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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/03/2019 Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 1553 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: Additional work to be nertormed under tispermit—check all apply: ❑✓FIVAC Gas Tank ❑Gas Piping ❑Windows/Doors _Shutters ❑ Electric Plumbing 05prinklers ❑ Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 2,200.00 Utilities: Sewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL Name: OSCAR A CALZADILLA Company: UNICO AIR CONDITIONING COMPANY Address:3475 PIEDMONT RD NE STE 1640 City: ATLANTA State: GA Address: 25 SW CABANA POINT CIRCLE City: STUART State: FL Zip Code: 30305 Fax: Phone No. 772-242-9612 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: GAG1614920 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: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Not Applicable Name: TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL _ Name:OSCAR A CALZADILLA Address: 1553 BE TIFFANY CLUB PL AddreSS: 1475 PIEDMONT RO NE STE lW City: ATLANTA State: City: STUART State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: 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. 1 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 be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult r or an attorney before commencing work or recording our Notice of Commencement. &ran--1- CQ rdo-m /// Cok��-4 I Signature of Owner/ Lessee/Contractor as Agent for Owner Sig ture of Contrac or/Li en Holder STATE OF FLORIDA STA F FLORIDA COUNTY OF maninc«ur,H COUNTY The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 03 day of oc 20_ by this 03 day of Oa 20_ by Grant T Cardona Oscar A Calzadllls 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 Nota !li6.,4tate ofljj}A(r,��)AGUIRRE (Signature ,.;; .,•; MARIAM.AGU;Rkt l Commissi n{id 18 OMMISSION19 9. MYCOMMISSIONBGG141327 Commission No. G o EXPIRFSJIf1 )?,20 2 j 4'•; 22 EXPIRES: rch 9, 2 22 P; Public Undenmlels d?�;;.•'Bondetl Thru Nc'a-t Puh!ic L'nh,iwtllers -- Bonded ThNN=—I 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 R41 DA AC Outdoor Unit Brand Name: TEMPSTAR Outdoor Unit Model Number (Condenser or Single Package) : NXA424(A,G)KG— 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, 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 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 2101240 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 1"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling 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 is still selling or oflenng for sale. RebnOs that are accompa 'ed by WAS indicate an'involuntary re -rate The new published rating is 3h.n along with the previous (i a WAS) retina. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to. and assumes no responsibility for, 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 ptoduct(s), or the unauthorized aNeration of data listed On this Certificate. Certified ratings are valid only for models and configurations listed in the directory at ctory.org. TERMS ANDD CONDITIONS NS This Certificate and Its coolants 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; entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, AIR-LpnoRIONING. HEAnNa, personal and confidential reference. IS REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certi icale can be verified at www.ahrldheetory.Org, dick on "Verify Certificate" link .ve make lire 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 132052876240255052 ©2019Atr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: