HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Tam" "emmill-I 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) 467-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9028 Short Chip Circle Port St Lucie, Florida 34986
Legal Description: Lake AT PGA Village (PB43-30) BILK D LOT 49 (OR 2165-969)
Property Tax ID #: 3334-501-0187-000-7
Lot No. 49
Site Plan Name: Block No. D
Project Name.ti�¢
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: I
A/C Change Out - install Rheem 4 Ton, 16 SEER, 10 KW heater, SIC Split System. LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Aciditional work toe e Orme under this permit– check a appy:
RIHVAC rl Q
Gas Tank Gas Piping Shutters El Windows/Doors
1-1 Electric I:I Plumbing Sprinklers Generator 1=1 Roof Root pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 4800.00
S. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameRichard Pierce
Name: KellyCertosimo
Address: 9028 Short Chip Circle
Company: Air Temp Air Condition Inc.
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 248-830-4529
Address: 651 NW Enterprises Drive Suite #107
City: Port St Lucie State: FL
Zip Code: 34.986 Fax: 772-281-2907
Phone No. 772-340-0740
E -Mail: landauer22@yahoo.com
Fill in fee simple Title Bolder on next page ( if different
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Ad d re s s: 651 NW Enterprises Drive suite #107
City:
BONDING COMPANY: Not Applicable
Name:
Address:
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/ Lesoe/Co tractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF C -
The r oing instrument was `acknowledged before me
this Zdaly{{of nnlCt�c 20 �A by
Ice
Name ot per o making statement
Personally Known V OR Produced Identification
Type of Identification
Produced
f
(Signature of Notary Public- State of Florida ]
Commission No.
(Seal)
5400
Signature of Contractor icense Holder
STATE OF FLORIDA//
COUNTY OF i V_hX
The forg ng instrument was acknowledged before me
this ay of ;re^ 20 16 by
Name of per on aking statement
Personally Known OR Produced Identification
Type of Identificatio
Produ d
(Signatur of otary Public- State of Florida )
Commission No. (Seal)
REVIEWS
FRONT ZONING
SUPERVISOR
PIANS
VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW REVIEW REVIEW
DATE
RECEIVED
601
DATE
COMPLETED
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�a �� Expires 01I18t2022
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: 201323813 Date: 08-15-2018 Model Status: Production Stopped
Old AHRI Reference Number : 8080873
AHRI Type: RCU-A-CB
Outdoor Unit Brand Name: RHEEM
Outdoor Unit Modef Number (Condenser or Single Package) : RA1648AJ1
Indoor Unit Model Number (Evaporator andlor Air Handler)! RCF4821STAM
Furnace Model Number; R801TA075421MSA
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 RHEEM product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSIIAHRI 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 : 44000
SEER: 16.00'
EER (A2) - Single or High Stage (95F) : 13.00
ti
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 sate.
Ratings that are accomnanied by WAS indicate an involuntary re -rate. The new nublished rating is shown alono with the orevious Re. 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.ahrid[rectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRL 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 www.a hrldi rectory.org, click on "Verify Certificate" link
we 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.
02018Air-Conditioning, Heating, and Refrigeration Institute
CERTIFICATE NO.:
131788389492930847