HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 211 2IZO
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phonp- 17771 Ar.,i...i rzc-2 E:
Permit Nunnber:
Building Permit Application
�ommeraai Residential X
PERMITTYPE: HVA C Mechanical A/C Change Out LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
Address: 8613 Tompson Point Road Port Saint Lucie, FL 34986
Property Tax ID #: 3327-704-0024-000-8
Lot Kin.23
Site Plan Name: TOMPSON POINT PUD AT PGA VILLAGE (PB 43-10) LOT 23 (OR 3929-2820)
n 114U.
Project Name: aC Change Out INSTALL RHEEM 2 TON 15.5 SEER 5 KW HEATER LIKE FOR LIKE
�H MM M ....
DETAILED DESCRIPTION OF WORK:
HVAC Mechanical A/C Change Out INSTALL RHEEM 2 TON---1 5.5 SEER 5 KW HEATER LIKE FOR i itcF
CONSTRUCTION INFORMATION.:
Additional work to be performed under this permit — check all that apply:
)(Mechanical ,Gas Tank � Gas Piping Shut�e�s
Electric
Plumbing
Total Sq. Ft of Construction:
COSt Of Construction: $ 4,500.00
OWNER/LESSEE:
Sprinklers
Generator
Windows/Davrs
Roof Pity
Sq. Ft; of First Floor:
Utilities: Sewer Septic Building
Name Victor K Chun
Address: g613 Tompson Point Road
city, Port Saint Lucie State: 1-:�L
Zip Cade: 34986 fax:
Phone No. 561-791-0116
E-Mail: vkchun a[7gmaif.com
Fill in fee simple Title Holder on next page if different
from the Owner listed above]
CONTRACTOR:
Name: Kelly Certosimo
company: Air Temp Air Conditioning
Address,,, 1 384 NW Commerce Centre Drive ----
city; Port Saint Lucie FL
State:
Zip Code: 34986 ..... —.. Fax:
Phone No 772-340-0740
E-Mali aErtemPac a�yahov.com
State or County License CpGI$14$37
If value of construction i 0 or more
RECORDED Notice of Commencement is required.
If value of HVAC is ,5 r more, a RECORDED Notice of Co
mncer ant is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: T_Not Applicable MORTGAGE COMPANName:
Address;
City.. State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
Not Annlir;;hlp
Name:
Address:
City: State:
Zip: Phone:
Not A fi l
Name:
Adr:
City:
Zips Phone:
BONDING COMPANY:
OWNER/ CONTRACTOR AFFIDVIT: Application » here
i certify de to obtain a permit to do tor and inst I
x that work � installation � atir� has commenced��t�on indicated.
prior the i�..r�r�� ��� permit,
St. Lucie ontakeno representation that ii
which � �� �or� I ��� its �� � granting n a perrr��t will authorize the permit holder to build the
applicable Home Owners Association rules la r r structure
s
structure. Please consult with your Home Owners + � and ��n�r�t �� restrict orprohibit ��
Association n and review our deed for any restrictions
ors ���� �-n��ppl�r,
� n consideration of the granting of this requested
permit* f do here agree that i will, in all respects,erfo iaccordance with theapproved Ian{ the Florida perform tl�� orb
Building Codes and �. LucieCounty Amendments,
�he fllori n b� iJd irr permit applications re .
exempt from undergoing oin full con a r'r review: room
accessory structures,swimming f e additions
{
n ��fi, ins ran ��� and accessoryuses t
o another non-residential use
►TR1sn11M1U # U Or NER: 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 BEFORF THE FIDc'r 1ju4cnrrrrr:�r ..- ..�....,�.�_... __ _ _ .
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEi110EMENTNCiNG, CONSULT
+gnature of Owner/ Lerfssee/Co n tractor as Agent for Owner
STATE OF FLORIDA���
COUNTY OF
The for orn instrument was acknowledged
this?
day of � 20Xby
1/' ter
r�
Name of son makingstatement.
Personally Known vwzz�_-'_ OR Produced Identification
Type f Identification
Produced
1�
of Florida
OWIrV
GG �� 17,
ignatu otary b i �9jejoj
Commission No
REVIEWS
DATE
RECEIVED
DATA
COMPLETED
2V.2
FRONT
COUNTER
(Seal)
ZONING
REVIEW
SUPERVISOR
R EVI EW
Signature of Contra
STATE OF FLORIDA
COUNTY OF �6
r/License Holder
1, / r�-- : N.
Lok.� -11,
The forgoing lnst�JqMe was acknowledged before
this a of
;Xly
Name of Person ma
ng statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
..Vr
Stale
_�tignzituvf PTOPtary Publ• f Fit G, 6
Commission l x�
• Sea
PLANS
REVIEW
VEGETATION
REVIEW
spE
REVIEW
MANGROVE
REVIEW
Certificate of Product Retinas
AHRI Certified Reference Number - 201663443
Old AFIRI Reference Number : 8171209
AHRI Type: H - -
Outdoor 1,Jnit Brand Name. RHEEM
Date: -1 l00
Outdoor Unit Model Number (Candenser or S€ngle Package) : RP1524BJ1
Indoor Unit Model Number (Evaporator and/or Air Handle) : RH1 T2417STAN
The manufacturer of this RHEEM product is responsible for the rating of this system combination.
Model St t . Active
Rated aS follows in accordance with the latest edition of AFIRI 2101240
with Addendum 1. Performance Rating of Unitary
fir=ond itioninAir-Sou re Heat PLlmp Equi Pmnt a nd su b�t t� r��i r� testing
� a�ra� � �--1����r��r�, ! r��� �n�rrt, �� i r� ��
CoolingCapacity (A2) � Single Or High Stage F , btuh : 24000
SEER : 15.50
EAR (A2) - Single or High Stage (95F) : 13.00
Heating Capacity (FI12) - Single or High Stage (47F): 2200{}
MSPF (Region IV): 9.00
f'iv" Mo de Status a re th ose that an AHFR C er#f-fication P rog ra m P a rtj cipant is cu rrntl �����ir�
marketed��� are not �� ��ii� � g �1D ellirig cr offring for ie; 0 R n e���i that of b eii�g
produced_" action Stopped' Model Status are those that n H R1 Certification Program Participant i n� selling or offering for sale.Ii�ruin i tFll
Rati that are accompanied-MASindicate an invOluri re -rate, The newpublished ratin
�or� all with the riu ��. WAS ratIn
DISCLAIMER
AH FBI does not endorse the prod ut(s) I ited on this Certificate a nd rnakes no representations, � �'�'
the prod uct(s) I its on th i Certificate. AHRI expressly disclaims all I is biiit for i � nti� ��r u� r�rrt�� � t�� a�� a��u � �� r�O r��ni hil its for,
�r �a r���� �� a�� �C�rrd a rig ng out of the use or performance of the produ (s), or the
unauthorized Iteration of data listed on this Certificate. Certified ratings are valJd only for modals and configurations
directory at www-a h ri€� i redo r olisted in the
TERMS AND CONDITIONS
1`h1Certificate and its contents are proprietary products of AHRI. This Certificate shall
only be used for
individual, personal andconfidentil reference purpose. The contents of this Certificate may not, in whole�� �� part, be reproduced; copied; disseminat
ed;rtered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the uer7s individual,
personal and confidential reference.
ERTIFi ATIE VERIFICATION
The information tar the model cited on this certificate can he verified at ..h rid i re to r,o r# Ji k on u�
and eater the AHRI Certified Reference Number anal the (fate on which the certi � �f rtfortifI aka link
vwra i��ed�
which is listed above, and the Certificate No.. which is listed at bottom right.
@202OAir-Conditioning, Heating, and Refrigeration Institute
AIR-CONDITIONING. HEATING,
& REFRIGERATION INSTITUTE
we make life be-tterT"
CERTIFICATE NO.: 132259902747815414