HomeMy WebLinkAboutBuilding Permit App1�fl APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/13/20
f
Planning and Development Services
Building and Cade Regulation Di41
vision
2300 Virginia Avenue, Fort Pierce FC 34382
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Permit Number:
Building Permit
Application
Residential X
PERMIT TYPE:
HVAC Mechanical A/C Change Out LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
Address: 9405 Briarcliff Trace Part Saint Lurie FL 3498G
Property Tax ID #:
3322-,801-0017-000-9 Lot No. 12
Site Plan Name: gRIARCUFF AT PGA VILLAGE - LOT 12 _ Block No.
Project Name: HVAC Mechanical AIC ChangeOut. Install RHEEM 4 TON 15 SEER 10 KW HEATER LIKE FOR LIKE.
DETAILED DESCRIPTION OF WORK:
HVAC Mechanical A/C Change Out. Install RHEEM 4 TON 15 SEER 10 KW HEATER LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
� Mechanical _Gas Tank � Gas Piping � Shutters
Electric
Total Sq. Ft of Construction:
Plumbing
Sprinklers
Windows/Doors
Generator Roof Pitch
Sq. Ft. of First Floor:
Cost of construction: $ 5,700.00 Utilities: _Sewer � Septic Building Height.-
0WNER/LESSEE: CONTRACTOR:
NameJennifer Blas#land NarnQ: Kelly Certosimo
Address: 9405 Briarcliff Trace Corn pa nY:Air Temp Air Conditioning
City: Part Saint Lucie Stade: FL Address: '� 384 IWV11 Commerce Centre Drive
dip bode: 34986 Fax: City: Port Saint Lucie State: FL
Phone No. (717) 419-7624 349$6
Zip Cade: Fax:
E-Mai I: kjbIastlanne# Phone No (772) 340-0740
Fill in fee simple Tiffle Hodder on next page t if different E-Mailairtempac@y+ahoo.com
from the owner listed above; State or County License CAC1 814837
If I Io nfi+e%r%ct4�"1CAA r%..wWEw as .. r
60 IP�1RA9h-- 1 %* PON-JL1 �%.rUW11 IZ� 4J1JV [ «I F' p d MMUKUltWimoxice OT Commencement is required.
If value of HVAC i $7,500 or more,, a RECORDED Notke of Commencement
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
City:
zjp� Phone:
NotApplicable
Name:
Address:
City: State:
Zip: Phone: "
BONDING COMPANY:
Not Applicable
Name;
Address:
City.
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Applicatian is hereby made to obtain a permit to do the work and installation as indicated.
I certify haat no work or installation has commenced prior to the issuance of a permit.
Lucie Court makes representation that i granting a rit will authorize thepermit t hId r to u
'
ld the subject structurehich iin conflict with r applicable me�•
ia;ion rules, bylaws r and covenants that rrestrict' or prohibit suchtruture. Please consult with your ere Owners,ssociatia and revs r deed for r restrictions n which
may apply.
Inconsideration f the re granting f this requested permit,
it I d hereby agree
tt�fl all respects,performF
the work
in accordance with the approved pleas* the Florida Building
Codes and St. Lucie
County Amendments,
The following building permit applications are exempt from undergoing � full concurrency room . tiy
r�
accessory structures, swimming pools, fences, walls, signs, screen rooms andaccessory 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 QF 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 i re erLess
STATE OF FLORII?A,
COUNTY OF r\
/Contractor as Agent for Owner
The for Ding instrument ent was acknowledged before me
this Iday ofy
-0 by
Name of Person making"statement.
Personally Known x ORProduced Identification
Type of Identification
Produced
(Signature f l et P r- State of Florida
-4
Commission No. 0
, t, � (Seal)
Signature of Contractor/License Holder
STATE OF FLORIDA,,
COUNTY OF
The for,ing instrument was acknowledged before me
this 1gyday of ('yl 24 7— by
Name of person making statement.
Personally Known-
)(' OR Produced Identification
Type f Identification
Produced
(Signature of Notary Publ
Commission Nof
to of Florida)
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR PLANS VEGETATION
SEA TURTLE
COUNTER
REVIEW
REVIEW'REVIEW REVIEW
REVIEW
DATA
RECEIVED
DATE
COMPLETED
ev. 2/7/19 MUM SUM CT FRZ
. Diana RIuo
MY Cammi"on GG 965345
E7LpiCSs 031�'i'3. Ra24 � a
MANGROVE
REVIEW
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Diana RSO
MY COMMhWOn GG 065345
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Certificate of Pro-dct Ratinas
AI RI Certified Reference Number: 201630959
Old AHRI Reference Number : 75121-87
AFIRI Type: H - - B
Outdoor Unit Brand Name: BREED
Date : -23-2020
Outdoor Unit Model Number Condenser or Single Package) : RP1548AJ1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RHI T4821 STAN
The manufacturer of this RHEEM product is responsible for the rating of this system combination.
Mode f Status F Active
Rated as follows in accordance with the latest edition of AIS .I 10/240 with Addendum 1, Performance F tin of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AFIRI-sponsored, independent, third party testing:
Cooling Capacity ( - Single or High Stage (95F), btuh 47000
SEER : 15.00
EER (A2) -Single or High Stage (95F).- 12.5
Heating Capacity (H12) -Single or High Stage (47F) :445(30
HSPF (Region IV):9.00
five" Moder 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 tcp ed" Model Status are those that an AHRI Certification Program Participant is no Icnger producing BUT is still
selling or offering for sale.
Datings that are accompanied WAS indicate an involun re -rate, The new Published ratin2 is shown. al'ong with the previous(i.e. WAS ratln
DISCLAIMER
AHRI does not endorse theproduct(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 f the product(s), or the
unauthorized alteration of data listed on this Gertitic te. !certified ratings are valid only for, models and configurations listed i n the
dire ctory .at WWrW.a h rld 1 re cto no r, ..
TERMS AND CONDITIONS
This Certificate and its contents are proprietary produ ts, of AHRL This Certifircate shall only he used for individual, personal and
confidential reference purposes. The contents of this Certificate may not, in whole or 1n part, be reproduced; copied di sem- hated;
entered into a computer databases or otherwise utilized, in any form or manner or by any mans, except for the user's individual,
personal and confidential reference.
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahrid lre for .or , click on "Verify CeFtiflc t TT lire
and -eater the AHRI Certified Reference Numb r and the date on which the certificate was issued,
which is listed atwve, and the Certificate No., which is listed at bottom right.
(D202OAir-Conditioning, Heating, and Refrigeration Institute
CERTIFICATE NO..
AIR-CONDITIONING, HEATING,
& REFRIGERATION INSTITUTE
-we make He betterTm
1 32294655182631 358