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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: August 30, 2017 Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 1300 Virginia Avenue, Fort Pierce FL 34952 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 8314 Riviera Way, Port Saint Lucie, FL 34986 Legal Description: POD 18 AT THE RESERVE PUD II (PB 40-16) LOT 30 (OR 3245-1552) Property Tax ID #: 3327-711-0037-000-4 Site Plan Name: Project Name: Setbacks Front Back: I DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Lot No. 30 Block No. Install New A1C Rheem 3 Ton, 16 SEER, 10 KW Heater, Straight Cool Split system, LIKE FOR LIKE CONSTRUCTION INFORMATION: CONTRACTOR: Name Gregory Chambery Name: Kelly Certosimo Additional work toe er orme under HVAC Gas Tank this permit--- check 0Gas Piping a appy: Shutters El 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 4 if different from the Owner listed above) E -Mail: airtempac@yahoo.com _ Windows/Doors LJ Electric Q Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 1577 S Ft. of First Floor: Cost of Construction: $ 4300 Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Gregory Chambery Name: Kelly Certosimo Address: 7 Sweets View Drive Company: Air Temp Air Conditioning City: Fairport State: NY Zip Code: 14450 Fax: Phone No. 585-734-0779 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 4 if different from the Owner listed above) E -Mail: airtempac@yahoo.com State or County License: CAG1814837 it value oa construction is >/suu or more, a KtCUKUEU Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable N a me: Gregory Chombery MORTGAGE COMPANY: Not Applicable N am e: Kelly Certosimo Add ress: 8314 Riviera way, Port Saint Lucie, FL 34986 Address: 7 Sweets view Drive City. Fairport State: Zip: Phone City: PortsainiLude State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: $51 htw Enterpnse Drive #1G7 Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 Horne 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 vour Notice of Commencement. Sign .tore of Ow-r�prt__ssee/Contracto Agent for Owner STATE DF -�LCYMDA _ C:OU.NTYOF 1zT-Luc.'E - The forgoiiig`instr ei-tt was cknowledged before me this �ay of U 20 by KELLY GERTOSIM0 Name of peaking statement rson Personally Known OR Produced Identification Type of Identification P rodrtsed (Signature of Notary Public- State of Florida ) Commission No. {SeaijHERYL A. FINK Notary Public - State of Florid My Comm. Expires Mar 28, 20 REVIEWS COUNTER I REVIEW I REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 " IEA Signature of Contract,icense Holder STATE OF FLORIDA COUNTY OF STLDCiE The for o.ng inst n was a owledg teforergz thismay of k f 20� by KELLY CERTOSI MO Name of pers making statement Personally Known OR Produced Identification Type of Identification Produced of NHtary Public- State mission No. -PLANS I VEGETATIO REVIEW I REVIEW (SM�RYL A. FINK Notary Public - State of Florid; My Comm. Expires Mar 28, 201 REVIEW I REVIEW This combination qualifies for a Federal Energy ® r Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016, Yvww. ah rid! rectory.org Certificate of Product Ratings AHRI Certified Reference Number: 7942207 ©ate: 8/30/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1636AJ1 Indoor Unit Model Number: RHIT3617STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, H1, 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): 35400 EER Rating (Coaling): 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 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 an this certificate can be verified at www.ahridirectory.org. click on "Verify Certificate" link we make life better" and enter the AFRI 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.: 1314&5663523466615 ®2014 Air -Conditioning, Heating, and Refrigeration Institute