HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01111/2017 Permit Number:
-I J i
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:
5167 N Al A #403. FT. PIERCE. FL 34949
Auuf ebb
Legal Description: OCEAN HARBOUR TOWER CONDOMINIUM E UNIT 403
Property Tax ID #: 1411-709-0025-000-2 Lot No._
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF LIKE FOR LIKE 2 TON CARRIER A/C SYSTEM, 16 SEER WITH 5 KW
ELECTRIC HEAT AND VARIABLE SPEED AIR HANDLER
CONSTRUCTION INFORMATION:
Additional work tor orme under t is permit — c ec a app y:
ZHVAC Li Gas Tank Eas Piping Shutters 0 Windows/Doors
11 Electric F]Plumbing Sprinklers OGenerator 0 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction. , 3,350.00
S Ft. of First Floor: _
Utilities:RSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameBOB BUBELLU
Name: ameS rimes
Company: rimes eating Ir on Itioning
Address:
OL
City: State: _
Address:
City: Fort Pierce State: FL
Zip Code: 06475 Fax:
34946 -461-872
Phone No.
Zip Code: Fax:
Phone No.
E -Mail:
KA
Fill in fee simple Title Holder on next page ( if different
E -Mail:
State or County License:
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 vour Notice of Commencement.
ature of Owner/Lessee/Contractor as Agent for Owner
tl
STATE OF FLORIDA
COUNTY OF ST. Ltee/'�-
The Rfrjng instrument was acknowledged before me
thisday of �- 20 Eby
-- ' s
ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF S7` /_4--f /,I;r'
The forgoing instrument was acknowledged before me
this � day of J1tiv- 20 L7 by
(Name of person acknowledging) (Name of person acknowledging)
eft
(Si nature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced - =--
:.,HOHMANN
gnature of Notary Public- State of Florida )
Personally Know QR Rrodusecl Id ntification
Type of Identification,Prog4Mq, SANDRa i
Notary b_ IiF; State of Florid?
41� Commission No.
Commission No.
My Com ir- ..lar 14, 20' 3 _
9r Commission It FF 071680
Revised 07/15/2014
Notary Public SL'a of Florida
= My Comm(RPIIs ,ar 14, 2018
Commission s,' FF 071680
L 14h F'aa:ionai Notary assn
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fIr E
Certificate of Product Ratings
AHRI Certified Reference Number: 9192584 Date: 11/28/2016
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: CA14NA024*0**A*
Indoor Unit Model Number: FV4CNF002L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER AIR CONDITIONING
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, lull, MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA, RI, SD, UT, 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 regions) for which they meet the regional efficiency requirement.
Series name: 14 SEER AC
Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING
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 (Etuh): 23200
EER Rating (Cool ngy. 12.50
SEER Rating (Cooling): 16.00
IEER Rating (Cooling):
` Ratings followed by an asterisk (`) indicate a voluntary cerate of previously published data, unless ii—ponied with a WAS, which indicates an involuntary cerate.
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 prod-t(s) listed on this Cer@Flcate. 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.ahridiraet-y.dm
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-CONDMONINd, HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.ahridiroutory.org, click on "Verify Certificate" link ,Haire Eire i,K,rtc .w
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
02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1312483001675W901