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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/17/2016 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 XXX PERMIT APPLICATION FOR: Mechanical 1-1 1 Address: 3244 VERNON ST, FORT PIERCE, FL 34982 Legal Description: Property Tax ID #: 2427-701-0077-000-9F Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: LIKE FOR LIKE AC CHANGEOUT. RHEEM 3 TON, 16 SEER, 10 KW iamonai worK to oe errormea unaer tnis permit— cnecK an apply: HVAC 11 Gas Tank F]Gas Piping _ Shutters 11 Electric 0 Plumbing Sprinklers Generator Total Sq. Ft of Construction: _ Cost of Construction. $ 3500.00 Sq. Ft. of First Floor: _ Utilities: Sewer Septic Lot No. Block No. QWindows/Doors 0 Roof Roof pitch Building Height: OWNERAESSEE: CONTRACTOR: Name CHRISTOPHER PAKURIS Name: PHILIP NISA JR Address: 236 SW HARBOUR VIEW DR Company: NIS AIR AC Address: 3700 S US HIGHWAY 1 City: PALM CITY State:FL Zip Code: 34990 Fax: City: FORT PIERCE State: FL Phone No. 561-319-3763 Zip Code: 34982 Fax: E -Mail: Phone No. 772-466-8115 Fill in fee simple Title Holder on next page ( if different E -Mail: NSIMMONS@NISAIR.COM from the Owner listed above) State or County License: 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 Commencemen may result in your paying twice for improvements to your property. A Notice of Commencement must b, r corded and posted on the jobsite before the firstInspection. If you intend to obtain financing, consult Wit lender or an attorney before commencing rk or recording our Notice of Commencement. 4" 'q '� U/V�_� s Signature of Own e ssee/Contractor as Agent for Owner Signature f Contra /License Holder STATE FLORI A STATE O LORI COUN OF STLUCIE COUNTY F STLUCIE The for oing instrument was acknowledged before me qday The forgoing instrument was acknowledged before me "'TH ocroaER this of 201 by this day of 20 by PHILIP NISA JR -1- PHILIP NISA JR (Nameperson acknowledging) (Name o person acknowledging) 7f ig ature of Notary Public- State of Florida) ig ature of Notary Public- State of Florida ) Personally Known xxx OR Produced Identification Personally Known xxx OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. FF201485 ommission No.� J Seal ; 18 IN SAITSHOLT ; r:pi •. s, �y ?�: KRISTIN SAITSHOLT Cowl ��� ,,, ,•• EXPIRE& .......mm : MIS$lQN # FFZQ14 Revised 07/15/2014 A07)39&Q15��IuMptV NMMop� -; , . . EXPIRE& Fsbtu (A07i3050�g�QS•' REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS U This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. FIA AHRI Certified Reference Number: 7942207 Date: 10/13/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1636AJ1 Indoor Unit Model Number: RH1T3617STAN 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): EER Rating (Cooling): SEER Rating (Cooling) IEER Rating (Cooling): 35400 13.00 16.00 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 andR- u,.. " confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; '"°' AF 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.ahrid!rectory.org, click on "Verify Certificate" 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. ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131208379229502332