HomeMy WebLinkAbout6719 Dickinson Terr PermitS1-; LIICIE reJ;*+GJd6@ffiry.-.r L 6'"ff'I p Lt -'j-
AIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
o^t"1ll3|,ftA permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulotion Division COmmefCial
ZjAa Virginio Avenue, Fort Pierce FL 34g\z
Phone: 1772) 462-1553 Fax: (7721462-1,578
Residential
PERMITAPPLICAI0N FoR: HVAC Change Out
PROPOSED I M PROVEMENT LOCATION:
Address: totrltD id(inSn"\ Terr
Property Tax tD *'3H t5 -Lot No.
Site Plan Name:Block No.
Project Name:
Second Electrical Meter
Additional work to be performed under this permit - check all that apply:
$-Mechanical _ Gas Tank _ Gas piping _ shutters _ windows/Doors Pond
PitchE lectric _ Plumbing _ Sprinklers _ Generator Roof
Sq. Ft. of First Floor:Total Sq. Ft of Construction:
costof construction,s 4ff]L,ffi Utilities:
-sewer -septic
Buildins Height:
lf value of construction is 25fi) or more, a RECORDED Notice of Commencement is required-
lf value of HAVC is $7,5ffi or more, a RECORDED Notice of commencement is required.
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION I N FORMATION:
OWNER/LESSEE:CONTRACTOR:
stare:YL
Zip Code:3QqSa rax:
Phone No.?r3 - S3ft- t{51t
E-Mail:
Fill in fee simple Title Holder on next page { if different
from the Owner listed above|
Name: Thomas Kulinski
Company:Apex Air Conditioning and Heating of the Treasure Coast
4661s55.5707 Silver Oak Dr
City: Fort Pierce state: F!
Zip Code: 34982 p.2,1. 772-2A6-3146
phone ps772-577-8960
E-p1u ; 1 apexacandheatofthetc@gmail.com
State or County Licenset{9025432
DEsNGluEty'EillSl$lEtR: X Not Applicable
Narne:
Address:
City:State:
zip;Phone
MORTGAGE COMPANY: $ troot Applicable
Name:
Address:
City:State:
Zip: _ Phone:
FIf SIMPIETITIE HOlDtt: _l_ ftotApplicable
Narne:
Address:
City:
Zip: _ Phone:
glttDlffiG COMP*I{YI ]*NorApplicabte
Name:
Address:
CIty:
Zip:Phone:
Olf,rHEn/ CONIEACTOR AFFIDUIT: Application is hereby rnade to ebtain a permit to do the work and installation as indtcared"
I certifu that ao work or installation has commenced prior tc the issuance of a permit.
wlth lender or a!i! attcrnrygy before comrnencing work or reiordins your Notice of CornmencemJni]
SL .q{ge.C€unt]|ryakq9 no representation that is grantlng a pelmit will a.uthorize the permit holder to build the subject structurewnrcn rs rn conilrct *''n,*"*rxrfJliiHtTfB,i"%Yit!#,?fJxtllii..Hi,?,*,J3Yis"Tf.??l"f#,,:?i.t#'#..,ff,'rict or r5ohibii suchstructure. Please consul
ln consideration of the granting of ttris reqilested penni! I do hereby agree that I urill, in all respects, perforrn the urork
in accordance with *re approved $ans, the Florida Building Codes ana st Lucie Ceuniy nrnendhenti;.
The fdloring buildirE pen'oit applications are exempt from undergoing a futl concsrrencl review: rosn additions,
accessory structures, swimmi*g pools, fences, walls, signs, screen rooms and accessory uses to angther non-residential use
WARillH€ TO OWHEB: Yourfal[ure to Record a Notice of Commenement may rcsult in paying twice forimprovernents to your property. A hlstice of Cornrnencernent must be iecorded in {fre-puUtic records of St.
Lucie County and posted on the jobsite before the first inspection. lf you intend to ob,tain financing, consr.llt
Signature of Ownerl LesseelContra$or as Agent for Owner
$TATE OF FION|DA
0OUHTVOT Etr t^:ei e-
Sv*orn to {or affirmed} and subscribed befsre rne ofX' Physical Fresence or
this a dayof Solr-,,_ Online Notarization
Hanre of person rnaking statement.
Fersonally Known k ,o Froduced tdentificati
cornmission x"^$&))0g42 {sear}
STATE OF FLORIDA
COUIITY Of Sl ,Lrr-, e- _
Sworn to {or affirned} and subscribed befors me of
)6 ehysical Presence or _ Online Notarization
thG3.- oay of .Tu t .-l-l , zo20 by
l\nr'n".r q Ko\lntsLi -Harne of person rnaking statemeat.
cornmission xr. 66 I I AS(,a {seat}
AHRI Certified Reference Number'. 201294221 Date : 07-0S2020 Model Status :Active
Old AHRI Reference Number :7942888
AHRI Type: RCU-A-CB
Outdoor Unit Brand Name : RUUD
Outdoor Unit Model Number (Condenser or Single Package) : RA1642AJ1
lndoor Unit Model Number (Evaporator and/or Air Handler) : RH1T4B21STAN
Region : All {AK, AL, AR, PZ,CA, CO, CT, DC, DE, FL, GA, Hl, lD, lL, lA, lN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VI, WA, WV, W}, 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 ot this RUUD product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSUAHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary
Air-Conditioning & Air-source Heat Pump Equipment and subject to rating accuracy by AHRl-sponsored, independent, third party testiilg:
Cooting Capacity (A2) - Singte or High Stage (95F), btuh : 40000
SEER: 16,08
EER (A2) - Single or High Siage (95F) : 13.00
t"Active" Model Status are those that an AHRI Certification Program Participant is currenfly 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 Certmcation Program Participant is no longer producing BUT is still
sellino or offerino for sale.
Ratinds that are?ccomoanied bv WAS indicate an involuntarv re-rate. The new oublished ratino is shown alono with the orevious /i.e. WAS) raiino.
DISCLAIMER
AHRI does nst endors ths product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes n6 responsibility for,
the product{s} tisted an this certificate. AHfil expresty disclaims a}l liabi}ity for damages of any kind arising out ol the use or performance of the product(s}, or the
unauthorized alte/atlon of data listed on this Certificate. Certified ratingF are valid only for mcdels and configurations listed in the
directory at www.ahridi16ctory.org.
TENMS AdD GOfIDITIONS
This Certificate and its contents are proprietary products of AHRI. This Cediricate shall only be used for individual, personal and
@nfidentia! refaenee purpo*s The cdtents of this Ceriifi€te may not, in whole or in pa.t, be reprodued; opied: die*minaled;
entered into a csmputer database; or otherwise utilized, in any form or manner or by any means, except for the user's indiyidual,
persanal and confidertial reference.
OERTIf ICATE YEff I FICATIOI!'
The intomation for thc model cited on this certificate can be yerified at wrvriv.ahridirectory.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
lyhich is listed above, and the Gertiflcate No,, which is llsted at bottom fignt,
02020Air{onditioninEi, HeatinB, and Refri€ieration lnstitute
AIR-CONDtTIONtHG, HEAT|NG,
& REFR:GERATIOH INSTITUTE
rve rnal<e life betrer-
CERTIFICATE NO.: 132387741514ee105s
This combination
placed in service
qualifies for a Federal Energy Efficiency Tax Credit when
between 11112015 and 1213112A20.