HomeMy WebLinkAboutPiccoli PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/1612618 Permit Number:
J ,_
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 0
PROPOSED IMPROVEMENT LOCATION:
Address: 8809 Champions Way, Pork Saint Lucie, FL 34986
Legal Description: LAKES AT PGA VILLAGE (PB 43-32) BILK A LOT 3 (OR 2533-2479)
Property Tax ID #: 3334-501-0017-000-5 Lot No.3
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
AC Change Out, Install Rheem 4Ton, 16Seer,10KW Heater,S/C Split System, LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additionaliii
workto e e Orme un er t is permit — c
HVAC Gas Tank FIGas Piping
11 Electric Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 6,060.00
appty:
_ Shutters Windows/Doors
0 Generator F]Roof
S ft. of First Floor: _
Utilities: Sewer 0 Septic
OWNER/LESSEE:
Name Jeffrey P. Piccoli
Address: 8809 Champions Way
City: Port Saint Lucie State:FL
Zip Code: 34986 Fax:
Phnnp No_772-579-3697
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name: Kelly Certosimo
Company: Air Temp Air Conditioning, Inc.
Address' 651 NW Enterprise Drive #107
City: Port Saint Lucie
Zip Code: 34986 Fax:
Phone No. 772-340-0740
E -Mail: airtempac@yahoo.com
State or County License: CAC1814837
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Roof pitch
State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:, Name: E
Address _ r:_... - -- Address:
City:' -.-- 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 your Notice of Commencement.
Signature of owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA( . �� �
COUNTY OF
The forgoing inst en was acknowledged before me
this day of 20 1 Oby
N me of per on making statement
Personally nown OR Produced Identification
Type of Identification
Prnrt,irP
ZZOZ1gilto aandx3
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Commission No.
REVIEWS �FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Signature of Contractor/License Halder
STATE OF FLORI
COUNTY OF
The forgoing instr . en " was acknowledge4 efore me
this r day of_ 20by
S
Name of Per o making statement
Personally Known OR Produced Identification
,91 NO'aty ruu„� ��.........-
r Catherine Donna Mahan
~ d . My Commission GG 176881
�dT ter ' £x ,res ol11512422
Commission No.
V �N "rotary PuW1C State Of Florida
My
Cy r,ne Donne Mahan
p' Comm
E18t;n GG 176881
xpirex 01178f7n�_5
SUPERVISOR PLANS VEGETATION SEATURTLE � MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
— - - - -- ---- -
AThis combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
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Old
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AHRI Certified Reference Number: 201294083 Date: 06-28-2018 Model Status : Active
Old AHRI Reference Number: 7943535
AHRI Type : RCU-A-CB
Outdoor Unit Brand Name : RHEEM
Outdoor Unit Model Number (Condenser or Single Package) : RA1648AJ1
Indoor Unit Model Number (Evaporator and/or Air Handier): RHIT4821STAN
Region : All (AK, AL, AR, AZ, GA, 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 ANSI/AHRI 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 or High Stage (95F), btuh : 45000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
-rActive" 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.
Raare accompanied b WAS indicate an involuntary re -rate. The new ublished ratio is shown atop wiflt Ehe n=uiaus i.e. WAS ratin .
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 an this Certificate. AKRI 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 wvrw.ahridimctory.org-
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 this Certificate may not, in whole or in part, be reproduced; copied; disseminated: a'�
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual,
AIR-CQNDMUNING
personal'and confidential reference. . REATIN6.
L REFRIGERATiON.INSTiTt1TE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at click an Weriiv Certificate' link we mai a life better—
and
etterand 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 131746834049901)94402018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: