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HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7/20120 Permit Number: S�ro� 91�0r4#f �� Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Port Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR:HVAC Mechanical A/C Change Out LIKE FOR LIKE PROPOSED IMPROVEMENT LOCATION: Address: 8840 First Tee Road Fort Saint Lucie, FL 34986 Property Tax ID #: 3334-500-0068-000-4 Site Plan Name: POD 33 AT THE RESERVE PHASE 1 KINGSMILL LOT 57(OR 3964-2764) Project Name: HVAC Mechanical A/C Change Out LIKE FOR LIKE DETAILED DESCRIPTION OF WORK: A/C Change Out Install RHEEM 5 TON 16 SEER 10 KW HEATER LIKE FOR LIKE New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Lot No.57 Block No. Additional work to be performed under this permit-- check all that apply: Mechanical Gas Tank _ Gas Piping — Shutters � Windows/Doors � Pond Electric _ Plumbing —Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 5,100.00 Generator Roof Pitch Sq, Ft. of First Floor: Utilities: —Sewer — Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameBenjamin Watson III Name: Kelly Certosimo Address:8840 First Tee Road Company:Air Temp Air Conditioning City: Port Saint Lucie State: Zip Code: 34986 Fax: Phone No.(804) 398-8543 Address:1384 NW Commerce Centre Drive City: fort Saint Lucie State: FL Zip Code: 34986 Fax: phone No (772) 340-0740 E-Mail:benwat3@verizon.net Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail airtempac@yahoo.com State or County LicenseCAC1814837 if value of construction is Z5UO or more, a Kk4UKutu nonce' or 13 1 W4"91 a.+. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. � SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DE-SIGNER/ENGINEER: Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worK and installation as rnaicateu. 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 permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such 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, wails, 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 paying twice for improvements to your property: A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/ Lessee/Con ctor as Agent for Owner STATE OF FLORIDA ' ' COUNTY OF 0---- n to (or affirmed) and subscribed before me of hysical Press ce pr Online Notarization is day of 2020 by 1�e r4' - ic, s-, � iy) n ame of pe son making statement. Personally Known V OR Produced Identification Type of Identification PrrfWuced (Signature of Notary P bilic- State of Flo ida ) Commission No. i (Seal) Signature of Contrac r/License Holder STATE OF FLORIDA S �� COUNTY OF rn to (or affirmed) and subscribed before me of Physical Presen a or Online Notarization this Zr, day of ! 2020 by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced i .. VAT- (Si�ture of Notary Public- State of Florida ) Commission N . `� � (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. "L Notary Public State of Florid, na 2oc�xt "o*r Notary Pubkc State of Florida r Catherine Donna Mahan Calherine Donna Mahan r My commiss,on GG 2 r poi rld xpires 01/i B12022 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/3112020. Certificate of Product Ratin AHRI Certified Reference Number: 201295245 Date: 07-20-2020 Model Status: Active Old AHRI Reference Number: 7943714 AHRI Type: RCU-A-CB Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1660AJ1 Indoor Unit Model Number (Evaporator andlor Air Handler) : RH1T6024STAN Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, L4, 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, 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 region(s) for which they meet the regional efficiency requirement. The manufacturer of this RHEEM product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 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 of High Stage (95F), btuh : 57000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 t"Active" Model Status are those that an AHRI Certifrcatlon 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 Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are aocomDanied by WAS indicate an involuntary re -rate. The new oublished ratino is shown along with the previous (i.e. WAS) rata�nc . , __ DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsffillity 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 contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes_ The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; -A entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. & AIR-CONDITIONING, I STITU E & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make life getter'" and 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. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132397267541416430