HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/0812019 Permit Number:
• 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) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1517 SE TIFFANY CLUB PL
Legal Description:
Property Tax ID #: 3414-501-3503-000-5
Site Plan Name:
Project Name: RESERVE AT PORT ST LUICE APTS
Setbacks Front Back: Right Side:
I DETAILED DESCRIPTION OF WORK:
Left Side:
Lot No.
Black No.
LIKE FOR LIKE A/C CHANGE OUT 2 TON
A/H MODEL # FEM4P2400AL 14 SEER
CONDENSER MODEL # NXA424GKC 5 KW HEATER
CONSTRUCTION INFORMATION:
Additional worK to e e orme under tispermit—c ec a apply:
Z✓HVAC []Gas Tank �GasPiping _Shutters Windows/Doors
Electric ElPlumbing Sprinklers Generator ❑Roof = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,200,00
Sq. Ft. of First Floor: _
Utilities: Sewer 11Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name TIFFANY PARK PARTNERS LTD % WAYPOINT RESIDENTIAL
Name: OSCAR A CALZADILLA
Address: 3475 PIEDMONT RD NE STE 1640
Company: UNICO AIR CONDITIONING COMPANY
City: ATLANTA State: GA
Zip Code: 30305 Fax:
Phone No. 772-242-9612
Address: 25 SW CABANA POINT CIRCLE
City: STUART State: FL
Zip Code: 34997 Fax: 772-647-7544
Phone No. 305-528-1392
E-Mail: manager@reserveatportstlucie.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: marty@unicohvac.com
State or County License: CAC1814920
If value of construction is 52500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
x Not
Name: TIFFANY PARK PARTNERS LTD % WAYPOINT RESIDENTIAL
Address: 1517 SE TIFFANY CLUB PL
City: ATLANTA State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 25 SW CABANA POINT CIRCLE
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: OSCAR A CALZADILLA
Address: 3475 PIEDMONT RE) NE STE 1640
City: STUART State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 rded and posted on the jobsite
before the first inspection. If you intend to obtain financing, co wit r or an attorney before
rnmmanring work or rernrdinE vnur Notice of Commencemet.
Gran+ T Cordon,
Signature of Owner/ Lessee/Contractor as Agent for Owner
51g ture of Co racto ense Holder
STATE OF FLORIDA
STATE
COUNTY OF ulame Co my
COUNTY OF ma rcounty
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this a day of August , 20 by
this a day of August . 20_ by
Grant T Cardone
Oscar A Calradilla
Name of person making statement
Name of person making statement
Personally Known n OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Nota b s , on RTAM.AGUIRRE
(Signature of No
" MARTA M.A UIRRE
"
_$.rr:...
y: MY OM ISSION p GG 191327
Commission No. GG 191327 -. ;�- S:Merd19,2022
ommission No.
iya
f91 ;; MY COMMI55IOj� Qp 191327
_
'•;orr�o"'' Bonded Thm Notary Public UndtrAmn
:+.. '?:'— dXP'NotIRErcbl 9, 12
•0��°•_' Bonded Thru Notary Public UMenvtpare
PEVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
Certificate of Product Ratings
AHRI Certified Reference Number; 201852667 Date : 11-13-2018 Model Status: Active
AHRI Type! RCU-A-CB
Series : 14 SEER N SERIES R410A AC
Outdoor Unit Brand Name: TEMPSTAR
Outdoor Unit Model Number (Condenser or Single Package) : NXA424(A,G)KC"
Indoor Unit Model Number (Evaporator and/or Air Handler) : FMA4P24"AL'
Region : North (AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, NO, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 TEMPSTAR product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 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 : 22800
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.50
}"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 producetl"Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT Is still
selling or oRonng for sale.
Ratings that area mpani by WAS indicate an involuntary re rate The new published ratinc 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($) 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
AND A TERMS CONDITIONS
This MS NDe and Its contents are proprietary products of AHRI. This Certificate shall only be used for intlividual, personal and
confidential reference purposes. The contents of this Certificate may not, in whole of in part. be reproduced; copied: dissernmat ra; AraIIIIIIIII
entered Into a computer database; or othefwlse utilized, In any form or manner or by any means, except for the user's Individual,
personal and confidential reference. AIRC REFRIGERATION
NSTITUTE
CERTIFICATE VERIFICATION 8 REFRIOERAnOH INSTITUTE
The Information for the model cited on this certificate can be verified at www.ah,ldirectory.org, dick on'Verlfy Certificate' link k, hf4 bruer^
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
131886200863182522
02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: