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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 09/19/2020 Permit Number: (�T 1Sl�1QQ� 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 PROPOSED IMPROVEMENT LOCATION: Address: 1718 SE Tiffany Club Place Property Tax ID k: 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 - FMA4P2400 5 KW Heater Condenser - NXA424GKC New Electrical Meter Second Electrical CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Electric _Plumbing _Sprinklers _Generator Total Sq. Ft of Construction: _ Cost of Construction: $ 2,200 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 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. I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Not Applicable I MORTGAGE COMPANY: _ Not Applicable Name: Name:_ Address: Address: City: State: City: Zip: Phone Zip: FEE SIMPLE TITLE HOLDER: Zip: _ Not Applicable I BONDING COMPANY: _Not Applicable Name: Address: City: 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 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 vour 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 m recorded in the public records of St. Lucie County and posted on the jobsite before the first insp Ion intend to obtain financing, consult with Ipndpr or an attornpv hpforp commencing work or r oc a v r of Commencement. 6n,n4- T Co_ rhorne_ Signature of Owner/ Lessee/Contractor as Agent for Owner Sig ture o ontracto is ns kler STATE OF FLORIDA STATE ORI COUNTY OF martin COUNTY OF Mann 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 —is day of September 2020 by _ this t9 day of September 2020 by Grant T GardWe Oster A Oalmdllla 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 gnature of Notary Vic- State of Florida ) (Signature of Notary PAY- State of Florida ) _ Commission No. cclelan MAF?A M.� "Ji'.,:.� "l M r� Af 11IRRE CO fission No. GGISIa o c>. M C ohil ; tyf 327 4. EXPIRE S: �h_ -922 - dry ,.,!,..MTi!ere SEATURTLE REVIEWS FRONT ZONI —' R -PAS VEGETATION M COUNTER VIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.5/b/2U Unico Air Conditioning Company 1711 Sunset 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 9/19/2020 1711 Sunset Isle Rd Ft Pierce,FI 34949 Shipping Address: Terms of payment: Term of delivery: nt ready for pick up at HD Su Grant T Carbone Reserve at PSL 1718 se Tiffan y Clun PI Part St Lucie,Fl 772-245-4510 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 Tempstar 14 Seer R410 Signature: 67rU n+ T CGi Y�1'1Q Subtotal: $2,200.00 Tax: Shipping $0. Grand Total: Certificate of Product Ratings AHRI Certified Reference Number: 201852667 Date: 11-13.2018 Model Status: Active AHRI Type: RCU-A-CS 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, SO, 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/AHR1210/240 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 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 produced."Production Stopped- Model Status are those that an AHRI Certification Program Participant is no ignger producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The. new published rating is shown along with the previous li.e. WAS) rating. DISCLAIMER AHRI does not endorse the product(s) listed on this Certifli 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 Certiflcete. Certified ratings are valid only for models and configurations listed In the directory at www.ah ri m roctory.n rg. TERMS AND CONDITIONS This MS AND and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and As 1111� confidential reference purposes. The contents of this Certificate may not, In whole or in part, be reproduced; copled; disseminated; entered Into a computer database: or otherwise utilized, In any form or manner or by any means, except for the user's Individual, Sam Elm personal and confidential reference. AIR-CGNpnTGNING, HEATING, CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrldifectory.org, dick on 'Verify cirdl ate- link we make lit, hen,r' 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 ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.. tst l6e200ae31erszz