HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLE7 ED FOR APPLICATION TO BE ACCEPTED
Date: 09125/2018 Permit Number:
J
s
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential _
PERMIT APPLICATION FOR: Meanical
PROPOSED IMPROVEMENT LOCATION:
Address: 8155 Carnoustie Place, Port Saint LLICie , FL 34986
Legal Description: POD 20C AT THE RESEF�VRE PUD II CASTLE PINES (PB 43-12) LOT 95 (OR 3926-200)
Property Tax ID #: 3327-503-0020-000-3
Site Plan Name:
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
A/C Change Out, Install Rheem 3
CONSTRUCTION INFORMATION:
01Additici ial work to be e Orme un er
L"JHVAC Gas Tank
0- Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4,600.00
OWNER/LESSEE:
Name Tammy L. Mahroos
Address:8155 Carnoustie Place
City: Port Saint Lucie
Zip Code: 34986 Fax:
Phone No.(203)400-8914
E-Mait:tmahroos@gma'il.com
Fill in fee simple Title Holder on next
from the Owner listed above)
�i❑
Lot No. 95
Block No. _
n 16 Seer,7 KW Heater,S/C Split System. LIKE FOR LIKE
this permit— check all apply:
[]Gas Piping _ Shutters E]Windows/Doors
Sprinklers Generator E]Roof Roof pitch
Sq. Ft. of First Floor: _
Utilities sewer 0 Septic
CONTRACTOR:
Namp• Kelly Certosimo
Building Height:
Company: Air Temp Air Conditioning, Inc.
State: FL Address: &51 NW Enterprise Drive Suite#107
City: Port Saint Lucie State: FL
( if different
Zip Code: 34986 Fax:
Phone No. 772-340-0740
p -Mail• airtempac@yahoo.com
State or County License: CAC1814837
If value of construction is $2500 or more, a �ECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
I
FEE SIMPLE TITLE HOLDER: _ N �t Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: App ication 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 that1s granting a permit will authorize the permit holder to build the subject structure
sttructurin e. Pleae conflict consult with pyofur Hle Home ome Owers Associwners ation ndtion rrevewylaws or an your deed for any ants that
which ma or a prl Mbit such
Y Y Y apply.
In consideration of the granting of this reques ed 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 toecord a Notice of Commencement may result in your paying twice for
improvements to your property. A No ice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you inte d to obtain financing, consult with lender or an attorney before
commencing work or recordir� our otice of Commencement.
r as
STATE OF FLORIDA
COUNTY OF
The fo oing inst t�1en was cknowledggc{?etore me
this �ay of i�� ZO � by
fNAme of person making statement
Personally Known OR Produced Id
ntification
Type of identificatio
Produced
L
Catherine..Donna
blit State of Florida
Mahn
MY Com
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isscon GG 176a8i
Expiras 0
/i8;2022
(Signature of Nota
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Commission No.
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REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
F
Sign ure of Co tr ctor/L1 nse Holder
STATE OF FL RIDA C
COUNTY OF U
The r oing instr ent was ac nowledged before me
The!
day of 204,by
/17 LhkG
Names persn aking statement
Personally Known VOR Produced Identification
Type of Identification
Produced
(Signature of Nota t-tte of Florida )
Y P nota
P aI fon
Commission No. -`per hennetD da
a Donna Mahan
a My Commission GG i768ei
osp.°� Expires CI�i812022
SUPERVISOR PLANS! VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
C.ertiffic.-ate 1
AHRI Certified Reference Number : 201285991
Old AHRI Reference Number :7942207
AHRI Type: RCU-A-CB
Series
Outdoor Unit Brand Name : RHEEM
Outdoor Unit Model Number (Condenser or Sir
indoor Unit Brand Name :
Indoor UnR Model Number (Evaporator andlor E
Furnace Model Number :
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
.y - c R"Mcil
MWI
Date: 01-22-2018
Package) :RA1636AJ1
Handler) : RH1T3617STAN
Model Status : Active
Region : All (AK, AL, AR, AZ, CA, CO, CT, DCj DI=, FL, GA, HI, 0, IL, IA, IN, KS, KY, LA, MA, MD, INE, MI, MN, MO, MS, MT, INC, 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 re ponsible for the rating of this system combination.
Rated as follows in accordance with the latest 4dition of ANSI/AHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning
& Air -Source Heat Pump Equipment and subje t to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (S
SEER : 16.00
EER (A2) - Single or High Stage (95F) : 13.04
IEER :
J"Active" Model Status are those that an AHRI Certific
marketed but are not yet being produced "Production
selling or offerinq for sale.
btuh : 35400
Program Participant is currently producing AND selling or offering for sale; OR new models that are being
ed" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
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 on this Certificate. AHRI expressly disclaims all liability far 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 n '
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and r:
confidential reference purposes. The contents of this ertificate may not, In whole or In part, be reproduced; copled; disseminated;
entered into a computer database; or otherwise utillz d, in any form or manner or by any means, except for the user's individual, a rc I a
personal and confidential reference. a,ii -f gt.elai0 tiltf ,._urti f C.
e"k F'�clt=Eie:,7i�f� ;fJ�Tii'£1TE
CERTIFICATE VERIFICATION
The information for the model cited on this certificat can be verified at click on " _'erN f YN .,.srak fink we mane life herrer-
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. 131611301723867759
Q2018Air-Conditioning, Heating, and R frlgeration Institute CERTIFICATE NO.: