HomeMy WebLinkAboutCHAMBERY 2.0 TONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 917/17 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) 462-1.578 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 #: 3322-801-0035-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No. 30
Block No.
DETAILED DESCRIPTION OF WORK: I
INSTALL 2 TON, 16 SEER, WITH 5KW HEATER, STRAIGHT COOL SPLIT SYSTEM, LIKE FOR
LIKE, VERTICAL
CONSTRUCTION INFORMATION:
itiona-1work to be ertormed under
�
El
this permit —check
all
apply:
Q
WJHVAC Gas Tank
Gas Piping
Address: 651 NW ENTERPRISE DRIVE #107
Shutters
Windows/Doors
11 Electric F]Plumbing
I� Sprinklers
State or County License: CAC1814837
ElGenerator
Roof Roof pitch
Total Sq. Ft of Construction: 2594
Scl.
Ft, of First Floor:
Cost of Construction: $ 3900
Utilities-
Sewer 0 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. 34986 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 required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: GREGORY CHAMBERY
MORTGAGE COMPANY: Not Applicable
Name: KELLY CFRTOSIMO
Address: 9322 Briarcliff Trace. Part Saint Lucie, FL 34986
Address: 9322 BRIARCLIFF TRACE
City: PORT SAINT LUCIF State:
Zip: Phone
City: PORT SAINT LUCIE State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 661 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 Instaiiation as Inoicateo.
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
in work or recordin our Notice of Commencement.
commenc2 112 X
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Z�"e
Signatwe of Owned- essee/Contractor as Agent for Owner
Signature of Contra r/License
Holder
-STATE OF FLORIDA
STATE OF FLORIDA
t COUNTY OF :TLU(;IE
COUNTY OF STLUCIE
The forgoing instr ent was a knowledg d before me
�jday 20 by
The for ing instr ,en
this day of
iwas a nowledged before me
20 by
this of
Name of person making statement
Name of person
making statement
Personally Known x OR Produced Identification
Personally Known x
OR Produced Identification
Type of Identification
Type of Identification
Produced
Produce
I
(Sign e of Nota u i - t
(Signatur of Nota Pu
ic- State of Flori a
,Ap1Y �PI+� A. FINK
.A��R °8�,-, Cy{ RY
Commission No. •� —Notary Publ%State of Florida
Commission No.
AA��R�rpr®; (SealpHERYL A. FINK
- State of Flo
' ° ; .= My Comm. Expires Mar 28, 201E
__ ` +�r;
t _ Notary Public
. Comm. Expires Mar 2E,
commission # FF 104667
, My 466
REVIEWS
R N
ZONING
SUPERVISOR
PLANS
VEGETATION
I E
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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: 7940891 Date: 9/7/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: RA1624AJ1
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 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 (I3tuh): 24000
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
[EER Rating (Cooling):
' Ratings followed by an asterisk (") fndicate 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.oig.
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; `� 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. 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, w
which is listed above, and the Certificate No., which is listed at bottom right.
02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: �3i4928334486054