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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/16/2019 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 1300 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: 1723 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: Additionalwor to e erorme under t—checkispermit a apply: � Lr IHVAC :Gas Tank []Gas Piping _Shutters QWindows/Doors IElectric Plumbing Sprinklers Generator Q Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 2,200.00 Utilities: Sewer I 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: CAC1814920 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 Name: TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL MORTGAGE COMPANY: Not Applicable Marne: OSCARACALWILLA Address: 1723 SE TIFFANY CLUB PL Address: 3475 PIEDMONT RD NE STE 1640 City: ATLANTA State: Zip: Phone City: STUART State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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. 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 Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult an attorney before commencing work or recording our Notice of Commencement. &t-(An-- T Curd vru- Signature of Owner/ Lessee/Contractor as Agent for Owner Signature o ntra or a Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF MmnCounty COUNTY OF m—�ety The forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledged before me this 1a day of Do 20 by this 19 day of Od 20 by Grant T Cardone Oeoer A Celzaallle Name of person making statement Name of person making statement Personally Known X OR Produced Identification Type of Identification Personally Known X i3R Produced Identification Type of Identification Produced Produced I (Signature of Notary Pu c- State of Florida ) (Signature of Notary li °`�'• C��R7AM.AGUIRRE Commission No. GO 191327 .gP ..'. s. , 11SSION#GG 191327 - EXPIRES: March 9, 2022 __ Sonded 7hru Noary Pohlic Undelwriler mmission No. G 411E "iPh, MARTAI, RRE _ �.; MY COIAMISSION # (,Y� 191327 .'%Pb':,;b?�` EXPIRES: March g, 2022 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MA E REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 Certificate of Product Ratings AHRI Certified Reference Number: 201852667 Date :11-13-2018 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) : FMA4P24"AL' Region: North (Al CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, NO, NE, NH, NJ, NY, OH, OR, PA, RI, SO, UT, VT, WA, VW, VVI, VVY, U.S. Territories) Region Note : Central air conditioners manufactured prior to January 1, 2015 are eligible to be Installed in all regions unfit June 30. 2016. Beginning July 1, 2016 central air Conditioners can only be installed in regions) 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 Heal Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third parry 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 selling or offering for sale; OR new models that are being marketed but are not yet being producad "Production Slopped" Model Swtus are those that an AHRI Certification Program PaNGpant is rw longer producing BUT Is still selling or offering for sale. Ratings that are accompanied by WAS mdsate an-nvoluntan, re -rate The new o bl'shed ratino is shown alongwith the re sous (i e WAS) rating DISCLAIMER AHRI does not endorse the produchs) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certlflcate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized afteration of date listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahridlrectory.org. TERMS AND CONDITIONS ' This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and _ confidential reference purposes. The contents of this Certiflmte 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, personal and confidential reference. AIR.CONomoMNG, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, dlek on 'Verify Certificate' link we make life better^ and enter the AHRI Certified Reference Number and the date on which the eertiticate was Issued, which Is listed above, and the Certificate No., which is listed at bottom right ©2018Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 1llW6200863162522