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L Rosenwasser PERMIT APP
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1018/20 Permit Number: .: -- �` Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: HVAC Mechanical A1C Change Out LIKE FOR LIKE PROPOSED IMPROVEMENT LOCATION; Address: 9035 One Putt Place Port Saint Lucie, FL 34986 Property Tax ID #. 3334-501-0104-000-2 Lot No. 2 Site Plan Name: LAKES AT PGA VILLAGE (PB 43-32) BLK C LOT 2 (OR 3810-2138) Block No. C Project Name: Mechanical A1C Change Out Install RHEEM 2.5 TON 16 SEER 5 KW HEATER LIKE FOR LIKE DETAILED DESCRIPTION OF WORK HVAC Mechanical A1C Change Out INSTALL RHEEM 2.5 TON 16 SEER 5 KW HEATER LIKE FOR LIKE 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: Cost of Construction: $ 4,800.00 Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Leslie Rosenwasser Name: Kelly Certosimo Address: 9005 One Putt Place Company:Air Temp Air Conditioning City: Fort Saint Lucie State: _ Zip Code: 34986 Fax: Phone No. (561) 601-1984 Address: 1384 NW Commerce Centre drive City: Port Saint Lucie State: FL Zip Code: 34986 Fax: Phone No(772) 340-0740 E -Mail: rosenwasserleslie@gmail.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mailairtempac@yahyo.com State or County License CAC1 814837 1vaiuc u. u4uvn is 43uv or more, a Km uKutu Notice OT commencement is required. If value of H"C is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION' LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable pp 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 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, 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 commencine work or recni-ding your Ne)tirp of (`nmmnnromcnt " i Notary PwOOhc State of Flda "Pr A0. 4 No Catherine 0anna Mahan :° f tary Pu'D"c State of Fjorraa Cafherm, gOnna Mahan 'P y0tt nissign �;r 17688,x4 ' ,9� 7v1Y �ommsn„ Signature of Owner/ Le see/Contractor as Agent for Owner Signature of Contractor/ cense Hold r STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF 5 rn to (or affirmed) and subscribed before me of P sical Pr en o O ine Notarization t is day Swo to (or affirmed) and subscribed before me of Physical Pres nce r Online otarization of 2020 by 0, th s I day of 2020 by .� toan— Name of per ma f g tatement. Na r Yon 7aking statement. VPer onally Know OR Produced Identification T f Ide ifica ion Personally Known OR Produced Identification e Type dentifi tf n od c d Prod ce ( ature f otary Pu lic ate of Florida) (sign ur o oar Public- State o orida ) Commission (Seal) 111 Commission N (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev r " i Notary PwOOhc State of Flda "Pr A0. 4 No Catherine 0anna Mahan :° f tary Pu'D"c State of Fjorraa Cafherm, gOnna Mahan 'P y0tt nissign �;r 17688,x4 ' ,9� 7v1Y �ommsn„ • m urinal CERTI FIEDo www.ahridirectory.©rg This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/3112020. AHRI Certified Reference Number: 201281646 Date: 10-08-2020 Model Status : Active Old AHRI Reference Number: 7941343 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1630AJ1 Indoor Unit Model Number (Evaporator andlor Air Handler) : RH1T3617STAN Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, M©, 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 2101240 with Addenda i 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 : 28600 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for safe; 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 accom sale. Ratin s that are anied by WAS indicate an involuntary re -rate. The new ublished ratn is shown alon with the revious i.e. WASI ratin 2. 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.ahridirectory.mg. 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-CONDITIONING, 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 and enter the AHRI Certified Reference Number and the date on which the certificate was issued, w, make life better" which is listed above, and the Certificate No., which is listed at bottom right. 02020Air-Conditioning, Heating, and Refrigeration Institute C RTIFICATE NO.: 132466552054218433