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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 �