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HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 512I17 Permit Number: bw Building Permit Application Planning and Development Services Building and Cade 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: 9247 Short Chip Circle, Port Saint Lucie, FL 34986 Legal Description: LAKES AT PGA VILLAGE (PB-43-32) BILK D LOT 5 (OR 2967-2453) Property Tax ID#: 3334-501-0143-000-7 Lot No. 5 Site Plan Name. Block No. D Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Install 4 Ton, 16 SEER, 10 KW Heater, Straight Cool Split System, Like for Like CONSTRUCTION INFORMATION: Additional work to e performed under this permit—check a apply: HVAC Gas Tank ❑Gas Piping In Shutters Q Windows/Doors Electric El Plumbing Sprinklers El Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 4800 Utilities:Cn Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Barry Robinson Name: Kelly Certosimo Address:9247 Short Chip Circle Company: Air Temp Air Conditioning City: Port Saint Lucie State:FL Address: 651 NW Enterprise Drive, Suite#107 Zip Code: 34986 Fax: City: Port Saint Lucie State:FL Phone No.267-254-6551 Zip Code: 34986 Fax: E-Mail:bbr531@outlook.com Phone No. 772-340-0740 Fill in fee simple Title Holder on next page{if different E-Mail. airtempac@yahoo.com from the owner listed above) State or County License: CAC1814837 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 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. r _ S Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor License Holder STATE OF FLORIDA ct STATE OF FLORIDA ++ . COUNTY OF �A #�T Luc[ I� COUNTY OF_- S& I is r Lu G{ C The forgoing instr ent was acknowledged before me The forgoing instrument was acknowledged before me this' day of r�i 20 ab this3P-b day of � ,_�__ 20 by -F it- I tit�4 i jam( im �tr rZ - "ram (Name of pers n acknowledging} (Name of person acknowledging} - tore of Nota ubli State of Florida ) (lure of Nota P State of Florida ) I ""'"Onafly-Known OR Produced Identification Personally Known OR Produced Identifcatic,r,-- �I Type of Identification Produced Type of Identification Produced Coftimissian Ntj. (Seal) Commission No. CHERYL A.FINK i Notary Public-State of Florida t= My Comm.Expires Mar 28,201 Reviseiili$, 014 ;�r .a� My Comm,Expires Mar 26,2016 ?rF dP Commission # FF 104667 %'ea goo-•' Commission # FF 104667 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVILW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS AL © This combination qualifies for a Federal Energy ' Efficiency Tax Credit when placed in service wal CERTIFIEbetween Feb 17, 2009 and Dec 31,2016. Certificate of Product Rati_ngs AHRI Certified Reference Number: 7943535 Date: 4/26/2017 Product: Split System: Air-Cooled Condensing Unit, Coll with Blower Outdoor Unit Model Number: RA1648AJ1 Indoor Unit Model Number: RHIT4821STAN 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 2 1 0124 0-20 0 8 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): 45000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): Ratings followed by an asterisk(*)indicate a voluntary rerate of previously published data,uniess accompanied with a WAS,which indicates an Involuntary rerate- DISCLAIMER AHRI does not endorse the products)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 nut,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 eve„ak, Iifr 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.: 131376940288800387