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HomeMy WebLinkAboutBuilding Permit Applicationl ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED # Date: 5/8/2017 Permit Number: S -1 J ' -11 s 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 _ 1 ' PROPOSED IMPROVEMENT LOCATION: Address: 9106 Champions Way, fort Saint Lucie, FL 34986 Legal Description: LAKES AT PGA VILLAGE (P13-43-32) BLK B LOT 23 (OR 3919-688) Property Tax ID #: 3334-541-0101-000-1 Lot No. 23 Site Plan Name: Block No. B Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: A/C Change Out, Install Rheem 5 Ton, 16 SEER, 10 KW Heater, Straight Cool Split System, LIKE FOR LIKE CONSTRUCTION INFORMATION: Additional work to be ertormed under this permit —check all t apply: ❑ ZHVAC Gas Tank ❑Gas Piping iShutters Windows/Doors Electric ❑ Plumbing SprinklersGenerator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: [71 Height: Cost of Construction: $ 5500 Utilities: LJ Sewer Septic Building OWNER/LESSEE: CONTRACTOR: Name James Spencer Name: Kelly Certosirno Address: 9106 Champions Way Company: Air Temp Air Conditioning City: Part Saint Lucie State: FL Address: 651 NW Enterprise Drive #107 =; Zip Code: 34988 Fax: City: Port Saint Lucie State: FL 1 Phone No. 907-521-0011 Zip Code: 34986 Fax: E -Mail 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. I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: Stater 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. Signature of Owner/L see Can act as Agent for Owner STATE OF FLORIDA COUNTY OF FLORIDA Thefor ing instru t was acknowledged I�efore me this ay of 20 ,I by C4 IERYL EJUK {QrAKELLY CERTOSIMO i;N:36e of porsdri aekrl:owledging } (Sigrdtur2 ofiNotary blit State of Florida } Signature of Contract r/License Holder STATE OF FLORIDA - COUNTY OF FLORIDA Thefor ing instru t was acknowledged _beroce me � this dayof (�( _ 20 -by ------- CHERYL FINK for KELLY CERTOSIMO (Name of person acknowledging } (SignatuAtary LIM State of Florida } s Personally Known Ix OR Produced Identification Personally Known X OR Produced Identification Type of Identification Pro pe of Identification Prod CHERYL A. FINK CHERYL A. FINK Commission No. ??: °�? rqb }Public -State of flariat-^mmission No. =_ •�°c f�e l�lbublic State of Florid 'Ns 4A My Comm. Expires Mar 28, 2018+o` My Comm. Expires Mar 26, 201 ., %'F jft :•' Cnmmiscinn �t FF 104667 _ ''.'rGFO # FF 1046&7 Revised 07/15/2014 J 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, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 7943714 Date: 5/8/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1660AJ1 Indoor Unit Model Number: RH1T6024STAN 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, Mt, 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): 58000 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, 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 arlsing 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, AM 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 we make lire hettoe, 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.: 131387261657159874