)
(Sid trru-of No Y70R
- State of Florida )
Personal lcrLown . Produced Identification
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Tyfe oflderT ificatlon Produced
Commission No. „'""" �jok A. FINK
i NotAry public. Stale of Florida
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Revised 07/15/2 Commission # FF 104687
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REVIEWS I FRONTI zONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
(Sig�n�a uu're of NotaroPum Mate of Florida)
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
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CHERYL A. FINK
Notary Public State of Florida
My Comm. Expires ar
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Commission # fF 104667
SUPERVISOR IPLANS I VEGETATION I SEA TURTLI E MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
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www.ahriclirsctory.org
Certificate of Product Ratings
AHRI Certified Reference Number: 7492880 Date: 8124/2016
Product: Single -Package Air -Conditioner, Air -Cooled
Model Number: PAJ436000W*0A
Manufacturer: ARCOAIRE
Trade/Brand name: ARCOAIRE
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: R410A AC SPP
Manufacturer responsible for the rating of this system combination is ARCOAIRE
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): 35000
EER Rating (Cooling): 11.50
SEER Rating (Cooling): 14.00
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 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
in be reproduced; copied; disseminated;
.. .
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confidential reference purposes. The contents of this Certificate may not, in whole or part,
utilized, inany form or manner or by any means, except for the user's individual,
entered into a computer database; or otherwise
AIR-CONDITIONING, HEATING,
personal and confidential reference.
& REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridi rectory.org, dick on "Verify Certificate" link
%+v make life beuerTM
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.
CERTIFICATE NO.:
1311652154272670
02014 Air -Conditioning, Heating, and Refrigeration Institute