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HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 06/25/2018 Permit Number: Lare-Is 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: 7017 Willow Pine Way, Port Saint Lucie, FL 34986 Legal Description: POD 6 PUD 1 AT THE RESERVE WILLOW PINES WEST AT PGA VILLAGE(PB 42-33)LOT 32(OR 3268-2172;3935-548) Property Tax ID#: 3322-621-0041-000-4 Lot No.32 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 Ton , 16 SEER, 7KW Heater, SIC Split System, LIKE FOR LIKE CONSTRUCTION INFORMATION: it i,: i:al work to On I Iorme I E 11 1e IMapply: FVIttVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors 11 Electric LJ Plumbing Sprinklers E Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ 4,900.00 Utilities:11Sewer Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Deborah A Breindel Name Kelly Certosimo Address:7017 Willow Pine Way Company: Air Temp Air Conditioning, Inc. City: Port Saint Lucie State:FL Address: 651 NW Enterprise Drive#107 Zip Code: 34986 Fax: City: Port Saint Lucie State:FL Phone No.772-882-9170 Zip Code: 34986 Fax: E-Mail: Phone No. 772-340-0740 Fill in fee simple Title Holder on next page( if different E-Mai[: airtempac@yahoo.com from the Owner listed above) 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 MORTGAGE COMPANY: Not Applicable Name:. Name: Address: Address: - City: State: City: - State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address:651 NW Erterpdseddvesuite#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. 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. Z _ Signature of Owner/Les ee/Contractor as Agent for Owner Signature of Contractor/ ' ense Hoder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 1 I I C"JQ_ COUNTY OF 141 �� r The for oing instr nt was acknowledged before me The forgoing instru ent was acknowledgeefore me thisZday of 2Qby this day of f fti 20_ by I Na of a on making statement ame f er on making statemen Personally Known OR Produced Identification Personally Kn n OR Produced Identification Type of Identiflcat on Type of Identificat I Produced ` ` Produced Notary F'ut�lia State of F}OrldO I . Notary Putho State of Floroa a4 Catherine Donna Mahan Catherine Donna Mahan Commission GG 17W81 Signature u6ELr%k9i'Y rarida ignature a bkP3ttp?19/FWida y Commission No. (Seal) Commission No. (Seal) ACC I16 E'9 ( C I � REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.$/2/17 T w 'A mwt This combinatibn qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31 2016. k � ke r r - a ' _ AHRI Certified Reference Number .201285991 Date:07-2.2-2018 Model Status :Active Old AHRI Reference Number :7942207 k'a AHRI Type :RCU-A-CB Series Outdoor Unit Brand Name :RHEEM fi Outdoor Unit Model Number (Condenser or Single Package) :RA1635AJ1 Indoor Unit Brand Name Indoor Unit Model Number(Evaporator and/or Air Handler) :RH1T3617STAN Furnace Model Number: Region :All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,ID,IL,]A,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,S©,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 he 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 ANSIIAHRI 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 party testing: Cooling Capacity A2 ( )-Single 9 or High Stage(95F),btuh:35400 SEER :16.00 EER(A2)-Single or High Stage(95F) :13,00 IEER t°Active"Mode[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 offerng for sale Ratngs that are accompanied by WAS indicate an snyaluntary rp sale Thy new published rating is shown elan with the revious t e.WAS rating, _DISCLAIMER . - ri 9. . P_.,... (i ,.__.,. )_ 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 fisted on this Certificate.Certified ratings are valid only€or models and configurations listed in the directory at : _ TERMS AND CONDITIONS ter_ This Certificate and its contents are proprietary products of AHRI_This Certificate strap only be used for individual,personal and k 4 confidentlaP 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 for the user's individual, personal and confidential reference. CERTIFICATE VER[FICATIOfq - JTF The information for the model cited on this cortiflcate can be verified at 0 Click on and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, n"link ,Q make life Izetter°" which is listed above,and the Certificate No.,which is listed at bottom right 02018Air Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 131611307723$67758