HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/25/17 Permit Number:
•
Building Permit Application
Plonning 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:
Address. 18701 Kitty Hawk Court, Pori Saint Lucie, FL 34987
Legal Description: Aero Acres Blk 2 Lot 16 (1223 AC) (OR 1376-2722:1617-2904)
Property Tax ID #: 3215-801-0045-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No. 16
Block No. 2
DETAILED DESCRIPTION OF WORK: I
A/C Change Out, Install Rheem 4 Ton, 16 SEER, 10 kw Heater, S/C Split System, LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that appy:
HVAC Gas Tank Gas Piping Shutters Windows/Doors
®Electric ❑ Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. F of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4700 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kristina Busby
Name: Kelly Certosimo
Address: 18701 Kitty Hawk Court
Company: Air Temp Air Conditioning, Inc_
City: Port Saint Lucie State: FL
zip Code: 34987 Fax:
Phone No. 561-644-5074
Address: 651 NW Enterprise Drive #107
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax -
Phone No. 772-340-0740
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: airtempac@yahoo_com
State or County License: CAC1814837
If value of construction is j25UU or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
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:
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 thepermit 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/Lessee/Contractor as Agent for Owner Signature of Contractor/ ,cense Ho#der
STATE OF FLORIDA
COUNTY OF sTLUCiE
The f�ng in st 8nt w�s acknowledged before me
this ay of s 20by
KELLY CERT0511110
(Name son acknowledging)
FRONT
ZONING
SUPERVISOR
PLANS
i *g nture of air
_ublic- State of Florida)
Personally Known x
OR Produced identifica io
Type'orrdentific�Wor
,4
REVIEW
O1,, CHERYL A. FINK
=a' °��
Commis -don No-
" Notar c - State of Florida
_ Ij
REVIEW
?N, = My Comm. Expires Mar 28, 2018
Commission # FF 104667
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF STLUC,E
The forgoing ins tr nt w acknowledged before me
t h i ri-9_591 a y of 20 a by
KELLY CERTOSWO
(Name erson acknowledging )
) P
(Si re o of Pu4State of Florio`�1 -
Personally Known x ORP
Type of Identification Prodi ed..
Commission No.
N�ubiic -State of Fjodda
M , Expires M.er 28, 201'
Commission # FF 104667
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
This combination qualifies for a Fed77service
Ai 001LI CERTIFIED�' Efficiency Tax Credit when place
I between Feb 17, 2009 and D
www.ahridirertary.org
Certificate of Product Ratings
AHRI Certified Reference Number: 7943535 Daae: 7/25/2017
Product: Split System: Air -Cooled Condensing Unit, Coil 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 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 (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, unless 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 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-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 snake 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.
CERTIFICATE NO.: 13144760458306581
0203.4 Air -Conditioning, Heating, and Refrigeration Institute