HomeMy WebLinkAbout212 NE ENTRADA AVEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/5/20
�aulw
ram'`
F
L O II D A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: MECHANICAL
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: 212 NE ENTRADA AVE
Property Tax ID #. 3419-501-0012-000-0 Lot No.
Site Plan Name:
Project Name: RANDY FINLAY
DETAILED DESCRIPTION OF WORK:
A/C CHANGE OUT 3 TON 16 SEER 10 KW
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
Total Sq. Ft of Construction:
Gas Tank
Plumbing
Cost of Construction: $ 4042.28
Gas Piping
Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor: _
Block No.
Windows/Doors
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RANDALL FINLEY
Address: 8053 S INDIAN RIVER DR
Name: MICHAEL FORGIONE
Company: UNIVERSAL AIR & HEAT
Address:5460 W STATE RD 84 # 12
City: FORT PIERCE State: _
Zip Code: 34982 Fax:
Phone No. 772-626-4758
E-Mail:
City: DAVIE State: FL
Zip Code: 33314 Fax:
Phone No 954-581-7110
E-Mail Permitting@Uahac.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CACO258142
It value of construction is �ZSUU 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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Addre
City: _
Zip: _
Ph
Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Address:
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
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 no representation that is granting a permit will authorize the permit holder to build the subject structure
lAfhir-h isix.co with-anyapplicable-u,�. ,� n. ^^�� ^«^��atier�moles—byfaaysyrene_C_ ar�ts-that+grayrest-rietofpre u��
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 JOB SITE BEFORE NHE FIRST INSPECTION. IF YOU INTEND T OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORWY BEFORE RECORDING YOUR NOTICE O DMMENCEMENT."
Signature of Owner/ Lessee r cior as Agent for Owner
Signature n�ctor/LicerAie Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF BROWARD
COUNTY OF BROWARD
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 6 day of FEBRUARY 20_ by
this 6 day of FEBRUARY 20_ by
MICHAEL FORGIONE
MICHAEL FORGIONE
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 Nviary PUbliC State of Florida
Pagura
NatitPy Publin StatR of Florida
mmission GG 150367
, 02/02/2022
4M"
cIe Pagura
52
(Signature of Notary Pub 'c- f Fd' a iozr2oz2
(Signature of Notary Public- Stata )
Commission No. 5`Sty (Seal)
Commission No. 15a(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW.
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 211119
Certificate of Product Ratinas
AHRI Certified Reference Number: 201285991 Date: 06-25-2019 Model Status : Active
Old AHRI Reference Number: 7942207
AHRI Type: RCU-A-CB
Outdoor Unit Brand Name: RHEEM
Outdoor Unit Model Number (Condenser or Single Package) : RA1636AJ1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T3617STAN
RZgloon T. All OAK, AL, AR, AZ -CA, UO, LT, UO, DE, FL, -GA, HI, f6, TL, IA, IR, KU,RY, LA, VA,1DI6, )DIE, TDIf, IGTN, INO, MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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 RHEEM product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 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 : 35400
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
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 produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Rati�tha_t_a_r_e accompanied by WAS indicate an involuntary re -rate. The new published ragna is shown along with the erevious (i.e. WAS) ratino.
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 products) 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 listed on this Certificate. Certified ratings are valid only for models and configurations listed In the
directory at www.a bridireetory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and AN On
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, Ims on -al
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at «pry-nru, click on "Verify Certificate" link we make life 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. — — — ---
02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132059619926213637