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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 08/20/2020 Permit Number: O 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 I PROPOSED IMPROVEMENT LOCATION: Address: 1589 SE Tiffany Club Place Property Tax lD #: 3414-501-3503-000-5 Site Plan Name: Project Name: Reserve at Port St Lucie Apt Lot No. Block No. 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 _Windows/Doors _Pond _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cast of Construction: $ 2,200 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 on next page ( if different from the Owner listed above) E-Mail marty@unicohvac.com State or County License CAC1814920 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: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: 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 ermit holder to build the subject structure which is in conFlict with any pplicable Home Owners Association rules, bylaws or angcovenants that may restrict or prohibit such structure. Please consult wit �i 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-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 rec o tice of Commencement. &mori, -r 6arbones Signature of Owner/ Lessee/Contractor as Agent for Owner Sig ture of Conta or/Lic se Holder STATE OF FLORIDA STATE O COUNTY OF Maw COUNTY OF Moron Sworn to (or affirmed) and subscribed before me of x Physical Presence or _ Online Notarization this 20 day of August 2020 by Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this 20 day of Augug 2020 by Grant T GeMone 0., A Ca dllle 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 Produu�ced Type of Identification Produced 1 (Signature of Notary lio- MARTA M. AGUIRRE e i� 1 Commission No. ccts�av MISSIGNkG!; 19132 EXPIRES: March 0, 2022 r t, 9onded Thru Nola PublicU ' nature of Notary C mission No. GGtet 'R9/ }. �FRAM.AGUIRRE ` ��:.G` � "�ICrN i�C�191327 6Xf I: o. March J. 2022 dandod Thru Neary Public Underwriters REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED Rev. 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 51007510339 Unico Air Conditioning Company Date 8/10/2020 25 SW Cabana Point Circle Stuart, FL 34994 Shipping Address: Terms of payment: Term of delivery: for at HD Grant T Carbone Reserve at Ashley 1589 SE Tiffany Club Place Port St Lucie,Fl 833-587-4423 Net 15 Days ZOR(FOB Origin) Item Material/Description Quantity Unit Price Amount 1 Install Indoor/Outdoor AC Unit 1 $2,200.00 $2,200.00 Int. Article No. 25937855 2 ton Goodman 14 Seer R410 / yU n 4- TCU r bone Signature: V Subtotal: $2,200.00 Tax: Shipping Grand Total: I to Is Certificate of Product Ratings AHRI Certified Reference Number: 201852667 Date: 11-13-2018 Model Status: Active AHRI Type, RCU-A-CB Series: 14 SEER N SERIES R410A AC Outdoor Unit Brand Name : TEMPSTAR Outdoor Unit Model Number (Condenser or Single Package) : NXA424(A,G)KC` Indoor Unit Model Number (Evaporator and/or Air Handler) : FMA4P24"AL' Region: North (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 reglon(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-Condilivning S 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"Active" 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 producatl "Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT Is still selling or offering for sale. Re ngs that are ac omoanied by WAS indicate an 'n oluntary re -rate The new Dublished mtinp is shownI with the previous fl a WAS) rafnp DISCLAIMER AHRI does not endorse the product(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 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.ahridlrectoryerg. AND A TERMS CONDITIONS This MSCertificate 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; 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, HeATIHa, CERTIFICATE VERIFICATION 4 REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrldirectory.org, dick on -Verify Certificate" link wv make We 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 02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.. 1318662 08631e25i2