HomeMy WebLinkAboutCHAMBERY 3.5TONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 917117 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) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9322 Briarcliff Trace, Port Saint Lucie, FL 34986
Legal Description: BRIARCLIFF AT PGA VILLAGE - LOT 30 (OR 3468-2805)
Property Tax ID #: 3322-8010035-000-1 Lot No. 30
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: !
INSTALL 3.5 TON, 16 SEER, WITH 10KW HEATER, STRAIGHT COOL SPLIT SYSTEM, LIKE FOR
LIKE, HORIZONTAL
LJHVAC L__J Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 2594
Cost of Construction: $ 4900
under this permit-- check a
E]Gas Piping
Sprinklers
LJ Shutters Q Windows/Doors
LSI Generator Innt Roof Roof pitch
Sq. Ft. of First Floor:
Utilities: Sewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name GREGORY CHAMBERY
Name: KELLY CERTOSIMO
Address: 9322 BRIARCLIFF TRACE
Company: AIR TEMP AIR CONDITIONING
City: PORT SAINT LUCIE State: FL
Zip Code: 64986 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 ( 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 requirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: GREGORY CHAMBERY Name: KELLY CERTOSIMO
Address: 9322 BriarciiffTrace, Pori Saint Lucie, FL 34986 Address'. 932213RIARCLIFF TRACE
City: PORT SAINT LIJUE State. City: PORT SAINT LUCIE State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 651 NW ENTERPRISE DRIVE #107 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 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 recordingyour Notice of Commencement.
Signature of 0"w r/ Lessee/Contractor as Agent for Owner
-STATE Ovf, FLORIDA
000f � � OF sTLIAGIE '
The for''ng-ins,tru ent as cknowledged before me
thisayof
17
, 20I by
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produc�
(Si re of Not Pu lic- State of Florida j
Commission No.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
CHERYL A. FINK
Notary Public . State of Florida
ssiod SUPERVISO
Signature of Contr or/License Halder
STATE OF FLORIDA
COUNTY OF sTLuC
Thefor oing instr enwas cknowledged before me
this74 day , 20� by
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
of Notary Publ
Commission No.
PLANS 4 VEGETATION
REVIEW REVIEW
(SeanHERYL A. FINK
Notary Public -State of Flor
My Comm. Expires Mar 28. 2
commission # FF 104661
fi'IlRTLEI MANGROVE
REVIEW REVIEW
This combination qualifies for a Federal Energy
R Efficiency Tax Credit when placed in service
ruM!l CERTIFIEbetween Feb 17, 2009 and Dec 31, 2016.
www 211ri1irectorv.0
Certificate of Product Ratings
AHRI Certified Reference Number: 7942888 Date: 9/712017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: RA1642AJ1
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): 41500
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.abridirectory.org.
TERMS AND CONDITIONS shall only be used for individuai, personal and MIS
This Certificate and its contents are proprietary products of AHRI. This Certificate
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;
AM
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING,
personal and confidential reference. & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridirectury.org, click on "Verify Certificate" link we make life berm"
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. 1314928323567684
02014 Air -Conditioning, Heating, and Refrigeration Institute[CERTIFICATE NO.: