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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/27117 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 Address: 12152 Riverbend Terrace, Port Saint Lucie, FL 34984 Legal Description: BAY ST LUCIE LOT 4 (MAP 44/22N) (OR 3529-940) Property Tax ID #: 4422-502-0008-000-5 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Residential X Lot No. 4 Block No. Install Rheem 2.6 Ton, 16 SEER, 7 kw Heater, Straight Cool Split System, HORIZONTAL, LIKE FOR LIKE CONSTRUCTION INFORMATION: itzona wor to e e orme -under R3HVAC this permit—check []Gas Piping an apply: 11✓Windows/Doors LJ Gas Tank Company: Air Temp Air Conditioning _Shutters Address: 651 NW Enterprise Drive #107 11Electric Plumbing OSprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 2975 S Ft. of First Floor: []Septic Height: Cost of Construction: $ 4800 Utilities Sewer Building OWN ER/LESSEE: CONTRACTOR: Name ANula Smith Name. Kelly Certosimo Address: 12152 Riverbend Terrace Company: Air Temp Air Conditioning City: Port Saint Lucie State: FL Zip Code: 34984 Fax: Phone No. 772-924-8778 Address: 651 NW Enterprise Drive #107 City: Port Saint Lucie State: FL Zip Code: 34986 Fax: Phone No. 772-3400740 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 KtCUKUtU IVDSICe oT l.ornmencement I? reyuuru. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 171 DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: AnjulaSmith Name: KellyCertosimo Address: 12152 Riverbend Terrace, Port Saint Lucie, FL 34984 Address: 12152 Riverbend Terrace City: Port Saint Lucie State: City: PortSaint 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 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. 1n 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 1,rdin our Notice of Commencement. comlI1CMIn wor or rico o / 4'5 . Signature of Contrac or/License Holder signature -of -Owner --Lesseee/Contractor as Agent for Owner STAT E OF 11ORIDA STATE OF FLORIDA COUNTY OVSAINT LOCIE COUNTY OF SAINTI-ME _ TfTe.forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 2rth day of September 20j 7 by this 27th day of September 20 Kelly Certosimo Kelly Certosimo 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 Produced (Signature of Notary P tic- State of Florida J (Signature of Nota tem ' o1PFtP Y AU®(, YL A. FINK aJ Commission No. ji '` .��`a'r P"•o Commission No. �a (SRYL A. FIPJ!( Notary abfic - State of Florida g �_ ° ' ° No Public - Slate of Florida f% �_ p My Comm. Expires Mar 28, 2018 = f 1 , My Comm. Expires Mar 28, 201 F moo` commission # FF 104667 •, 4r FL i S # FF 104667 s •0"F "u'nn�ssiun REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATI0 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: 7941343 Date: 9/27/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1630AJ1 Indoor Unit Model Number: RH1T3617STAN 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 210/240-2008 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): 29000 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 rerafe DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties at guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages at 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 tar the user's individual, AIR -CO personal and confidential reference. REFRIGERATION HEATING, ATION RVSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www_ahridirectory.org, click on "Verify Certificate" link we make life berte," and enter the AHRI Certified Reference Number and the date an which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. 1315098993465453 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: