HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/29/2020 Permit Number:
94o EMCEE 9O
P ° � Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1541 SE Tiffany Club Place
Property Tax ID ti: 3414-501-3503-000-5
Site Plan Name:
Project Name: Reserve at Port St Lucie
DETAILED DESCRIPTION OF WORK:
Exact AC change out - Replace existing AC unit with a 2 ton Tempstar 14 Seer R410
Air Handler - FMA4P2400 5 KW Heater
Condenser - NXA424GKC
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: -
Cost of Construction: $ 2200
Generator
Sq. Ft, of First Floor:
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Tiffany Park Partners LTD
Name: Oscar A Calzadilla
Address: 3475 Piedmont Rd NE Ste 1640
Company: Unico Air Conditioning Co
City: Atlanta State: _
Zip Code: 30305 Fax:
Phone No.
Address:1711 Sunset Isle Rd
City: Ft Pierce State: FI
Zip Code: 34949 Fax: 772-674-7525
Phone No 305-528-1392
E-Mail:
Fill In fee simple Title Holder an next page ( if different
from the Owner listed above)
E-Mail marty@unicohvac.com
State or County License GAG1614920
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in to ilict with any pplicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
�i
structure. Please consult wit your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration 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-resldentlal 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 commencinR work or record' ice of Commencement.
6nan� T Ca rhonje
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signatu of Contra to ' rise Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Mahn
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
_
this 29 day of J-w 2020 by
_
this 29 day of July 2020 by
Grant T Camone
oe rA Celseallla
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
Produced
(Signature of Notary ic- State MARCAM. AGUIRR
(Sign ure of Notary P lc- State of Florida )
Commission No. GG191327 •:'' fS@a1gYGOMMISSIGN@G�
March %
9132i
mom SIOnNO. GG1913 ;:y M jAGUIRRE
2 � ::;:.
EXPIRES:
"fe`° Publlr.0
,;.° �
earv+uters .- My COMMISSION X GG
BondadtlttuNdarl
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Banded Thnl NO
ryPublic Ume i:era
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATI
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
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 51007510338
Unico Air Conditioning Company Date 07/20/2020
25 SW Cabana Point Circle
Stuart, FL 34994
Address: Grant T Carbone
Reserve at Port St Lucie
1541 SE Tiffany Club PI
Port St Lucie,Fl
772-221-4501
Terms of payment: Net 15 Days
Term of delivery: ZOR(FOB Origin)
Equipment ready for pick up at HD Supply
Item
Material/Description
Quantity
Unit Price
Amount
1
Install lndoor/Outdoor AC Unit
1
$2,200.00
$2,200.00
Int. Article No. 25937855
2 ton Tempstar 14 Seer R410
Signature: Uron+ 7 GGrbone
Subtotal:
$2,200.00
Tax:
Shipping
$0.0jj
Grand Total:
$2,20 .
Certificate of Product Ratings
AHRI Certified Reference Number: 201852666 Date: 05-15-2019 Model Status: Active
AHRI Type: RCU-A-CB
Series: 14 SEER R SERIES R410A AC
Outdoor Unit Brand Name: TEMPSTAR
Outdoor Unit Model Number (Condenser or Single Package) : R4A424(A,G)KW
Indoor Unit Model Number (Evaporator and/or Air Handler) : FMA4P24"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 region(s) 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 ANSI/AHRI 2101240 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"Adive" 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 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.
Retinas that are accomoamed by WAS indicate an involuntary re -rate. The new published ratinq is shown alonq with the previous (i:a_ WAS]rating
DISCLAIMER
AHRI does not endorse the product(s) limed 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 producus), 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: Ral Elm
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, HEATING.
CERTIFICATE VERIFICATION & 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 better^
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.
02019Air-Conditloning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132024OZ4493331211