HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/17/2019 Permit Number:
L J
1111 NOR
• 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: 1721 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
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE A/C CHANGE OUT
A/H MODEL # FEM4P2400AL
CONDENSER MODEL # NXA424GKC
CONSTRUCTION INFORMATION:
HVAC L__�Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,200.00
Left Side:
2 TON
14 SEER
5 KW HEATER
oermlt — check all apply:
Gas Piping _ Shutters
Sprinklers Generator
SC�j �Ft.I of First Floor:
Utilities:cnSewer E Septic
Lot No.
Block No.
Windows/Doors
Roof = Roof pitch
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
Address: 25 SW CABANA POINT CIRCLE
City: ATLANTA State: GA
Zip Code: 30305 Fax:
Phone No. 772-242-9612
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 $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name: TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL
MORTGAGE COMPANY: _
Name: OSCAR A CALZADILLA
Not Applicable
Address: 1721 SE TIFFANY CLUBPL
Address: 3475 PIEDMONT RD NE STE1640
City: ATLANTA State:
Zip: Phone
City: STUART
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not
Name:
Applicable
Address: 25 SW CABANA POINT CIRCLE
Address:
City:
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 Commenceme d and posted on the jobsite
before the first inspection. If you intend to obtain financin , ult 'th len or an attorney before
commencin work or recordin our Notice of Commenc nt.
&ron--T Cbrdone,
Signature of Owner/ Lessee/Contractor as Agent for Owner
Sig ture D Con actor/Licen Holder
STATE OF FLORIDA
STATE O
COUNTY OF Martincounry
COUNTY OF Mm oCounty
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 17 day of saint 20_ by
this 17 day of Sect 20_ by
Grant T Cardona
Oaoer A Calzedille
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
049��
Produced
!1/lJ\ .-
(Signature of Notary Pu c- Stat
(Signature of Notary Pu c- State of Florida
MARTAM AGUIRRE
NAPT A UIRRE
Commission No. t o'w`F'•. COMMISONOGG191327
C�(1M1dl�� GG t91327
Commission No. GG 1 Foded
EXPIRES: March 9, 20'-2
y"<u€E�'
LXPIRES: March 9, 2022
Bonded TMu Notary Publro UrAervrtileis
I :;) Thru Notary Public Undon"Itets
REVIEWS
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 Rati
AHRI Certified Reference Number! 9487261 Date: 06-17-2019 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) : FEM4P24"AL
Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, INC, OK, SC, TN, TX, VA, 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 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 party 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 currently producing AND sailing 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 m still
selling or offering for sale.
Rafinos that are accompanied by WAS indicate an involuntary re -rate. The new published retina is shown along with the previous (i.e. WAS) reline.
DISCLAIMER
AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the prod tells) listed on this Certificate. AHRI expressly disclaims all Ilability for damages of any kind arising out of the use or performance of the produchs), or the
unauthorized alteration of data listed on this Certificate. Certified ratings are mild only for models and configurations listed in the
directory at www.ahridIrectory.org.
TERMS AND CONDITIONS��'
This Certificate and Its contents are proprietary products of AHRI. This Certificate shell 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:NMI an ,'
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 a REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, dick 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.
02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132052876240255052