HomeMy WebLinkAboutPolo County Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/25/2018 Permit Number:
2
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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: 9000 Champions Way,Port Saint Lucie, FL 34986
Legal Description: LAKES AT PGA VILLAGE(PB 43-32)BLK A LOT 42(OR 2448-824)
Property Tax ID#: 3334-501-0056-000-0 Lot No. 42
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
A/C Change out, Install Rheem 3.5 Ton ,16 Seer, 10 KW Heater,S/C Horizontal in the Garage ,LIKE
FOR LIKE .
CONSTRUCTION INFORMATION:
Additional NorK to 5e e orme un er t �s permit—c ec a app y:
LJHVAC Gas Tank ❑Gas Piping _Shutters E]Windows/Doors
Electric Plumbing Sprinklers Il Generator Roof ,Roof pitch
Total Sq. Ft of Construction: SFt of First Floor:
Cost of Construction: $ 5,200.00 Utilities: _Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name John Palo Kell Certosimo
Name: y
Address:9000 Champions Way Company: Air Temp Air Conditioning ,Inc.
P Y�
City: Port Saint Lucie State:FL Address: 651 NW Enterprise Drive#107
Zip Code: 34986 Fax: City: Port Saint Lucie State:FL
Phone No.772-429-7432 Zip Code: 34986 Fax:
E-Mail: Phone No. 772-340-0740
Fill in fee simple Title Holder on next page( if different E-Mail: airtempac@yahoo.com
from the Owner listed above) State or County License: CAG1814837
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER(ENGINEER: —Not Applicable MORTGAGE COMPANY: Not Applicable
Name.� Name: —
Address:- � _ Address:
City:i State: City: ' _ State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:, 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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLO#t�BBAA ~
COUNTY OF COUNTY OF
The f96going in rum t was acknowled efore me The f n instru nt was acknowle efore me
this lay of 201 by thi�ay of 2 —
Name 4f per making statement amen p rss6n�Making statement
Personally Known OR Produced Identification Personally Known 0C OR Produced Identification
Type of Identification Type of Identification
Produced Produced
. Ms,
►y , C,scr�
t aP' AtOWIy p� S
=o aye Nosery Pumc Stete of nor . DIYC
anna Mahan
{Signature of Notary Pub t e�f Plgrfi4, ,;¢,on GG 176g8� (Signature of Notary Pub - ce nna Mahan
of n Expires 0 11 1 812022.. x�irg�� riiiart 0!G 17aaa1
Commission No. Commission No.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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.
CERTIFIED
F�
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AHRf Certified Reference Number :201290216 Date:01-23-2018 Modef Status :Active
Old AHRI Reference Number :7942888
AHRI Type :RCU-A-CB
Series
n Outdoor Unit Brand Name :RHEEiN
Outdoor Unit Model Number (Condenser or Single Package) :RA1642AJI
Indoor Unit Brand Name
Indoor Unit Model Number(Evaporator and/or Air Handler) :RH 1 T4821 STAN
Furnace Model Number :
Region :A41(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,iD, IL, IA,1N,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 ANSVAHRf 210/240 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 party testing:
Goofing Capacity(A2)-Single or High Stage(95F),btuh:41500
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 fnr 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 sale
Ratings that awe accampanred tax WAS mdrte an mvnturatar/re-rate. 7tre rrewiuhi+shed ratrrt rs shown along w+th the prev+aus(i;e WAS)rahng
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 llability 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
TERMS AND CONDITIONS
This certificate and its contents are pmpnetary 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; Z.
entered into a computer database;or otherwise utilized,in any form or manner or ny any means,except for the user's Individual,
personal and confidential reference. t.fFd-e^licit€d'str� ��A'eiNG,
CERTIFICATE VERIFICATION t =ter SEitATIOt�triSTt iSiE
The information for the model cited on this certificate can be verified at -„click on'Varify C;artificate"link a 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, i 13161210156d312110 hL
@2018Air-Conditioning,Heating,and Refrigeratian Institute CERTIFICATE NO.: w