HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1117/19
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenge, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number0
:
Building Permit Appl*cation
Commercial Residential.x
PERMITTYPE: HVAC Mechanical AC Change Out LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
Address: 8324 Muirfield Way Port Saint Lucie FL 34986
Property Tax IA #: 3328-802-0044-000.8 Lot No.
Site Plan Name: PAD 27 AT THE RESERVE MUIRFIELD REPEAT LOT 41 (OR 3932-2507) Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
A/C Change Out, Install RHEEM 3.5 TON, 16 SEER, 10 KW HEATER, Straight Cool Split System. LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additivnal work to
be performed under this
permit
— check all
that apply:
Mechanical
Gas Tank
� Gas
Piping
Shutters
Electric
Plumbing
Sprinklers
Generator
Windows/Doors
Roof
Pitch
Total
Sq. Ft of Construction:
Sq.
Ft. of First
Floor:
Cost
of Construction: $ 5,500.00
Utilities:
� Sewer
Septic building Height:
OWNER/LESSEE. CO NTRACTO R:
Name Lee Danieflan Name: Kelly Certosimo,
Address-8324:Muirfield Way Company:Air Temp Air Conditioning
Park Saint Lucie State: Address- 13�4 NW Commerce Centre Drive
Zip Code-. 34986 Fax: City; Port Saint Lucie State; FL
Phone Na.508-494w2236 � dip Code: 34986 Fax:
E-Mail:encore eakes@charter.net Phone No. 772-340-0740
Fill in fee simple Tile folder on next page if different E-MaiI airtempac@yahoa.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 MVAC is $7.,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIENLAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
City: State:
ZIP: Phoney
BONDING COMPANY: _Not Applicable
NameIN
.
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
k certify that no work or installation has commenced prior to the issuance of a permit.
5t. 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 cavenants that may restrict or prohibit such
structure. Tease 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 nder irig 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 CORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FAR IMPROVEMENTS T8 YOUR PROPERTY., A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
PASTED ON THE JAB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
WAU.-V om�--
Signature of Owner/ Les ee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrum
this day of
rat was a howl d ed before
ju 0 R b
Name f person mating statement.
Personally Known rOR Produced Identification
Type of Identification
Produced
ignature of
try AJJ
Notary Feub1is Stale of Florida
� Catt)enne Donna Mahan
a�y Pu-bl'lc- St*.�4$Orkfa,)es 0111&f2022
Commission No.
f
(Sea 1)
Signature of Contractor(Licerise Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrumept ac no l d efore me
this da of -Abtv I
N a f 'p a r& a king statement. T
Personally Known KProduced Identification
Type of Identification
Produced
ry Pub"r, (e Of Flory
da
Catherine Dunna Mahan
A 1A.4 (1F*,n0AA f,,N 1 .812022
JkM6re of N�rtaryPublic- State of Florida j
Commission No. (Sea 1)
C.7' J
ri ' " ) 17 liew) te��
REVIEWS
FR�
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SUPERVISOR
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PLANS
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� VEGETATION
SEALE
COUNTERONT
REVIEW W
RSV#�W
REVIEW
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I REVIEW
DATE
RECEIVED
DATE
COMPLETED
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MANGROVE
REVIEW
Certificate of Product Ratinas
H I I Certified Reference Number: 201290216
Old AHRI Reference Number: 7942888
AHI Type: ICU -A -CB
Outdoor Unit Brand Name : RHEEM
Date: 11-07- 01
Outdoor Unit Mode{ Number (Condenser or Single Package) : RA1542AJ1
indoor Unit Model Number (Evaporator and/or Air Handier] : RH1T4$215TAN
Mode I Status: Active
Region ; All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, H I , ID, I LI iA, IN, KS, KY, LA, MA, D�
MID, a a
T, NC, ND, NE, NH, NJ, I IVI r NV, NY, OH, OKF OR, IAA, R1. SC, SD, T J } TX, UT, VA, ITT, WA, VVV, Wi, VVy, 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 RHEEM product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AH1 i 10/ 40 with Addenda 1 and 2, Performanoe Rating of Unit
ary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AH I -sponsored} independent, thin party testing:
Cooling Capacity A - Single or High Stage (Fa btuh : 41500
SEER : 1.00
EER (A2) - 5ingie or High Stage (95F) : 13.00
T"Activ " Mode I Status are those that an A H RI Certification Program Participant is
currently producing AN D selfing or ofl` ring for sale' R new models that are heir
maritec� hart � r��t �t hire r�du�d.� F�r�d uti�i� Ito �, �
p pled Model Status are those that are AH I Certification Pro ram Participant is no longer producing B UT i s still
fa ing or offering for sale.
Rahn that are a=r anted indicate an involurita re -rate. The new Puhilshed rating is shown a I ong with the previous i.e. WAS) rating
DISCLAIMER
HRI does not endorse the product(s) listed on this Certificate and rnakes no representations, warranties or guarantees as for and assumes no responsibility for
the product() [listed on this Certificate. Ail FBI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product or the
T
unauthiorized alter tion of data listed ors this Certificate. Certified ratings are valid only for m odeIs and configuration listed in the
directory at w. a h r id l re t ry. o r.
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 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,
CERTIFICATE VERIFICATION
The Information for the model cited on this certificate can be verified at www-a h rld irectory,o r , click on "Verify Certificate" link
and eater the AHRI Certified Reference Number and the date on which the certificate was issued,
which iZ5 li tvd C1hoVe, and the Gertimate No., rah ich is listed at hottorri right.
@2019AIr-Conditioning, Heating, and Refrigeration Institute
CERTIFICATE NO.:
AIR -CO IDITI ING� HEATING.,
& REFRIGERATION INSTITUTE
ive mace life bcLu r'w
132176197804295262