HomeMy WebLinkAboutBuilding Permit ApplicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/26/19
Plonrrrrrg and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Perm -it Number:
Building Permit Application
Commercial %Residentiall.x
PERMITTYPE:HVAC Mechanical AC change out. LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
Address: 7685 Wexford Way Port Saint Lucie, FL 34986
Property Tax ID #: 3321-801-0021-000-7
Lot Na. 21 and 22
Site Plan Name: RESERVE PLANTATION -PHASE
f- LOTS
21
AND
22
Block No.
Project Name: HVAC Mechanical AC change out,
Install RHEEivl 4 ton
16
SEER,
10KW
Heater Strait Gaal Split System. LIKE FOR LIKE
DETAILED DESCRIPTION OF WORK..
A/C Change Out, Install RHEEM 4 ton, 16 SEER, 10KW Heater Strait Cool Split System. LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional work to be
performed under this
permit
—check all that
apply:
Mechanical
� GasTank
_Gas
Piping
. Shutters Windows/Doors
Electric
_Plumbing
Total Sq. Ft of Construction:
Cost of Construction..$5,400.00
Sprinklers
Generator
Roof
Sq. Ft. of Fiat Floor:
Utilities. Sewer Septic Building Height:
Pitch
OWNER/LESSEE: CONTRACTOR:
Name Michael Williams Name: Kelly Certosimo
Address: 7685 Wexford Way Company:Alr Temp Air Conditioning
City: Port Saint Lucie State: �Address:1384 NW Commerce Centre Drive
Zip Cade: 34986 Fax: City: Part Saint Lucie State FL- -
Phone No. 952-200-1992 Zip Cade: 34986 fax:
E- Mail: michaelbankerwilliams a�grnaiI.cQm Phone No772-340-0740
Fill in fee simple Title folder on next page if different E-Mail airtempac@yahoo.com
from the owner listed above) State or County LicenseCAC1814837
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 :CO.NSTRUCTI0N LIEN-ILAW
INFORMATION:::::'.
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: .....
,Not Applicable
.Name:
--- _
Name:
Address:
Address:
City;
State:
city:._..
State:
Zip: Phone
Zip: Phone:
FEE'SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
�
Name:
. _.
Address:
Address:
City:
City:
Zip: Phone:
MAM.Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT:
Application is hereby made to obtain a permit to do the work and
installation as indicatedd
certify that no work or installation has commenced prior to
the issuance of a permit.
t. Lucie Countv 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 ru lei, bylaws or ano covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and refer your deed for any restrictions which may apply..
In consideration of the granting of this requested permit, [ do hereby agree that I will, in all respects, perform the work
in accordanceit the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foilowing buildingpermit 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
T1�1fICE FOR IMPROYTO YOUR PROPERTY. A NOTICE OF COMMCEMENT MUST BE RECORD A,fi1D
POSTED ON THE JOB SITE BEf[]RE THE FIRST INSPEC110N. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
lAffH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF [IIMMENCEMENT."
Signature of Owner/ Lessee/Contracxor as Agent for Owner
STATE OF FLORIDA
COUNTY OF � � � ���- ----
The forgoing instrument was acknowledged before me
this 2(adayof Seof-ennber, 20 fell 6y --
t
Name of persaq making statement.
Personally Known
Type of identification
Produced
R Produced Identification
t
--r —
Signature of CantractaljLicense Holder
A
STATE OF FLORIDA
COUNTY OF S+ 1�-_��
The forgoing instrument was acknowledged before me
this. 26 day of e M 10(f r,, 20, [,� by
Na ' f person Braking statement.
Personally Known
Type of Identification
Produced
R Produced Identification
IF (Sign"a"Mr-e of Notary Public -State f Florida) (Signature of Naiary Public- State of Y-lorida �
Commission No r �t� � (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATA
RECEfVED
DATE
COMPLETED
ev
ntQr t�� iVcltary Pu�Ilc State of Florida ?�t*a'►�'t�, Notary Public State of F�arida
� Catherine Dor�t�� Mahan �r Catherine Donna Mahan
• MY Comr�lss�ar GG 176881 3
; ExP�r�s �1l�a,ao22 �ti My Commissron GG 176881
rf��u.�
MANGROVE
REVIEW
Certificate of Product Ratings
i--ll Certified Reference Number : 201294099
Old AHRI Reference Nutuber: 7943537
ICI Type: ICU --CB
Outdoor Unit Brand Name: RHEEM
Date: 09-26-2019
Outdoor Unit Model Number (Condenser or 5ingte Package) : RA9648AJ1
lndoor Unit Model Number (Evaporator and/or Air Handler) : R H 1 V4821 STAN
Model Status ; Active
Region : All (ABC, AL, AR, AZ, CA, CO. CT, DC, DE, FL, GA, FlI t I D x ltsr lam} 11, KS, KY, LA,CIA, MD, ME2 Ml, MN, MO, M81
MT a 1 , D f , H i f J, M . V, Y, I --I r , OFF, P , ICI, S } SD, Tel T TX, UT, , T. , WV, WI, �-F 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 11 2016 central air conditioners can only be installed in region(s) for
which they meet the regional efficiency requirement.
The manufa otu r r of this RHEEM product is responsible for the rating of this system combination.
Fated as follows
in accordance vAth the latest edition
of ANSIIAHRI
2101240 with Addenda 1
and 2, Performance Rating of
U n itar
Air -Conditioning ing
Air -Source Heat Pump Equipment
and r>ubject to
rating accuracy by AHRI-sponsored,
independent, third
paw testing:
Cooling Capacity (A2) -Single or High Stage (95F), btuh : 44540
SEER d, 16,00
EER (A2) - Single or High Stage (95F) : 13.00
t" ive" Model Status are those that an AHRI Certification Program Participant is currently producing AND salting or offering for sale; OR new models that are being
marketed but are not yet being produced."Production topped" Model Status are these that an AHRI Certification Program Participant is no longer producing BUT is still
s;eilinci or offering for sale.
WAS indica
re`
along with
DISCLAIMER
A H R I does not endorse the products) listed on this Certificate avid rakes no representations, wa rra nti es or g u a ra ntees as toe and a ss unnes no res pons ibiIity forr
the products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arisi ng out of the use or performance of the produot(s)r or the
u reauthorized alteration of data listed on this Certificate. Certified r ti rigs a re valid on Iy for models and configurations listed in the
directory at _ahrid Er ctory.crg.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary} products of Art 1. This Certificate shall oniy 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 corn pater database; or otherwise utilized, 1 n any form or m a niter or by any mea ns. except for the user's i ndivid al
personal and confidential reference.
CERTIFICATE VERIFICATION
The Information for the model cited on this certificate can be verified at www.ahrid !rectory --orgy click on "Verify ertifliat " link
and eater the AHRI Certified Reference Number and the date on which the certificate was issued,
AIR- 0NDITIO ING, HEATING,
& REFRIGERATION INSTITUTE
we make life better"
which is listed above, and the Certificate Na., which is listed at bottom right.
2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NQ.:13293973Bfl432f38450
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