HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : 517120
a
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce.FL 34.9,92
'hone: (772) 462-1553 Fax: 462-1578
Permit Number. -
Building Permit Application
Commercial
Residential x
PERMITTYPE: HVAC Mechanical A/C Change Out LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATIONE
Address: 8183 Mulligan Circle Port Saint Lucie, FL 34986
Property Tax ID #: 3327-503-0084-000-9
5ite P I a n Mame: POD TQC AT THE RESERVE PUD II CASTLE PINES (PB 43-12) LOT 159 (OR 4123-20g8)
dot No. 159
Block No.
Project Name: AIC Change Out. Install RHEEM 3.5 TON 16 SEER 10 KW HEATER LIKE FOR LIKE
DETAILED DESCRIPTION OF' WORK:
HVAC Mechanical A/C Change Out Install RHEEM 3.5 TON 16 SEER 10 KW HEATER LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional workto be per -farmed under this permit --check all that apply:
?Mechanical � Gas Tank _Gas Piping Shutters
Electric
Plumbing
sprinklers
Generator
Windows/Doors
Rood Pitch
Total Sq. Ft of Construction. Sq. Ft. of first floor:
Cost of Construction.- $ 51000.00 Utilities: _Sewer `Septic. Building Height:
OWNER/LESSEE.:
CONTRACTOR:
NameEdgardo Lema Name: Kelly Certosimo
Address: 8183 Mulligan Circle Company:Air Temp Air Conditioning
City: Fort Saint LucieState: F L Address: 1384 NW Commerce Centre Drive
Zip Code: 3.4986 � Fax. -h. City: Port Saint Lucie Sate: FL
Phone No, (?72) 240-6987 34986Zip Code:Fax:
E -Mail: ejlerna48 ma48@hotmail.com Phone No(772) 340-0740
Fill in fee simple Title Holder an next page (if different E -Mail airtempac@yahvo.com
from the Owner listed above) State or County License CAC's 814837
If val«to n#rnrectri sr4:n., ie t`7Cllff s►� ....,..... .. nrrrtin�ve. a,�_- -r ^ -
nc i req W ,
I value HVAC$7500or gore,, RECORDEDNotice of Commencement i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applic ableMarne:
fVame:
Address: Address:
City. State: City: State:
Zip: Phone � Zip; Phone:
FEE SIMPLE TITLE MOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address
City:
City:-
Zip: Phone: Zip Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby mare to obtain a permit to do the work and installation as indicated.
I certify that no work orinstallation has commenced prior to the issuance Of a permit.
St. ��li Lr! n� � Ids n � i�����n t� � �'��t�n i rrft . ,.
which� - ri�� authorize the permit holder to �iii�d -thesubject
rn coni with any applicable Home Owners ss r�t� n �- bylaws r tr~ t r
structure. Please consult yourAssociationd covenants that may restrict or .rivet such
Home Owners and r v� your deed for any restrictions wh*ch may apply.
In consideration of the granting of this requested permit, i do herwillagree that � �-
in all respects, perform the r
in accordance with the approved plans, the Florida Building Codes and St. Lucie
The following building permit applications r ern t from undergoing rr full concurrency rroom additions
accessory structures, tures, s i in
pools, fences, walls., signs, screen rooms and accessory uses t
anther non-residential use
WARNINGTO OWNER:ILS T
RECORD A NOTICE OF COM LT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY., A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE AFORE THE FIRST INSPECTION. IF YOU INTEND T
OBTAINFINANCING7 CONSULT
ITH YOUR LIENDEN imiu� citron r ncennnowo, a .� .�&a-w.Am� oft � MA.-
--- i �-- - -- -
I&Ewb&...r..■ v■w�. �a��.vRv�[�V r v��c �V [ ��.0 V� i.U1Mq►IENCEMENTW
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature 6f Contract r/License Holder
STATE DF FLORIDA STATE OF FLORID .�
COUNTY QF ��,..�`.IF
_._,.,_._ .... .., ,� COUNTY OFL
The faing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this � day of 20 ��L"�' h
Y this
..--.� �� day of (hioLilj2Qby
i
�]L� _b
Name of person king statement. Name of person m king statement.
Personally Known 0R produced Identification Persar�allKQ1� Pr
Type of Identification�nown c�duc�d identification
Type of Identification
Produced Produced
(Sliftellprome of Notary Pub c -State of Florida } Signature of Notary Public- State of Florida }
Commission No. �
3- (A (Seal) Corn ` G � � �� ^-�..
m�ss�on No. � Seal}
N 21
,� N Public F av
Dian Rizzo � � Diana Ri o
REVIEWS FRONT ��, G�� s ����'���� NS VEGETATIQ U mi
COUNTERAL lF1N REVIEW � °1' V 0 1
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19
Certific te of Prod ct Ratin
HI i Certified Referent Number: 20129021 Date : 05-06-2020
Old All Reference Number: 7942888
AHRI Type: U -A -CE
Outdoor Unit Brand Name: RHEE
Outcloar Unit Model Nurntaer (Condenser or Single Package) : RA1fi42AJ3
Indoor Unit Madel Number {Evaporator and/or Air Handler} : R111 T4821 SCAN
Region : All (AIS, AL. AR, A, CA,CO; CTI DC, DE, FL, GA, HI, I C I L IA
IVITt NC, " "D a NE, NH, NJ, M, NV, >, I1, KI f PA, I5 SCI D TI T A U
Territories)
Region Note: Central air conditioners manufactured prior to january 1201 are eligible IP to be
I r�tallod i �n SII region
until June F 2016. Beginning July 1, 201 central air conditioners can nl installer# in r ion
for
which they vest the regional effidency requirement.
The manuf ctur r of this RHEEM product is responsible for the rating this system combination.
Rated as follow in accordance with the latest edition of ASIS IIAH Fel 2101240 with Addenda I and 2, Performance ons ltin of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracyb IRI -sponsored, independent, third party testing.
Cooling Capacity A - Single or High Stage (95F), htuh : 41500
SEER: 16.00
SER (AZ) --Single or High Stage {95F} :13.0
t"AcU eP Model State s are t1 ose SLI I SE a H R I Ce r Glfi iti on P ro ram Pa l ci a I L i u rre tl � prod uer �n g AD ellen �� o€�rr� i'�r�Ia r1�r l�ac�� that � ��n
mar t d but are not yet being PrCduc d."Prod tion Stopped" Model Status are those that an AHRI Certification Program Pa ar i i t i no i
selling or offering for ale. longer producingBUT Mall
Ratings that are accomEanied. by WAS indicate an invo I u n re - rate., The new.p
ubffshed #gin -is shown along- with the gxevious(i.e. '
rating.
DISCLAIMER
H R I does not endorse the product(s) liseed on this e rtifi tate and makes no representations, warranties or guarantees as to, and assumes • • -
n� responsibility for,
the products) listed on th is Certificate. AH Rl expressly disclaims a I I liability for damages f any inn arising out of the use or erfermanc of the r
. � p � oduc#(s)x or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at ww.a rid i rector . r .
TERMS N D CONDITIONS
Th{i's Certificate �Ld itcontentsr pr prietar produ t of AH RI. This Certificate lull only be used for individual, personal and
co■ ■flde.+iflaJ reference purpo es, The e Vogl ten of this Certificate may Fay not,, in wholeor in part, be reproduced; copiled; disseminated-,
ry�eF; �ypy., to �y{y� y�,.��y�7 0 _ +��y 'y 1�.' 3 .x{71 /�.+� �/�J, y��y�� means,
��ye [j�J. �#y+� Jr� ��
entered in a computer database; r otherwise utilized, in any form odr annex or by an an s, except for the user'sindividual
J a
persons andconfidential reference.
CERTIFICATEVERIFICATION
The information for the model cited on this certificate can be verified at . hridir ct ry. r , click on "Verify Certificate" lin
and enter tlh a AH RI Certified Referen ce N umber and the Mate on wih is
h th a certificate was i's.su ed,
which ii-, listed a n e v%d t&% r t"f`
e� r l+ to 140., wrlich is listed at borrom n ht.
0202QAir conditioning, Heating, and Refrigeration Institute
4
AIR-CONDITIONING!, HEATING,
REFRI' ER TI 1I INSTITUTE
we m ie life ttel-rm
CERTIFICATE N(].: 132332703014170051