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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 09/06/2016 Permit Number: PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 100 ISLAND DUNES COVE, JENSEN BEACH FL 34957 Legal Description: Property Tax ID #: 3534-503-0002-000-7 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED_ DESCRIPTION OF WORK: Y; 1 ' _ i CONSTRUCTION INFORMATION: Additional work to beDertormed under this permit — check all that apply: HVAC L j _1 Gas Tank F]Gas Piping F_ Shutters 1-1 Electric ❑ Plumbing Sprinklers FIGenerator Total Sq. Ft of Construction: Cost of Construction: $ 5684.00 SFt. of First Floor: Utilities:n Sewer Septic OWNER/LESSEE: Name RANDY RINICELLA Address: 100 ISLAND DUNES COVE City: JENSEN BEACH State:FL Zip Code: 37957 Fax: Phone No. 772-229-8531 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Lot No. Block No. QWindows/Doors Roof Building Height: Name: PHILIP NISA JR Company: NISAIR AC Address: 3700 S US HIGHWAY 1 City: FORT PIERCE Zip Code: 34982 Fax: Phone No. 772-466-8115 E -Mail: NSIMMONS@NISAIR.COM State or County License: CAC041199 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. C Roof pitch State: FL 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 inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. c�-'/ Signature of O er/Lessee/ otractor as Agent for Owner Signature of %o tractor%Licensa Folder STATE OF FL` RIDA STATE OFF ORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE Thp forgoing instrttment was ackpowledge efore me thidayofld0a%y PHILIP NISA JR 1 The forgoing instrument was acknowledgedbeforeme this 6TH day of SEPTEMBER g 20 i � � y PHILIP NISA JR (Name �7pf person acOowledging) (Name of person acknowledging ) i nature of Notary Public- State of Florida ( i nature of Notary Public- State of Florida) e\ Y ) Personally Known x OR Produced Identification Personally Known x OR Produced Identification _ Type of Identification Produced Type of Identification Produced Commission No. FF201485 .`aI) —.,-nmission No. FF201485 (Seal) 'KRi3TIN BAITSHWS ;;�• "�,= "�''�: 1CRISTtN 13AITSHO1~T5 _ ..._ ....... -co�55tDN # FF414SS J'• r EXPi1Ri�Sr febtstaiy t Qi � . expipiES Fe Revised 07/15/2014 qtr" t9 X41@ f407►30"163 fkd3�1ar�1iSSNwa:oaP ' (407)3984163 rr . .v.r.✓tn,. , , ..... ii�ef�f�iN?tarVse/VFoo,MM '. 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 service between Feb 17, 2005 and Dec 31, 2016. 1 111 k!g 1 NSA`! 11 ill 1111M I AHRI Certified Reference Number: 7515165 Date: 9/6/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: XC14-036-230A** Indoor Unit Model Number: CBX27UH-036-230*+TDR Manufacturer: LENNOX INDUSTRIES, 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, 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: XC14 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): 34200 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 INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link me Irak" 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. ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131176669325548437