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BUILDING PERMIT
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 04/28/2C20 Permit Number: jkli Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 1585 SE TIFFANY CLUB PL Legal Description: Property Tax ID #: 3414-501-3503-000-5 Lot No. Site Plan Name: Block No. Project Name: RESERVE AT PORT ST LUICE APTS Setbacks Front Back: _ Right Side: Left Side: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE A/C CHANGE OUT 2 TON A/H MODEL # FEM4P2400AL 14 SEER CONDENSER MODEL # NXA424GKC 5 KW HEATER CONSTRUCTION INFORMATION: Additional work to a nertormed under this permit —check all apply, ❑✓HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors ❑Electric ❑Plumbing ❑Sprinklers ❑Generator ❑Roof ❑ Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 2,200.00 Utilities: []Sewer Sewer ❑Septic Building Height: OWNER/LESSEE: 0NTRACTOR: Name TIFFANY PARK PARTNERS LTD % WAYPOINT RESIDENTIAL Name: OSCAR A CALZADILLA Address; 3475 PIEDMONT RD NE STE 1640 Company: UNICO AIR CONDITIONING COMPANY City: ATLANTA State: GA Address: 25 SW CABANA POINT CIRCLE City: STUART State: FL Zip Code: 30305 Fax: Phone No. 772-242-9612 Zip Code: 34997 Fax: 772-647-7544 E-Mail: manager@reserveatportstlucie.com Phone No. 305-528-1392 Fill in fee simple Title Holder on next page ( if different E-Mail: marty@unicohvac.com State or County License: CAG1614920 from the Owner listed above) If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Not Applicable Name: TIFFANY PARK PARTNERS LTD%WAYPOINT RESIDENTIAL _ Name: OSCAR A CALZADILLA Address: 15855E TIFFANY CLUB PL Address: 3475 PIEDMONT RD NE STE1640 City: ATLANTA State: City: STUART State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: 25 SW CABANA POINT CIRCLE 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 certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a ppermit will authorize the permit holder to build the subject structure is in with any applicable Home Owners Assocation rules, bylaws or and covenants that may restrict or prohibit such which conflict 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 mustAerectirded and posted on the jobsite before the first inspection. If you intend to obtain financing, con or an attorney before commencin work or recordingour Notice of Commenceme &1'"� T (Ardyoe Signature of Owner/ Lessee/Contractor as Agent for Owner Signatur ense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Merencwnty COUNTY OFinatncounty The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 27 day of April 20_ by this 27 day of Al l 20 by Grant T CaMme Oster A Calzadilla 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 r Produced (Signature of Nota ublic- S _ — (Signature of Notary u ic- State of Florida ) --- .;.:`AM A(MI-c E Commission No. GG 1913 n �'eal�, '� - �...- Commission No. GG 191327 (Seal) M;vRTA M. AGUIRRE IV.,'."MIISiWN It GG 191?'[i REVIEWS FRONT ZONING SUPERVISOR PLANS VE OVE COUNTER REVIEW REVIEW REVIEW KEVutWW DATE RECEIVED DATE COMPLETED Rev.8/2/17 Unico Air Conditioning Company 25 SW Cabana Point Circle Stuart, FL 34994 Phone; (772) 678-6676 Fax:(772)647-7525 Contract Billing Address Document Number 51007510337 Unico Air Conditioning Company Date 04/24/2020 25 SW Cabana Point Circle Stuart, FL 34994 Shipping Address: Terms of payment: Term of delivery: Equipment ready for up at HD Grant T Cardone Reserve at Ashley Apt 1585 SE Tiffany Club PI Port St Lucie, FI 772-266-5591 Net15 Days ZOR(FOB Origin) Item Material/Description Quantity Unit Price Amount 1 Install Indoor/Outdoor AC Unit 1 $2,200.00 $2,200.00 Int. Article No. 25937855 2 ton Tempstar 14 Seer R410 �L rdo Signature: Subtotal: $2,200.00 Tax: Shipping 0 Grand Total: 2,20 .0 Certificate of Product Ratin AHRI Certified Reference Number. 9487261 Date 06-17-2019 Model Status: Active AHRI Type . RCU-A-CB Series: 14 SEER N SERIES R410A AC Outdoor Unit Brand Name : TEMPSTAR Outdoor Unit Model Number (Condenser or Single Package) : NXA424(A,G)KC" Indoor Unit Model Number (Evaporator and/or Air Handler) . FEM4P24"AL Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO. CT, ID, IL. IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY. OH, OR, PA, RI, SD, UT, 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 regions) for which they meet the regional efficiency requirement. The manufacturer of this TEMPSTAR product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSVAHRI 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 : 22800 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 t"Adlve" 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 prod uced'Production Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. R9a that are cco 'ad by WAS indic.ate an nvolunfarc re -rate. The new oublished retina is shown alona with the previous Ea WAS) rating. 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 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 listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and Its IONS contents are proprietary products of AHRI. This Certificate shall only be used for intlivitlual, personal and I Jul 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 users Individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, dick on 'Verify Certificate" link we make life h<rrer- antl 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 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: a2os2e7G24D255os2