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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5/20/2019 Planning and Development Services Building and Code Regulation Division 0 Virginia Avenue, Fort Pierce FL 34982 Permit Number: Building Permit Application rnone:t1i[)4b1-1553 Fax-.(772)462-1.578 Commercial Residential X- PERMIT TYPE: HVAC Mechanical AC Change out. LIKE FOR LIKE PROPOSED IMPROVEMENT LOCATION: Address: 7108 Maidstone Drive, Port St Lucie, FL 34986 Property Tax ID #: 3322-505-0107-000-MR8 Lot No. 98 Site Plan Name: MAIDSTONE (PB 43.11) LOT 98 (OR 3398-993) Block No. Project Name: HVAC Change Out, install New RHEEM 4 Ton 16 Seer 10 KW Heater DETAILED DESCRIPTION OF WORK: AC Change Out, Install RHEEM 4 TON, 16 SEER, 10 KW HEATER, Straight Cool Split System. LIKE FOR LIKE CONSTRUCTION INFORMATIONS Additionai work to be performed under this permit — cheek all that apply: j�Mechanical Electric Total Sq. Ft of Construction; Gas Tank Plumbing Cost of Construction: S 4,800,00 OWNER/LESSEE,0 Name Dominic M Ambrose Address: 7148 Maidstone Drive T Gas Piping Sprinklers Shutters Generator Windows/Daors Roof Pitch . Ft. of First Floor-: Utilities, Sewer Septic Building Height: Cf fiy: Part Saint LqPPucie State: Zip Cady: 34986 Fax: Phone No,. 914-364-0233 E-Mail. dill in fee simple Title Holder on next page if different from the Owner listed above) CONTRACTOR:. Name.. Kelly Certosimo Company: Air Temp Air conditioning, Inc. Address: 651 NW Enterprise Drive Suite #107 city. Port Saint Lucie State: FL Zip Code: 34986 Fax: 772-281-2907 Phone Na 772-340,0740 E-Mail airtempac@yahoo.com Stake or County License CAC1814837 If value of construction is $2500 or more, a RECORDED Noticei s required. If value of HVAC is $7,500 or more, a RECORDED Nofice of Commencement is required. SUPPLEMENTAL -CONSTRUCTION LI-EN'LAW-INFORMATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: 54ate: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Dame: Name: Address:-- Address: city* City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT.1.0 Application is hereby made to obtain a permit to do the work and installation as indicated. ! certify that no work or installation has commenced prior to the issuance of a permit, tt Lucie Countv makesno red resentation that is granting a hermit will authorize thepermit older to b ld tha subject trhich is ion�inth an a1�� � �r � � ��� structure p _ ion ru lei{ bylaws or n covenants that may restrict r 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 a l I respects, r 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 full concurrency review: room additions, accessory stru to r ., swimming pools, fences,, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO i?'YI►'NER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT SAY REaULT IN YOUR PAYINC TWICE FOR IlMIPRaYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND PASTED ON THE JOB SITE BEFORE TH€ FIRST INSPECTION. IF YDl1 INTEND TO OBTAIN FINANCING, CONSULT 1+1►ffH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, " Signature of Owner/ Ls /Contactor as Agent for Owner STATE OF FLORIDA %C,4 � . ( COUNTY OF 6-kitc - PPPI�1�.9������pl�l�ppl����i�i�gi� W YYF The forgoing instrument was acknowledged before me this ,� day of �o � by N, r 4--c- Name of per- n making statement. Persona ll Known OR Produced Identification Type of Identification Produced .A Ali; (41, (Si&'atu're'oNo't'ary Public- State of Florida' -)' Commission No. � (Seal) REVIEWS DATE RECEIVED DATE COMPLETED ev, 217119 FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW w-3. , P1,:011 c i to of Florida *ineo ntt Donna Mahan Signature of ContractorLicenseHolder STATE OF FLORIDA COUNTY OF 1�1 The forgoinginstrument was acknowledged before me this day of 26AR b $I ar f person ma ing statement; Personally Known OR Produced Identification Type of Identification Produced �Ti_ I.YY�I (Signature of NotaryPublic- State of Florida Commission No. (Sealj PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW P Notary Public, State Of FlOrlda Catherine Donna Mahan my commission GG 176881 Ali I Ger-tifi d Refereece Number: 201294083 Old AHRI Reference Number H I Type: - B Outdoor Unit Brand Name; RHEEM j ti • •-- -- �R' Y'ri�Ta.��}Fiat'��'il'SJi�C1ti7��'Y�•`�1¢Z �Tr�n�}y �iYE—_--:�� This combination qualifies for a Federal Fnprnv ;=ffir%- placed in service between Feb 17,2009 and Dec 31, 201 �u�� w� ��> > Date: 08-10-2018 Model Status: Active .. utdor U n it Model N U M be r (Conde ner or Single Packs ge) . RA I 648AJ 1 J ndoor U n it M oriel N umber E va porator a nd/or Ai t Ha n d l r ) : RH I T4821 STAN Region All K, AL, AR, AZ, CA, C01 ICT,DC, D T N N N N N N rr torr ) 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 which they meet the regional efficiency requirement. The manufacturer of this RHEEM product is responsible for t�t� n of this system m bin#r on ted aS f011ows in accordance vvith the latest edition of ANSIIAHRI N r'ond tti on inAir-Source i+i nr�� Heat Pump Equipment and biet to rating accuracyby AHRI-sponsored, Cooling Capacity A2- Single or High St(95F),bt ; 45000 SEER - 16.00 EER (A2) -Single or High stage (95F) : 13.00 t"Active'} Model Status are thOSe that an AH lei rfifi ti-n Program 1�a� i t i� { marketed but are not being . tic n urrerit r r using AND selling or offering for sale; no m e that are being Stop Model Status are ou that a n A R I e r� lion Pry ram Participant i fling or offering for sale.Rab- thi Ierr r+c r I n mat i ii involuntary �Tt. .� II � is shown r DISCLAIMER _ AHM does not endorse the product(s) listed on this Certificate and makes no represent t h� r�� �t�) list# �� this i� erti��at�. �l�i ��r�i �Ioial � all liability a�o ns , rxa warranties orguarantees ato, and assumes no responsibility for, � �i I it} #fir damages of any kind arising out of the use or performance of the�` �t ��' unauthorized alteration of data listed on this Certificate. ertlf ed ratings are valid onlymodels and for i � � �� the directory at ww.a hrid 1re or .0r r tli nt in the TIERMS AND CONDITIONS This a rtificate a nd its -cOn to rits a re ProPrIeta ry p rod a cts of AH Ri. Th i Certificate sly a ii } ��confidential ���r� I•L�� � !,I �'�f����. � �� I•k��� �� � � � ��t���t �� � #.,i��i �� I' • i r� �•�1�1 d ual, person a l an d part, be reproduced; copied; disseminated - entered Into a computer database; or otherwise utilized, in any form or manner or by an mean personal and confidential reference. ]�t for the users individual., CERTIFICATEVERIFICATION The Information for the model cited on this certificate can be verified at �� �. � �� �i � � r� t � � _ � - � • - and rater the R1 Certified Reference Number and the date ors which the certificate r � click rlr r rt � link which i Il e d above, and the No., which I �d �t bottom right. t� �� ������i� . I--.... --...........---- 1IronditioninHeating, and fri r tion Institute .�• -r_. - .. ._ _..-.� - •- -� ...-�p77 ----- •-• -�� �- ... ._. 'CERTIFICATE NO.: AIR-CONDITIONING, HEATING* the make life betterr- %-I