HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/11 /2020
Permit Number:
Oo 1��0
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: 1535 SE Tiffany Club Place
Property Tax ID #: 3414-501-3503-000-5
Site Plan Name:
Project Name: Reserve at Port St Lucie
I DETAILED DESCRIPTION OF WORK:
Exact AC change out - Replace existing AC unit with a 2 ton Tempstar 14 Seer R410
Air Handler - FMA4132400 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:
Lot No.
Black No.
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,200
Sq. Ft. of First Floor:
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: Unioo Air Conditioning Cc
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-Mall:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail marry@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 CO . -TRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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, 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 Inspe n. If you intend to obtain financing, consult
with lender or an attorney before commencing work or r r Notice of Commencement.
CTF'Un+ T CaY bUn2
Signature of Owner/ Lessee/Contractor as Agent for Owner
nature of n acto /License Holder
STATE OF FLORIDA
STAT DA
COUNTY OF Marlin
COUNTY OF mere -
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or _ Online Notarization
this 11 day of September 2020 by
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 11 day of September 2020 by
Grant T CeMone
Oscar A Calvad'rlla
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 Notar blic- State of Florida
Commission No. MARTA M. AGWRI
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ZONING
REVIEW
SUPERVISOR
REVIEW
REVIEWS
FRONT
COUNTER
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROV
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Unico Air Conditioning Company
17115unset Isle Rd
Ft Pierce, FI 34949
Phone: (772) 678-6676 Fax:(772)647-7525
Contract
Billing Address Document Number 51007510338
Unico Air Conditioning Company Date 9/11/2020
1711 Sunset Isle Rd
Ft Plerce,F134949
Shipping Address:
Terms of payment:
Term of delivery:
Equipment ready for
at HD
Grant T Carbone
Reserve PSL
1535 SE Tiffany Club Place
PSL,FI
772-245-4510
Net15 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 Tempstar 14 Seer R410
Subtotal: $2,200.00
Tax:
T fn rb ic- Shipping $0.00
Signature:y rU C• U Grand Total: $2,20 0
Certificate of Product Ratin
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 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 8 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 producetl'Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is stit
selling or offering for omsale.
Ratings that are accpanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous fi.e. WA51 rating.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties of 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.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;
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-CONDITONING. HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on -Verify Certificate- link r+e make lile beuer•
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.: 131866200863162522