HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/23/19
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Rhone: (772) 462-1553 Fax: (772) 462-1578
Permit u b r:
Building Permit Application
Commercial Residential X
PERMITTYPE:HVAC Mechanical AC change out. LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
Address: 9503 Crooked Stick Lane Porgy Saint Lucie, FL 34986
Property Tax !D #: 3327-711-0044-000-6 dot �0.37
Site Plan Name: PAD 18 AT THE RESERVE PUD II APB 40-16) LOT 37 (OR 3866-2421) Block No. 18
project Name: HVAC MECHANICAL, RESIDENTIAL, AC CHANGE OUT, 3 TON 96 SEER, 7.5 KW HEATER LIKE FOR LIKE
DETAILED DESCRIPTION OF WORK:
AC Change Out, Install RHEEM 3 TON, 16 SEER, 7.5 KW HEATER, STRAIT COOL SPLIT SYSTEM. LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional work to be
performed under this
permit
— check
all that apply;
XMechanical
� GasTank
_Gas
Piping
� Shutters
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction. $ 4,800.00
Sprinklers
Generator
Windows/Doors
Roof
q. Ft. of First Floor:
utilities: i Sewer Septic Building Height.
Pitch
OWNER/LESSEE.
CONTRACTOR:
Name Paul D. Jelley
Name: Kelly Certosimo
Address: brooked Stcik Lane �
Company.Air Temp Air Conditioning Inc
City: Porgy Saint Lucie Stake: ��..�
Address: 1384 NW Commerce Centre Drive
Zip Code. 34986 Fax:
City, Part Saint Lucie State: FL
Phone No.7726724132
Zip Cede: 34986 Fax: 7722812907
E-Mail-.
Phone No7723400740
Fife in fee simple Tithe Haider on next page if different
E-Mai! airtempac@yahoo.com
from the owner listed above)
Stake or County License CAC1 814837
If value
of construction is
$2500 or
more, a
RECORDED Notice of Commencement is required.
If value
of HVAC is $7.,500
or more,
a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION. LIEN 1AW iN.FORMATION:
DESIGNER/ENGINEER: � Not Applicable MORTGAGE COMPANYIP Not Applicable
.Name: Name:
Address: Address: .
City: State: City: State:
IP-
Zip: Phone. Zip: - - ... _Phone;
SEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: N ot Applicable
Name: Name:
Address: Address.
.,,,..
dr
City: citya
dip: phone: Zip: _ -- Phone: -
OW N ER/ CONTRACTOR AFF I DVIT; Appiication is hereby made to obtain a permit to do the warts and installation as *Indicated.
l certify that no v+►ark orinstallation has commenced prior to the issuance of a perm€t,
r` s nta ion that i granting �permit ill autha�t th eri 'It holder t uit the subject stru tore
fit. ����� �� � � -t� � restrict �r prohibit such
structure. Please consult with which is i n o r7 Ii t with a applicable Home Owners Association ru i , bylaws or � covenants �
our Home Owners Association and review your deed for any re tdcdton which may apply.
grantingIn consideration of the of this requested r it, I do hereby agree that I will, m a i l respects, perform the work
in accordance with the approved plans, the Florida iid Ing Codes and St. Lucie County Amendments.
' permitapplications are exec t from undergoing a frill c ncurren review: room additions,
TI�� f�ll�r�r�g ��rl��� ��
accessory structures, swimming pools, fiences., galls signs, screen rooms and accessory uses to another non. -residential use
"WARNING T[3 OWNERO. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY SULT 1N YOUR PAYING
T1�1►�CE FAR IMPR�YE�ENTS T� YDUR PRaPERTY. A NO'��CE OF CaMiHENC'�l1�ENT MUST BE RECORDED AND
P055TEa ON THE JAB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR UNDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." W-1
J
Signature of caner/ l.esse6�Contractor as Agent for Owner Signature of [vntracto License Holder
r
STATE OF FLORIDA � STATE OF FLORIDA
COUNTY OF
4 1
COUNTY OF S+ I .... -
The for Ding instrument was acknowledged before me
this � day of -�-MM��� 2�,� by
Name 4f persv
1
ling statement.
Personally Known
Type of Identification
Produced
(YA. C)
OR Produced Identification
The forgoing instrument was
this +�� day of
mwln�
nawledged before me
Name f person making statement.
Personally Known
Type of Identification
Produced --
W-_
(D
OR Prod used Identification
I
(SignkEr-re of Notary Public- 5 ate �larida j(Signature of Nntary Puh�ic-State of`�lorida j
(seal)CommissionNo. (5eal) Carnmission No.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DACE
COMPLETED
,ev
s� �lotary Puh1�c State of Flcrnda
nna Mahan
Notary Public State of Florida
r t Catt�er�ne Do Catherine Donna t�a�ar�
17fi88� i
� MY �dmmiss�ar GG '� Y ' 9,11111,11,11,111,
Expire . �.r My Corrrrrsassrprs GG 176881
F
MANGROVE
REVIEW
0
01
Certificate- of Product Ratings
AFl i l Certified Reference Number: 201283460
Old AlI l Reference umber . 7941789
AHRI Type: U-A-CB
Outdoor Unit Brand Name - RHEEM
Date : o= 0-2 019
Outdoor Unit Madei Number (Condenser or 5ingie Package) : RA763fiAJi
Indoor Unit Model Number (Evaporator and/or Air Handler) : RgHP-21
Model Status: Active
Region . All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, 111, ID, l L, 1A, I 7 IDS, KY, LA, MA, MD, ME, V11, MN , MOT MST
IT, NC, ND, NE, NH, NJ, NIM, NVa NYTCHr OKI OR, PA, FBI, ; SDI Try, TX, UT, VA,VT, WA, WV, Wig 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 3o f 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 RH EEM product is responsible for the rating of this system combination.
Rated as follows
in accordance vith the latest edition
of ANSI/loll
2101240 with Addenda 1
and 2, Performance Rating of
Unitary
Air -Conditioning
& Air --Source Heat Pump Equipment
and subject to
rating accuracy by AH !-sponsored,
independent, third
part} testing
CvvlEng Capacity (A2) -Single or High Stage (95F), btuh : 36040
SEER: 1.00
EER (A2) -Single or High Stage (95F) : 13.00
t"Ac ive" M odel Status are those th at a rt A H R I Ce rtifi cation P rog ra m P a r tici pa nt is eu r renti y prod u of ng AN D se l l i ng or offer n g for sa l a; 0 R n ew mod e l s th at a re be i ng
marketed but are not yet being pro du d. " P rod uction Stepped" Model Status are those that en A R I Certification Program Perfipant is no longer prod a inn BUT is still
sefling or offeri ng for sale.
I atinds that are accompanied b .WAS indicate an invg1 Q r rat . The n�
DISCLAIMER
AHR1 does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as for and assures no responsibility for,
the product(s) listed on this Certificate. AH R1 expressly disclai ms al I liability for darna es of a nor ki rid a rising out of the use or performance of the prod u t(s), or the
unauthorized alteration of data listed on this Certificate. Certified ratings are gelid oniy for models and configurations listed in the
di rectory at www.a hrld i re toryror .
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRIr This Certificate shall only be used for individual, personal and -,Sam
confidential reference purposes. The contents of this Certificate may not, in whole or in part, he reproduced; copied: disseminated;
i
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
�EI~I�I��A���1V INSTITUTE
The information for the model cited on this certificate can he verified at www.a hridlr ter .Gr , click on "Verify Certificate" ling wemake life betterlm
and enter the AHRI Certified Reference hlurnber and the date on which the certificate was issued,
which is listed above, and the Certificate No., which Is listed at bottom right.
132134637838307557
@2019Air-Conditioning, Heating, and Refrigeration Institute E RTW I CATS NO.