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Building Permit Application
.ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 616/2018 Permit Number: 1805-0765 Building Permit Application Planning and Development:Services Building and-Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 3.4982 Phone:(772)-462-1553 Fax:(772)462-1578 Com'mer0al Residential x PERMIT APPLICATION FOR: Mechanical 45 OPOSED}1MPROVEMENT1OCATION Y Address: 1.716 Pondberry.Lane,Port:Saint Lucie:,FL_34952 Legal Description: LAKE LUCIE ESTATES PLATNC,6NE LOT 143(OR 4023-2190). Property Tax ID# 3426-703-0157-000-0Lot No..143 Site:Plan Name: Block No., Project Name: Setbacks Front Back:. Right.Side: Left Side: DETAILE�DtDESCRIPTION O�WORK ' ' °� `.; kt� F , s A/C Change out, Install`Rheem 3Ton,16 Seer,10KW Heater,S/C Split System, LIKE FOR LIKE I CQNSTR�ICTIO:N INFORMATION Add itiona work to be nertormed� under' is permit—c ec all appy: i HVAC Gas Tank Gas Piping In-Shutters Q Windows/Doors 1 Electric Plumbing 11, 1Sprinklers 0Generator Roof Roofpitch. Total Sq: Ft of Construction:- S .Ft.of First Floor:: Cost;-of Construction:$ 5,300.00 Utilities: Sewer ElSeptic Building Height: OWNER/LESSEE a CONTRACTOR Name Sonia Echevarria Name: Kelly Certosimo Address:1716 Pondberry(:ane Corrtpany: Air Temp Air Condiboning,Inc. City: Porfsalht:Lucie State:FL Address: 651 NW Enterprise,Drive #101 Zip Code: 34952. Fax: City: Port Saint Lucie .State:FL Phone No`.860-805-4010 Zip Code: 34986 Fax: E-Mail: Phone No. 772-340=0740 Fill in feesimple Title-Holder on next page(if.difFerent E-Mail: airtempac@yahoo:com from the:Owner listed above) State or County Licenser GAC18:14837 if value of construction is$2500 or more,a:RECORDED Notice of Commencement is required. S SUPPLE CONSTRUCTION L11rN LAW iNFORMA7 lON DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: �Not Applicable Name: Name:' Address:-. Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE BOLDER: ____Not Applicable BONDING(OMPANY: _Not Applicable 'Name: Name: Address: Address: City". City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIbVIT:Application.is hereby made to obtain a permit to do the work and installation as indicated. I certify:that no work orinstallation=has.corrimenc+d prior to the issuance of a permit. St.Lucie,Countyymakes no representation that.is granting a permit.will:authorize the,permit holder to build the subject structure which is in-eonflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure:Please consult with your Home Owners Associationand-review your deed for any restrictions which may .apply. in consideration.of the granting of this requested:perrnit,l do hereby,agree that'l will,in all respects,perform the work in.accordance with the approved plans;the Fiorida'8uilding•;Codes and St.L ucie County Amendments. The following building permit appkations,are exempt from undergoing a full'concLirrency review.:room additions, accessory structures,swimming-pools,fences;walls,signs,screen rooms and accessory uses to another non-residential use WARNING TO OWRIER:'Your failure.to'Record a NoEice of Cornimencement may=result Wyour paying twice for improvements toyouur.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 Commencert*nt. 4 Signature of'Owner[LesseeJContractor as Agentfor Owner Signature of Contractor/License Holder STATE OF FLORIDA ((�� �. /� STATE.OF FLO COUNTY OF COUNTY OF The forgoing.instrument was acknowledged before me The for oing ins r ment was acknovrled before me thi day of_)e� _ 20�) by this day of 2( by ft 6, ame of son making statement Narne gf person ma drag statement a Personally KnoV OR Produced Identification PersonailyKnown OR Produced identification Type.of identificatio Type of Identificatio P duced Produced j >• ^" 4ss o , �1r�iii r,e�t+€e o �onaz nattire.of Nota .Pu atm +toei na EAahan (Signature of-A St 301i4r 69firya Madan �, My Camrri1s��o�,n 176II81 i My Commission GG 17689.1 li d# Expires 01118 22 Commission No. 'y o� Expire's6111"W) Commission-No. eal)__ � 1 f '? 76 OV t REVIEWS FRONT ZONING SUPERVISOR. PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW' REVIEW REVIEW DATE RECEIVED. DATE COMPLETED Rev.8/•2/17 I 1 .'�' �:lx'zS-j .,a. -2�v5xat c:. 4�{'r21" S ::v.} 'i' ext '7�' .�.'.,.."7'1�ri + c�z.i"-"v n .rT -��."s�T'.sS -'e.._�'T`--�'�'��.,.c...�a - ..�lt.�"s.",+✓_. r�¢ .•�•.:. ,+..-<.,.—:,;.-t--�-n-+,�cr_r�r+r.-a,..-- ,...._.b.-v,.w_.._.;-^ 'cr.--«...t<'�-....'...xcr. ,r.-._.r..o ___•_____.__x..�„-:'^+:-_r_ra.._-.ve« .>.+:.0--_....v ._...�.r.�.-=.:sr_•..�,:;-�...:-.r._m -"'"s This combination ualifies for aFederal Ener' ` Efficienc .tax.Creditwhen ' placed in service between between 7,2009"and Dec'31,2016. ren .„ ��,(`gvN �3'�i Iri.j P�ln Ff f7`i }'Ssqp cy1lx�r�, DPW a 3}'�' (��Leµ�.P� L„•�� t �Su `�'�J ce�,.:fi•(ksr _. k:;c y�0 r 1.``yzE�b .. .r _a..-s..�:;....-".."�xS"�u'.�._a.�..:.«...tr._a..�rE..u...:._.�,.w:.a'��...�.,t.���a"....z�";�.w .�"•^"°'^5..'^s:c.,"F:a;:.�::.a�,.�:.�rv?w«. �y ti AHRI Certified-Reference Number:201285991 Date:01-22-2018 Model Status :Active " - t~ E Old AHRL Reforehce'Number:7942207 i ` i iii AHRI:Type:RCU-A-CB Series . E ' Outdoor UnitBrand Name :RHEEM Outdoor Unit Model-Number (Condenser or Single Package) :RA1636AJ1 t s gr Indoor Unit Brand Name s Indoor Unit Model Number(Evaporator'and/or Air Handler) :RH1T3617STAN FuMace MddePNumber': a, r = s y. Region:All(AK;AL,"AR,AZ,-CA,CO,,CT,PC,-DE,FL,GA,HI,ID,IL,.IAjN,KS,KY,LA,MA;MD,ME,MI,MN,-M17,MS,MT,NG,ND,NE,NH, ?t r NJ,NM,,NV;`NY,OH,OK,OR,,PA,.RI,'SC,SD;TN;-TY,UT,-VA,VT,,WA,WV,WI;WY,U.S.Territories), I t Et Region Note is Central air conditioners manufactured,ppor to January 1,2016are.eliglbleto be installed in.611 regions,until June 30,21)16. )7r? Beginning.Juiy 1,2016 central'airconditioners can only be-installed_ inregion(s):forwhich:they meet the regional efficiency rK requirement S The.manufacturer of this.RHEEM;product is"responsible for the,rating of thisaystem combination. { Rated as follows°ln.'accordance:with'.the latest-editionnof ANSI/AHRI 210/24D with Addenda T and 2;Performance•Rating ofUnitary'Air-Conditioning g 1 _. &Air.-Source Heat;Purnp Equipment and subject to-rattng;accti[acy by AHRI sponsored,independent,third.partyaesting: r r" Cooling Capacity-(A2)'=:Single or High Stage.(95F),btuh::35400 SEER-:16.00' "su y< F EER(A2);Single.or High:Stage:(95F) :'1100— , g JEER": i t sj I r¢ -"Active"Model•Status are;those;that an AHRI.6etttfcatlon Program Participant Is currently producing AND'selling or offering for,sale;OR new models',tint are;being } marketed butare not yet tieing produced."Production Stopped"Model'Status are"thoswlhal an AHRI Certification Program Participant Is no longer producing"BUT instill 1 s selling or offering for sale: Rahggs that are accomranied bby WAS indicate an involuntary re'ratQ. Tha new puBhshed raling is shown along with the previous(i a wAS)rati�c > ;a-'c R—r.&'c�-•aar-_-.e -ls_»__....^r.aLisar., �.-sT:x....._....2....2vc.s^t'cau_._ ._- t DISCLAIMER AHRI does not endorse:the,product(s).listed ori tbis Certificatetend makes norepresentations,-warranties or guarantees alto,and assumes no responsibility for, ' t i the",product(s)ilsted on:this'Certificate.AHRI'ezprassiy disclaims all liability:fordamages of any Idnd arlsing out of the use or peitormarice of the product(s)',or the i unauthorized alteratlonof data listed on this Certificate.Certified ratings are valid only for models and configurations listed1n the s:' r directory at t shridrectarJ.org. �'' TEPAS This Certificate nd0lts contents are proprietary products of AHRi..This Certificateshall only be used for lndiTidual;,personal and _ , „4� ( } S "• confidentlal referencepurposes.The contents'of this Certificate may rim in whole`.or in part,;be reproduced;copie&dlsseminated; 'entered-into a computer database;or otherwise utilized,In any form or manner orby.ony means,.exeeptfor'the user's Individual, '-' 4•. f ' r° a personal and confidential reference. CY:3rRi>Er2ri41CT.SNS"i ICiSTE '� CERTIFICATE VERIFICATION. E � The information for themodel cited on this certificate can be verified click on"i'erify Cerriri ai°"link «t mako lira 6crzcr n 1 and enter theAHRI,CertiBed Reference Numberantl the date.on which the certificate was Issued, whichlsiisted-above,and,the Certificate No.,which is listed at.bottom right 13161130]723867759 at 1 ©2018A'ir-G.onditioning;Heating;and Refrigeration Institute _.. a.z..:.r