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HomeMy WebLinkAboutBuilding Permit ApplictationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: CQUI+#TY � D A Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 343$2 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x Address: 103 NE NARANJA AVE., PORT SAINT LUCIE, FL 34983 Legal Description: RIVER PARK -UNIT 4 BLK 39 LOT 29 (MAP 34128N) (OR 4029-2520) Property Tax ID #: 3419-530-0215-000-3 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. 29 Block No. 39 A/C CHANGE OUT, INSTALL RHEEM 4 TON, 16 SEER, 10 KW HEATER, S/C SPLIT SYSTEM, LIKE FOR LIKE CONSTRUCTION INFORMATION: Additional work toe performed under this permit— check a appy: L" IHVAC Gas Tank ❑Gas Piping L Shutters Windows/Doors 11 Electric © Plumbing Sprinklers 1:1 Generator Roof �] Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 4200.00 Sq. Ft, of First Floor: _ Utilities; F Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name KERI DEAMER Name: KELLY CERTOSIMO Address: 103 NE NARANJA AVE. Company: AIR TEMP AIR CONDITIONING City: PORT SAINT LUCIE State: FL Zip Code: 34983 Fax: Prone No.937-475-7239 Address: 651 NW ENTERPRISE DRIVE, UNIT 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,CCM 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 N a me: KERI DEAMER MORTGAGE COMPANY: Not Applicable N a me: KELLY CERTOSIMO Address: 103 NE NARANJA AVE., PORT SAINT LUCIE, FL 34983 Address: 143 NE NARANJA AVE. City: PORTSAINTLUCIE State: Zip: Phone City: PORTSAINTLUCIE State,: . Zip: Phone: FEE SIMPLE TITLE BOLDER: Not Applicable Name: Address: 651 NW ENTERPRISE DRIVE, UNIT 107 BONDING COMPANY: Not Applicable Name: 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. 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 our Notice of Commencement. 1�eO Ae� Signature of Owner/Lessee/contractor as Agent for Owner Signature of Co ractor/License Holder STATE OF FLORIDAI STATE OF FLORIDA COUNTY 01`-,,�r. COUNTY Ol The for oing instrul was acknowledgedkfore me this day of 20 1 Xby z C'f'v'-feu Nae of person making statement Personally KnownV OR Produced Identification Type of identificatio Produced piv�_ nature pf Notary Public- State of t �''jj �� Notary Pubhc State CommSSi0119V0. I • Caftrine Donna My Commrawon GC ExpsrH Olt 181022 REVIEWS FRONT I ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 The forgoing Instrument was acknowledged before me this day of 20 by Name d p rson making statement Personally Known V OR Produced Identification Type of Idle rytfiration p Produced ry Public- NCtary Ptd Stnja of No. +, I rate [)arise M ` M i=xprrii ©iHE124GG 1 SUPERVISOR I PLANS I VEGETATION I SEA TURTLE I MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW 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 Ratin AHRI Certified Reference Number : 201285991 Date : 01-22-2018 Model Status : Active Old AHRI Reference Number : 7942207 AHRI Type : RCU-A-CB Series Outdoor Unit Brand Name : RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1636AJ1 Indoor Unit Brand Name : Indoor Unit Model Number (Evaporator andlor Air Handler) : RHiT3617STAN Furnace Model Number : 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. The manufacturer of this RHEEM product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSUAHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third parry testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh :35400 SEER : 16.00 EER (A2) - Single or High Stage (95F) : 13.00 IEER : t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sate. Ratinas that are accompanied by WAS indicate an Involuntary re -rate. The new published rafim is shown along with the previous (Le. WAS) rating. 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 fasted in the directory at www.ahrid lrectory.erg. 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 tills Certificate may not,in whale or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manger 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.ahridirectery-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. 02018AIr-Conditioning, Heating, and Refrigeration Institute j CERTIFICATE NO.: 131611301723867759