HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
. 811117 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) 462-1.678 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7759 Greenbriar Circle, Port Saint Lucie, FL 34986
Legal Description: POD 19 PUD ll GREENBRIAR (P8 41-5) LOT 75 (OR 1943-439)
Property Tax ID ##: 3322-700-0080-000-1
Site Plan Name:
Project Name:
Setbacks 'Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 75
Block No.
Install Rheem 4 Ton, 16 SEER, 10 kw heater, Straight Cool split system, LIKE FOR LIKE
CONSTRUCTION INFORMATION:
ititiona I work to e r orme under this permit-- check a appy:
WIHVAC M Gas Tank 0Gas Piping _ Shutters I Windows/Doors
11 Electric E] Plumbing O Sprinklers Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction:_
Cost of Construction: $ 4900
S. of First Floor: _
Utilities: Sewer -Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
mss.
FT
Address: 9669 Fairwood Court
N-ry
a R 1 0 A
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) 462-1.678 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7759 Greenbriar Circle, Port Saint Lucie, FL 34986
Legal Description: POD 19 PUD ll GREENBRIAR (P8 41-5) LOT 75 (OR 1943-439)
Property Tax ID ##: 3322-700-0080-000-1
Site Plan Name:
Project Name:
Setbacks 'Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 75
Block No.
Install Rheem 4 Ton, 16 SEER, 10 kw heater, Straight Cool split system, LIKE FOR LIKE
CONSTRUCTION INFORMATION:
ititiona I work to e r orme under this permit-- check a appy:
WIHVAC M Gas Tank 0Gas Piping _ Shutters I Windows/Doors
11 Electric E] Plumbing O Sprinklers Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction:_
Cost of Construction: $ 4900
S. of First Floor: _
Utilities: Sewer -Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Waheed Ismail
Name. Kelly Certosimo
Address: 9669 Fairwood Court
Company: Air Temp A1C
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 914-588-8688
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 $2500 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:
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.
Sigaatar,F, Qf Owner./Less e/Contractor as Agent for Owner
STk—TE OF kO,RMA
JC= NTY & SaNT Lu4E
The for�? ing. nstr nt was acknyawledg r k�efore me
thkkh tdaq of 20 by
KELLY CFRTOSHkO
Signature of Contract r/License Holder
STATE OF FLORIDA
COUNTY OFFGXINTLucis
The fag ing instr m nt was ac �, .wledgedfore me
this 1day of Q�-� 2Q �by
KELLY CERTOSIMO
(Na p icon acknowI d g) (Name of person acknowled g)
( ture of Not Public- State of Florida) {Signa ure of No ry Public- State of Flori a
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2
CHERYL A. FINK
My Comm. Expires Mar 28, 2418
Commission # FF 144667
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
- F A. FINK
)!, Expaes Mar 28, 2418
& lssicn # FF 144657
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
This combination qualifies for a f=ederal Energy'
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratinas
AHRI Certified Reference Number: 7843535 Date_ 7/312017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: RA1648AJ1
Indoor Unit Model Number: RH1T4821STAN
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 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.ahrid!rectory.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 make 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.
®2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131435824601364,