HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0816!2018 Permit Number:
,..-_
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: 12152 Riverbend Trace , Port Saint Lucie, FL 34984
Legal Description: BAY SAINT LUCIE LOT 4 (MAP 44/22N) (OR 3529-940)
Property Tax ID # 4422-502-0008-000-5
Site Plan Name:
Project Name: _
Setbacks Front
Back: Right Side: Left Side;
Lot No. 4
Block No.
A/C Change Out, Install Rheem 2.5 Ton, 16 Seer, 7 KW Heater, SIC Split System, LIKE FOR LIKE,
CONSTRUCTION INFORMATION:
Additional work toje rorme under tis permit--checka appy:
ZHVAC Gas Tank []Gas Piping Shutters Windows/Doors
1-1 Electric 0 Plumbing Sprinklers ri Generator Roof Q Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4,900.00
S Ft. of First( Floor: _
Utilities:[]Sewer []Septic
Building height:
OWNER/LESSEE:
CONTRACTOR:
Name Anjula Smith
Name: Kelly Certosimo
Address: 12152 Riverbend Trace
Company: Air Temp Air Conditioning, Inc.
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax:
Phone No. 772-924-8778
Address: 651 NW Enterprise Drive Suite#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
IT value oT construction is SZ500 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:
Address:.
City:
City:
Zip: Phone:
Zip: Phone:
fMAIRIOn/lnwTnw..�-r. r. w
.+■+r,.Lly Lun-a i nA% I %in Arriuvi i; 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, 1 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 Contra tar/License Halder
STATE OF FLORIDA`:s STATE OF FLORID
COUNTY OF �.COUNTY OF
The fo going in ument was acknpwfedgec&fore me The f rgaing instrument was acknowledged before me
this =pMaking
201 by this day of 4stke—ment
a�by
tatement ame of rs ma
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificati n Type of ldentificatio
Produced Produc
4(si4lire of Notary Pub c- State of Florida (signature hofNotaryPublic-)l
$tatof Florida)
Coro on No. «otar Slate of Florida Nota
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ire Dina Mahan Commission No. �srateorFior,da
I '"7/_ (,r r �1y commiswon GG 176881 / %�� �rh r:r1e Tana Mahan
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW QEVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Old AHRI Reference Number :7941343
AHRI Type: RCU-A,-CB
Series .
Outdoor Unit Brand Name : RHEEM
Outdoor Unit Model Number (Condenser or Single Package) : RA1630AJ1
Indoor Unit Brand Name
Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T3617STAN
Fumace Model Number:
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, ID, IF_, 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 3D, 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 :29000
SEER :.16.00
EER (A2) - Single or High Stage (85F) : 13.00
IEER :
t"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 Programs Parrscipant is no longer producing BUT is sti$l
selling or offering for sale.
Ratinos that are accompanied by WAS indicate an involuntaryre-rate. The new.puhlished rating is sfsawn along nnth #he_previous (i.e. WAS) rating
._
DISCLAIMER -
AHRI does not endorse the product(s) listed on this Certificate and mattes no representations, warranties or guarantees as to, and assumes no responsibility for,
the products) fisted 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
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;
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
The information for the model cited on this certificate can be verified at a click on fink
and enter the AHRI Certified Reference Number and the date an which the certificate was issued, :c male Inc l�et.er
which is listed above, and the Certificate No., which Is listed at bottom right. — --- - --- --- _ _
181&1I2804781059ai
@2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO..
This 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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AHRI Certified Reference Number :2012,31646
Date. 01-22-2018 Model Status : Active
Old AHRI Reference Number :7941343
AHRI Type: RCU-A,-CB
Series .
Outdoor Unit Brand Name : RHEEM
Outdoor Unit Model Number (Condenser or Single Package) : RA1630AJ1
Indoor Unit Brand Name
Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T3617STAN
Fumace Model Number:
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, ID, IF_, 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 3D, 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 :29000
SEER :.16.00
EER (A2) - Single or High Stage (85F) : 13.00
IEER :
t"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 Programs Parrscipant is no longer producing BUT is sti$l
selling or offering for sale.
Ratinos that are accompanied by WAS indicate an involuntaryre-rate. The new.puhlished rating is sfsawn along nnth #he_previous (i.e. WAS) rating
._
DISCLAIMER -
AHRI does not endorse the product(s) listed on this Certificate and mattes no representations, warranties or guarantees as to, and assumes no responsibility for,
the products) fisted 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
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;
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
The information for the model cited on this certificate can be verified at a click on fink
and enter the AHRI Certified Reference Number and the date an which the certificate was issued, :c male Inc l�et.er
which is listed above, and the Certificate No., which Is listed at bottom right. — --- - --- --- _ _
181&1I2804781059ai
@2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO..