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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 08/09/2019 Permit Number: j _ It • 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: 1563 SE TIFFANY CLUB PL Legal Description: Property Tax ID #: 3414-501-3503-000-5 Lot No. Site Plan Name: Block No. Project Name: RESERVE AT PORT ST LUICE APTS Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE A/C CHANGE OUT 2 TON A/H MODEL # FEM4P2400AL 14 SEER CONDENSER MODEL # NXA424GKC 5 KW HEATER CONSTRUCTION INFORMATION: Adattionalwor](100nTIU11FIVU un ert Isperml —c ec a apply. Z✓ HVAC Gas Tank ❑Gas Piping Shutters I❑�� Windows/Doors I_ ❑ Electric Plumbing Sprinklers L� Generator I Roof ❑ Roof ptnh Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 2,200.00 Utilities:tSewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name TIFFANY PARK PARTNERS LTD % WAYPOINT RESIDENTIAL ^hype: 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 E-Mail: manager@reserveatportstlucie.com Phone No. 305.528-1392 Fill in fee simple Title Holder on next page (if different E-Mail: marty@unicohvac.com State or County License: CAC1814920 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL Name: OSCAR A CALZADILLA Address: 1563 SE TIFFANY CLUB PL Address: 3475 PIEDMONT RD NE STE1540 City: ATLANTA State: City: STUART State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: 25 SW CABANA POINT CIRCLE City: Zip: Phone: BONDING COMPANY: _Not Applicable 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 b dd and posted on the jobsite before the first inspection. If you intend to obtain financing, cons e or an attorney before commencin work or recordingour Notice of Commencement &ru q T (a yd one Signature of Owner/ Lessee/Contractor as Agent for Owner Signat Ire of Co ract /Lice se Holder STATE OF FLORIDA STATE LO COUNTY OF Marnncounn COUNTY O Marencw,no The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 9 day of Ac9°et 20_ by this 9 day of Au9uat 20_ by Grant T Cardone Oscar A Calzadilla Name of person making statement Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of NotaryP brit- a @y..jOrlda J MARTAM.AGUI # GG 191 is nature of Notary 7 M. AGUIRRE °. My COMMISSION Commission No. GG 191327 = 1'(Seall)cPIRES:March 9. 2622 i'x mission No. GG 19 aW.+...V MARTA _ •' MYCOMOMI #GG191327 m: FOF f�."••• BondedThnl Notary Public Undo . _.: : EXPIRES: March 9, 2022 Sunded Thru Notay Public Un&rwriten: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE 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 Handier): FMA4P24"AL" Region: North (AK, CO, CT, ID, it. IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, 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 reglon(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 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 parry testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 22800 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 T"Active" Model Status are those that an AHRI Certification Program Participant is cunenuy producing AND selling or offering for sale: OR new models that are being marketed but are not yet being prod uced.-Production Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is st111 selling or offering for sale- Rati rigs that are eccomoanied by WAS indicate an involuntarr re -rate The e Published retina is shown alono with the previous (i.e. WAS) ratino. DISCLAIMER AHRI does not endorse the oroduct(s) listed on this Certificate and makes no representations, warrentles or guarantees as to, and assumes no responsibilityFor, 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 aaeration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahrld 1 motory.mg. 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. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The Information for the model cited on this artMCdte can be verified at www.ahridirectory.org, dick on'Verify Certificate' link we make lilt beer - end 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.: attsszgeaealazszz