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Building Permt Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C/N !` Date: 9/21/2018 Permit Number: CX.I/ J _ • FRECEIVED Building Permit Application Planning and Development Services 4 2018 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 ��Y� rittine Phone: (772)462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 11000 Reserve Avenue, Port St. Lucie, FL Legal Description: WestGate guard house for PGA, Reserve Association Inc. Property Tax ID#: 3321-131-000-1-0005 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Change out A/C unit like for like. Replacing old with new Carrier condenser, 24APB624A003, and new carrier air handler, FB4CNP025L00, 16 SEER, 5KW heat, 2 ton [CONSTRUCTION INFORMATION: 71 Additional work to b rtormed under t ispermit—check all that appy: HVAC Gas Tank []Gas Piping _Shutters ❑Windows/Doors 1-1 Electric ❑ Plumbing Sprinklers 11 Generator F� Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ $3700.00 Utilities:Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Reserve Association Inc. Name: Keith C.Thompson Address:2160 Reserve Park Trace Company: AC Keith Inc. City: Port St. Lucie State:FL Address: 690 SW Pueblo Terrace Zip Code: 34986 Fax: City: Port St. Lucie State: FL Phone No.561-866-8110 Zip Code: 34953 Fax: E-Mail:dianeb@langmanagement.com Phone No. 772-519-1351 Fill in fee simple Title Holder on next page ( if different E-Mail: ackeithl@att.net from the Owner listed above) State or County License: CAC1813976 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: 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 commencingpork /or recqrding your Notice of Commencement. .i/ Ignature o Owner Lesse ntractor as Agent for Owner ignature of Contractor/Li e Holder STATE OF FLORID STATE OF FLORIDA COUNTY OF _UC_t`� COUNTY OF �-� LUUy_ The for oing instrum nt was acknowledged before me The f rgoing instru ent was acknowledged before me this day of 20j� by this day of 20� by Name of person m�g statement Name of person m— ak g tatement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced w og S '�L L uQ� Produced 13 L C (Si tur of Not P (Signal o Not blic t, tori a , .r o',•.., :o STEFANIE JOHNS o� �.. STEFANIE JOHNS ?; 1��? : �. �. NotPU c-State of Florida Commission No. : � Notary P�yl}tate of Florida Commission No. CU Mon p GG 248504 Commission 0 GG 248504 ''�`F` My Comm.Expires Aug4,2022 My Comm.Expires Aug 14,2022 8 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 This combination qualifies for a Federal Energy Efficiency tax Credit when 0% Ulm placed in service between Feb 17,2009 and Dec 31, 2016. goal N0,13 CERTIFIED I www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number:201763975 Date:09-23-2018 Model Status:Active AHRI Type:RCU-A-CB Series: PERFORMANCE 16 AC Outdoor Unit Brand Name:CARRIER Outdoor Unit Model Number (Condenser or Single Package):24APB624A*030* Indoor Unit Model Number(Evaporator and/or Air Handler): FB4CNP025L Region: All(AK,AL,AR,AZ,CA,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 CARRIER 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:23400 SEER : 16.00 EER(A2)-Single or High Stage(95F) : 13.00 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 Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re-rate. The new published rating is shown along with the previous(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 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 listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.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: 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. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at,vww.ahridirectory.org,click on"Verify Certificate"link �%c make life better" 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. -- ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131821846625473531