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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7/20/17 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) 462-1573 Commercial PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 8216 Kiawah Trail, Port Saint Lucie, FL 34986 Legal Description: POD 25 AT THE RESERVE LOT 39 (OR 2566-721) Property Tax ID #: 3327-705-0040-000-9 Site Plan Name: Project Name: Setbacks Front Back: Right Side DETAILED DESCRIPTION OF WORK: Left Side: Residential X Lot No. 39 Block No. Install Rheem 1.5 Ton, 16 SEER, 5 kw Heater, Straight Cool Split System, Like for Like, VERTICAL A/C System, with Concrete Pad CONSTRUCTION INFORMATION: Additional work to be ertormed under this permit — check all apply: R✓ HVAC Gas Tank Gas Piping Shutters Windows/Doors Electric LJ Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 4100 SFt. of First Floor: Cost of Construction: $ Utilities: Sewer 0 Septic Building Height: OWNER/LESSEE: Name Christine Sheppard Address: 8216 Kiawah Trace City: Port Saint Lucie State: FL Zip Code: 34986 Fax: Phone No. 772-353-7262 E -Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) CONTRACTOR: Name: Kelly Certosimo Company: Air Temp A/C Address: 651 NW Enterprise Drive #107 City. Pori Saint Lucie State: FL Zip Code: 34986 Fax: Phone No. 772-340-0740 E -Mail: airtempac@yahoo.com 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: 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. 1n consideration of the granting of this requested permit, I do hereby agree that 1 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/b¢ssee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrument was acknowledged before me this-0Mdayofi—�/ U(`/ 20/`i by KELLY CERTOSIMO (Name o erson acknowledging.)' tSis" re o:_-I�zotafy abl' Co� f Florida ) "PorsbballkKn w -n - OR Produced Identification Typr cf IdentAcatibFrPmduced COmriri551 C1 tVo._� (S6461- A. FINK Notary Public - State of Florida aN My Comm. txpiles rvial 1&;- 1 Revised 07/15/20 Commission # FF 104667 REVIEWS FRONT ZONING COUNTER REVIEW DATE COMPLETE INITIALS Signature of ContraciLicense Holder STATE OF FLORIDA COUNTY OF ST LUCIE The forgoing instrument was acknowledged before me thisJb-Aday of 4 LrL`f .20 /-7 by KELLY CERTOSIMO A41 (Na erson acknowled (S of FloriO-a ) Personally Known OR Produced Identif ration Type of Identification Produced _ Commission No. (Seim SUPERVISOR PLANS REVIEW REVIEW r,dr . 4,µY P" .�''•. ' CHERYL A- F;NK �.`_ Notary Public - State 01 Florida N'r :aT My Comm. Expires Mar 26, 201 Commission # FF 144667 - VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW 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: 7940565 Date: 7/20/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1618AJ1 Indoor Unit Model Number: RH1T2417STAN 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): 18000 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 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 of AHRI_ This Certificate be for individual, 00, proprietary products shall only used personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; �r �� 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. RIR-CONDMONING, 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 mala, lite hctter 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.: 131450542030083839