HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11!27/19
Fermat Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
23001Iirginra Avenue, Fort Pierce FL 3495
Phone: (772) 462-1553 Fax: (772) 4E2-1578 Commercial Residential X
PROPOSED IMPROVEMENT LOCATION:
Address: 7015 Willow Pine Way Porgy Saint Lucie, FL 34986
Property rix is #: 3322-621-0042-000-1
Site Plan Name; POD 8 PUD i AT THE RESERVE WILLOW PINS WEST AT PGA VILLAGE (P8 42-33) LOT 33 (OR 4088-77)
Project Name: HVAC Change Out, Install New CARRIER 3 Ton 16 Seer 16 KW Heater
DETAILED DESCRIPTION OF W0RK:",'"
Lot No. 33
Block No.
AC Change Out, Install CARRIER 3 TON, 16 SEER, 10 KW HEATER, Straight Cool Split System, LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional work to be
performed under this
permit
— check all khat
apply:
Mechanical
- Gas Tank
� Gas
Pining
� Shutters Windows/Doors
Electric
Total Sq. Ft of Construction:
Plumbing
Cost of Construction: $ 5,40O.O0
Sprinklers
Generator
Roof
Sq. Ft. of First Floor-,
Utilities; Sewer � Septic Building Height:
Pitch
OWN.-IR/LESSEE:
CONTRACTOR:
Name%-,.*�ristine Polo
Name.. -,Kelly Certosimo
Address: VII�[low Pine Way
Cvmpany;Air Temp Air Conditioning
city; PortSaint Lucie State:Address:
13$4 NW Commerce Centre Drive
Zip Code: 34986 Fax:
City: Port Saint Lucie State: FL
Phone No.772-882-4122
Zip Cade: 34986 Fax:
E- MaiI:cPola@acxiam.cvmPhone
X107?2-340-Q?44
Fill in fee simple Title Helder an nem page if different
E-Maii airtempac@yahoo.com
m'
from the owner listed above)
State or County License CAC1 814837
If value
of c nstructl' n i
$2500 or
more, a RECORDED Notice of Commencement is required.
If valueHVAC
i 500
or more.,
a RECORDED ti f Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW 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:Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT-. Application is hereby ma 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 re resentation 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 covenants restrict or prohibit suchstructure. Please consult with your Home Owners Association
and review your deed for any restrictions which may apply.
In consideration ofthe granting ofthis requested permit, I do hereby agree that I will., ire Il respects, erf rr the work
in accordance with the approved plias, the Florida Building Codes and St. Ducie County Amendments.
The following buil i permit applications areexempt from undergoing a furl 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 RAYING
TWICE FDIC IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MIDST BE RECORDED AND
PASTED DN THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
11111TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE DF COMMENCEMENT."
1�r
iq4
rte,
Signature of Owner/ LesseejContractor as Agent for t]wner
STATE OF FLORID
COUNTY OF
Th e fo rgo in in tru rpt was a n l d b f r me
this day f , b
Wm� of p_e_'_rso making stat6nent.;-
SO
J I Personally Known n Produced identification
Type f Identification
Produced
(SiRn"ature of Not
Commission
sTfn. -SMI t -
t rKMahan
My ommisston GG 17698
Ear 0111).
Signature of Contra ct6r/License Haider
STATE OF FLORIDA
COUNTY OF
The f r in i n tr rpt was cknowledged before me
thi � day f b
,
�T
ame of.persob making'_s�tatementd
Personally Known
Type of l dt ifi c t'
Produced
GTi1
OR Produced Identification
(Signatureof
Commission Na.
z M4
1'
tfIF
Catherine Donna Mahan
MY Commuion GG 17WO1
ExPIFOS 01118=22
of Florida
(Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
14161
%W100 Lem
MANGROVE
Certificate of Product Ratings
HFI Certified reference Number: 9170609
H R I Type: RCU-A-CB
e r1 a COMFORT 16 AC
Outdoor Unit Brand Dame : CARRIER
Date - 11-27-2019
Outdoor Unit Model Number (Condenser or Single Package) : 24ABC636A*030'"
Indoor Unit Madel Number (Evaporator and/or Air Handler) : FX4DN{B,F)037L
Model Statin : Production Stopped
Region Southeast
and
Nosh L, AR, DC, DE, FL,
GA,
HI,
KY,
LA.
MD,
MS,
NC,
OKP
SC,
TIS, TX, VA,
AIS,
CO,
CT,
11D, IL,
I 7 IN, KS,
MA,
ME, M1, MN, MO, MT, ND,
NE,
NH,
CEJ,
NY, a
H,
OR,
PA,
RI.,
SCS,
UT, VT, WA,
WV,
W1}
WY,
U.S.
Territories)
Region Dote : 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 re ions for
which they meet the regional efficiency requirement.
The manufacturer of this CARRIER product is responsible for the rating of this system combination.
Dated as follows
in accordance with the latest edition
of N I/AH I
10/240 with Addenda 1 and 2, Performance Rating of Unitary
Aire -Conditioning
& Air --Source Heat rump Equipment
and subject to
rating accuracy by AHRI-sponsored, independent, third party testing:
Gosling Opacity (A2) -Single or High Stage (95F), htuFt : 34200
SEER ; 16.00
EER {AZ} - Single or High Stage (95F) : 13,00
f "Active" k Mode I Status are those that a n A H R I Certificab on Pro g rangy P arti of pe nt i s cu rrent.ly prod u ei rig AN D set I i ng or of fe ring for sale; 0 R n ew mod els that a re be i n
marketed but are not yet being prod uced."Prod u tion Stopped Model Status are these that a n A H R I Certification P rog ra rn Parti lent is no Tenger prod u cin BUT is still
selfing or offering for sale.
etin s that are accomiaanied WAS indicate an involunto re -rate. The now r)ublished rating is shown alona withthe r iou (i.e. WAS rotir� .
DISCLAIMER
Hl l does not endorse the product(s) listed on this Gertiticate 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 product(s), or the
unauthorized alteration of data luted on this Certificate. Certified ratings are valid only for models and, configurations fisted in the
d i recto ry at www. a. h r i d i re eto r. o r.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRL This Certificate shall only be used for individual, personal and
confidential reference purposes. The contents of this Certiflcate 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 c;onfidenfial reference.
CERTIFICATE VERIFICATION
The Information for the model cited on this certificate can be verified at w.ahridirect r .or , click o "Verb Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
AIR-CONDITIONiNG, HEATING,
REFRIGERATION IN TITUTE
we rMl,,.c life better'
which is listed above, and the Certificate No., which is listed at bottom r'tgt€t, —---_...,.
02019Air-Conditioning, Healing, and Refrigeration Institute CERTIFICATE NO.:
132193585311351865