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Home My WebLink AboutBuilding permit appAll APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 0' 2V . 20 20 Permit Number: �40 [�[JQUL �o v ArNTRUPT ITO M Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:lE HC 'Cger-CLj PSG C±YI e O-A PROPOSED IMPROVEMENT LOCATION: Address: ) 34-4U PfO►'CUu r��vvR 1Cbe F3 (y L)it i+ Property Tax ID#:443(p'(-oo5- W-20. Cap. 4 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: LI Ye 4br L11Le 14 seer 124)0 Reoloce e,csrhna uni+ wt-1-h0 3-t-Un TCmWS-rir. rI 1 6rdl�er�-1=M�.4p3C000 H�tEer- 5 KW Cbril ease r- N XA.43(o & kC 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: $ 2� 4 W Utilities: -Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name r n -F sia Nei Name: Y AddressA344D PO Y-bC ,LY R t e '13 dmpany:U n lCO AlY 11 F5C City: po�lr�mt CIfiU State: FI ZipCode:J�YC1 10 Fax: Phone No. Addressl-111 5Li + City: Pr K�ICrCe State: �1 ZipCode34'g4'q Fax:. 112-C&�L4-1-7 PhoneNo-172- C07S—(V:0-RD E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail MClY')'1r1 6° Uln ICQ hVQC State or County License CAG f l4 4 20 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. S SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Not Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Address: City: City Zip: Phone: Zip: 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 m e recorded in the public records of St. Lucie County and posted on the jobsite before the first insp ion. If intend to obtain financing, consult with lender or an attornev before commencing work or re rdi r o of Commencement. ko rien i s td nre,l l Signature of Owner/ Lessee/Contractor as Agent for Owner Signa ure of Contract I en older STATE OF FLORIDA L Mu r-!, n STATE FLORID "(A r-h n COUNTY OF COUNTY OF Sworn to (or affirmed) and subscribed before me of Swor to (or affirmed) and subscribed before me of �jtysical Pres cep pr_Online Nota Yzation ✓� sicY Presen or r Online Notarization this day of C�iJf 2020 b 20 this a of CX� 2020 b Karen T S I!d rv7e I J DEC Q r- A Ca I Ze9C1 i I G Name of person making statement. Name of person making statement. Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Nota ru ublic tai... orl a TAM. AGUIRRE ignature of Nota bl -;,of Flori TAM.AGUIRRE /�� CommissionNo6& _ !'7 lily COMMISSION # GG 191327 ! (SexgRES:March 9,2022 �// ± : ,- .hW COMMISSION # OG 191327 Bonded Thru Nulary Public UntlHwnf mmissionNo.&6 EORW) March 9,2022 •.,o��•O'Bonded ThN Notary PublicUMeiwilers REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.5/6/ZU 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 10/25/2020 1711 Sunset Isle Rd Ft Pierce,Fl 34949 Shipping Address: Karen T Sidwell 13440 Harbour Ridge Blvd Palm City, FI 772-888-6356 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 Indoor/Outdoor AC Unit 1 $2,400.00 $2,400.00 Int. Article No. 25937855 3 ton Tempstar 14 Seer R410 T 5 �d ► Signature:kQren Y�J� Subtotal: $2,400.00 Tax: Shipping $0.0 Grand Total: $2, Certificate of Product Ratings AHRI Certified Reference Number: 201852861 Date : 10-28-2020 Model Status: Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coll with Blower) Series, 14 SEER N SERIES R41 OA AC Outdoor Unit Brand Name : TEMPSTAR Outdoor Unit Model Number (Condenser or Single Package) : NXA436(A,G)KC" Indoor Unit Model Number (Evaporator and/or Air Handler) : FMA4P36"AL` Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, INC, 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, Wl, 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 AHRI 210/240 with Addendum 1, Performance Rating of Unitary Air -Conditioning & Alr-Source Heal Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2)- Single or High Stage (95F), btuh : 32800 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 }"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 longer 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 Mono with the previous li.e. WASI rating. 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 products) 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;Arm so-so entered Into a computer database; or otherwise utlllzed, 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 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. 02020AIr-Condltloning, Heating, and Refrigeration Institute CERTIFICATE NO.: 32ae3Teaogoo6„so