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
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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�
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1IronditioninHeating,
and fri r tion Institute
.�• -r_. - .. ._ _..-.� - •- -� ...-�p77 ----- •-• -�� �- ... ._.
'CERTIFICATE NO.:
AIR-CONDITIONING, HEATING*
the make life betterr-
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