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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 08-29-16 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 PROPOSED IMPROVEMENT LOCATION: Address: 15355 SKYKING DR, PORT ST LUCIE, FL 34987 Legal Description: Property Tax ID #:42--'Z4 -5c, t -°' Lot No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Block No. Z✓ HVAC 0 Electric "Shutters ❑ Plumbing Sprinklers 0 Generato11 rRoof Roof pitch Windows/Doors Total Sq. Ft of Construction: _ Cost of Construction: $ 5510.00 Sq. Ft. of First Floor: _ Utilities: Sewer F-] Septic Name NEAL HUMPRIES Address: 15355 SKYKING DR City: PORT ST LUCIE State: FL Zip Code: 34987 Fax: Phone No. 511-069-2489 E -Mail: Fill in fee simple Title Halder on next page ( if different from the Owner listed above) Name: PHILIP NISAJR Building Height: Company: NISAIR AC Address: 3700 S US HIGHWAY 1 City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-466-9745 Phone No. 772-466-8115 E -Mail: NSIMMONS@NISAIR.COM State or County License: CAC 041199 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Name: _ Address: City: _ Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: _ City: Zip: Phone: Not Applicable State: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: 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 vour Notice of Commencement. p-' 6 Signature of Own as Agent for Owner STATE OF FLORIDA` COUNTY OF The: ®r ®ring instru ent was acknowledged before me thi ay of -T, 20 (L�Ljby ��:Q�,�\ S Cit (Name of person acknowledging ) Philip Nisa Jr "➢ Signature of Contractor 1- ense Hol STATE OF FLORIDA°` COUNTY OF SAINT LUCIE The forgoing instrument was acknowledged before me this 29TH day of AUGUST , 20 _ by PHILIP NISA JR (Name of�erson acknpw�gi Z"),. Osignature of Notary Pu ic- State of Florida) (S gnature of Notary Public- Sta e of Florida ) i Personally KnownOR Produced Identification Personally Known OR Produced Identification Type of Identificatroduced Type of Identificatio ion PProduced Commission No.�—P201 (Seal) Commission No: � (Seal) J1 13A!TSWGLT-S- IS Revised 07/15/2014 MY GQMMfSWN AtFF.ZQ1g$$ MY CQMiIq{SSlQN # FF_2Qtd&& EXPIRES FetKu 4g x{}19 EXP.1R✓kparyt rY REVIEWS FRONT COUNTER ' orvrioo,mm ZONING SUPERVISOR REVIEW REVIEW . _.Z ANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. AHRI Certified Reference Number: 3869097 Date: 8/29/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14ACX-041-230* Indoor Unit Model Number: CBX27UH-048-230*+TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: MERIT 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, 2016, 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: 14ACX 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): 39000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): 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 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 € STIT€JTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link vve 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. CERTIFICATE NO.:©2014 Air -Conditioning, Heating, and Refrigeration Institute 131169778268126417