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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/29/2018 Permit Number- J1 umber:J ; Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34952 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x Address: 10119 Bay Tree Court, Port Saint Lucie , FL 34986 Legal Description: RESERVE CREEK PARCEL 5 LOT 9 AND THAT PART OF SEC 22-36-39 ADJ ONW A5 IN OR 573-285 (OR 3679-641 ) Property Tax ID #: 3322-601-0029-000-2 Site Plan Name: Project Name:. Setbacks Front Back: DETAILED DESCRIPTION OF WORK; Right Side: Left Side: Lot No.9 Block No. A1C Change Out, Install Rheem 2.5 Ton, 15 Seer, 5KW Heater, Horizontal in the Attic.LIKE FOR LIKE CONSTRUCTION INFORMATION: Additional work to be nerformed under this permit —check a apply: RJHVAC Gas Tank Gas Piping_ Shutters E]Windows/Doors 11 Electric ® Plumbing Sprinklers [i Generator F]Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: _ Cost of Construction: $ 5,100.00 Utilities:FSewer F Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Wesley D Wingo Name: Kelly Certosimo Address: 10119 Bay Tree Court Company: Air Temp Air Conditioning, Inc. City: Port Saint Lucie State:FL Zip Code: 34986 Fax: Phone No. 561-402-6769 Address: 651 NW Enterprise Drive #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.com State or County License: CAC1814837 Iveru" w. cunaerueuun is :;�zauu or more, a KtLUKutu Notice of Lommencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Wesley DWingoKell Name: y Cenosirno ,.1 Ad d rens:10119 Bay Tree Court, Port Saint Lucie , FL 34988 10119 gay Tree Court City: Pork Saint Luce State: State: City: Port Saint Lucie Mate: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: 1t .1 Address. 651 NW Enterprise Drive #107 Address: City: City: Zip: Phone: Zip: Phone: VVVr4tK1 LVIV I KAL i VK 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 thepermit 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 your Notice of Commencement. Signature of Owner/ essee Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF Ther ing instri ent was eknowledg�&before me this ay o { 2 by f' 0 ome f peron making statement Personally Known _OR Produced Identification Type of Identification Produced re of Notary Pub Commi io A NotOry publro State of Florr ea ii eiwta Maharl M Y Niy Cornro scion GG 176881 #'poi r Explit, !3411512022 ^ REVIEWS I FRONTZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 {Signatuk—M Notary Public- State of Florida Comml lo�rNotaryPuDk is-ofFlorida a[henne O nn Mahan i v any Cormrn scion GG 175681 y '4 r 'R Expires 131115.12022 SUPERVISOR PLANS I VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW Signature of Contr ctor/License Holder STATE OF FLORI l COUNTY OF Th r cling inst thi� day o ent was acknowleqT�before me by , an m Name ofaking statement Personally Known OR Produced Identification Type of Identification Produced +1�1%� {Signatuk—M Notary Public- State of Florida Comml lo�rNotaryPuDk is-ofFlorida a[henne O nn Mahan i v any Cormrn scion GG 175681 y '4 r 'R Expires 131115.12022 SUPERVISOR PLANS I VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW 777 7771 This combination qualifies for a Federal Energy Efficiency tax Credit when a. placed in service between Feb 17,2009 and Dec 31, 2016. LLr n�: . --- : - 77-32 AHRI Certified Reference Number: 201564043 Date: 01-22-2018 Model Status : Active Old AHRI Reference Number :8224170 AHRI Type: HRCU-A-CB Series Outdoor Unit Brand Name : RHEEM Outdoor Unit Model Number (Condenser or Single Package) ; RP153OBJl Indoor Unit Brand Name : Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T3617STAN Furnace Model Number : 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 ANSI/AHRI 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: Cooling Capacity (A2) - Single or High Stage (95F), btuh . 29400 SEER: 15,50 EER (A2) -Single or High Stage (95F) :13.00 Heating Capacity (H12) - Single or High Stage (47F) :27000 HSPF (Region IV) : 9,04 1"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 sale- ftp ale Ratrngs tha#are accprnpanred by_ WAS indicate an involuntary re rate the new published rating is shown along with the previpus (i e 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 ho 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 listed in the directory at : tnr.0=. TERMS AND CONDITIONS s Iy This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidentlal reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copied; disseminated; f 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 VERIFICATION e. PFaFRIGERATION It;STITUT The information for the model cited on this certificate can be verified at i ` w, click on u s i; Certifi_•ase" link we mane fife hater" 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. --- -- _-- C}2018Air-Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 1316175©144765337