HomeMy WebLinkAboutT Rinker Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12111 /19
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3498.2
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X
PERMIT TYPE: EMERGENCY HVAC Mechanical A/C Change Out LIKE FOR LIKE
.PROPOSED IMPROVEMENT LOCATION:
Address: 11735 Appaloosa Court. Saint Lucie West, FIL 34987
Property Tax ID #: 3309-605-0025-000-5 Lot No.22
Site Plan Name: PONY PINES -UNIT ONE BLK A LOT 22(1.84 AC) (OR 3699-403) Block No. A
Project Name: EMERGENCY HVAC Change Out, Install New RHEEM 4 Ton 16 SEER 10 KW Heater LIKE FOR LIKE
DETAILED DESCRIPTION OF WORK:.'.",.'
EMERGENCY Charge Out: Instal! RHEEM 4 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 that
apply:
)(Mechanical
� Gas Tank
_Gas
Piping
� Shutters Windows/Doors
Electric
_Plumbing
Total Sq. Ft of Construction:
Sprinklers
Generator
Sq. Ft. of First Floor:
Roof
Cost of Construction: $ 3,800.00 Utilities: � Sewer _Septic Building Height:
Pitch
OWNER/LESSEE: CONTRACTOR: .
Name Tiffany A Rinker Name: Kelly Cer-tosTIM0
Address: 11735 Appaloosa Court CQmpany:Air Temp Air Conditioning
City; Saint Lucie West State: Address: 1 384 NW Commerce Centre Drive
Zip Code: 34987 Fax: ��ty; Port Sa�nfi Lucie State; FIL
Phone No.77�-�7�-4237 Zip Code: 34986 fax:
E-Mail: Phone No772-340-0740 -- ,
Fill in fee simple Title Holder on next page if different E-Mailairtempac@yahoo.com
from the owner listed above} State or County LicenseCAC 1814837
If value
of constructi n is
$2.500 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 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 made to obtain a permit to do the work and installation as indicated.
I cert'Ify that no work or installation has commenced prior to the issuance of a permit.
LucieSt. Count makes no re resentation. that is grantinga permit will authorize the permit holder to build the subject structure
which is in con I i t with any applicable Home Owners Association rules, bylaws or and covenants that may restrict r prohibit such
� for any restrictions ��� apply. 11
structure. Please consult with your Hone rn r s ociatio n and review your deed
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, free # walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO QWfHER; YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TRICE FOR IMPROVEMENTS TO YOUR PRiiPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Ow Of lessee/Contractor as Agent for Owner Signature of Contra or/License Holder
STATE OF FLORIDA . ��`� � STATE OF FLOR1._
COUNTY of COUNTY OF
Th forgoing instru ac ovyleg fore me The f r ❑ing instr t w s a r� I�dged fore me
thi day of 0 by this � day of 2Q� y
(14
Name o persv making statement. Name of perso aking statement.
\lcPersonally Known OR Produced Identification Personally Known OR produced Identification
Type of Identification Type of {dentificatio _.
Produced Produced
NCIISrV ?ubt►t'
r .� Catharine
C�f�f1i1�,
ti110
OE) u01ss,wUu00 Ayy
UpuPM euuop auElaqJe0to
--
ature Q t ry Pu �c� State oU ign r f otary P
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATA
RECEIVED
DATE
COMPLETED
eV. 2/7/1
Certificate of Product Ratings
H I Certified Reference Number : 201294083
Old AHRI Reference Number: 7943535
H t Type: RCU-A-CB
Outdoor Unit Brand Nome: RHEEM
Date : 1 -1 1 -0 1
Outdoor Unit Model Number {Condenser or Single Package} : RA1648AJ1
Indoor knit Model Number (Evaporator and/or Air Handler) : RH1T4827 STAN
Model Status -. Active
Region : All AID, AL. AR, AZ, CA, CO, CT, DC, DE, FL, GA, 1-11. ID, IL I I , 11, GCS} KYr L 7 MA, MD, ME, Ml, MN; C 1 , MS7
TT NC, ND, NE, NH, NJ, NM, NV, NY, OH, 0Kr OR, PA, FBI, SC, SD, T , TX, LET, VA, VT, WA, WV1 VVI,VVYr 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 112016 central air conditioners can only be installed in region(s) for
which they meet the regional efficiency r q u it meet.
The manufacturer of this RHEEM product is responsible for the rating of this system combination.
Dated as follows
in accordance with the latest edition
of ANSI/AH I
2101240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning
Air -Source bleat Pump Equipment
and subject to
rating accuracy by AIDF I -sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 45440
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
T' ve" Model Status are those that an AHRI Certification Program Participant is currently producing g D selling or offering for sale} OR new models that are being
marketed but are not yet b e I n g prod oed.iiProd u tion topped" M c>de I Status are those that an A H R I Certification Program Participant is no longer producing BUT i s still
selling or offedng for sale.
Multi na that ar m nled bWAS,Inds t an in luny re -rate. The new u�If I��£I ratlI� I � n alo�l ��Il t� � 1���I.I�(i.e.�'��#E�1
DISCLAIMER
DISC LAos t endorse the r d l t listed th I Certificatea nd makes no representations.- a rrantie or ua rantee as to, and assu s no responsibil ity for,
the prods t(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( ), er the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the
UIIUULVF �t v�r r.a Sidi %%x- r�. r -
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AH RI. This Certificate shall only he used for Individual, personal and
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied: disseminated;
4.
entered into a computer datalDa e; or otherwise utilized? in any form or manner or by any rneans, except for the user's individual,
personal and confidential reference.
CERTIFICATE VERIFICATION
The information for the model ited on this certificate can verified t �rar rid re t r x Ii f "Verify ar#i i " link
and eater the AHRI Certified Reference Number and the date on which the certificate was issued,
which is kited ahnve, and the Certificate No.. which is listed at hottorn right. CERTIFICATE I m4
02019Air-Conditioning, Heating, and Refrigeration Institute
AIR-CONDITIONING, HEATIN6,
REF I ERATiON INSTITUTE
we make life better""
1 05550 714968