HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/16/20 Permit Number:
91ro
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 A/C Change Out LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
Address: 5509 Spanish River Road Fort Pierce, FL 34951
Property Tax ID#: 1312-502-0103-000-4 Lot No.202
Site Plan Name: PORTOFINO SHORES-PHASE TWO-(PB 43-33) LOT 202 (OR 2195-2071) Block No.
Project Name: HVAC Mechanical A/C Change Out LIKE FOR LIKE
[DETAILED DESCRIPTION OF WORK:
HVAC Mechanical A/C Cange Out. Install RHEEM 5 TON 16 SEER 10 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:
X 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: $ 5,400.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameVictorA Panetta Name:Kelly Certosimo
Address:5509 Spanish River Road Company:Air Temp Air Conditioning
City: Fort Pierce State: FL Address:1384 NW Commerce Centre Drive
Zip Code: 34951 Fax: City: Port Saint Lucie State:FL
Phone No.(772)332-5405 Zip Code: 34986 Fax:
E-Mail:vicpanetta@att.net Phone No(772)340-0740
Fill in fee simple Title Holder on next page(if different E-Mailairtempac@yahoo.com
from the Owner listed above) State or County License CAC1 814837
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: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: lNot 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 commencin work or recording our Notice of Commencement.
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Signature of Owner, ssee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ,a.Lucl � COUNTY OF l/-. 1.,p
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization X Physical Presence or Online Notarization
this day of V�U _2020 by this A( day of K)i0Ve,VV�WE'.V' ,2020 by
I C ty� � Csl
Name of person rnjAing statement. Name of person maki atement.
Personally Known X OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signat r of Notary Public-State of o cla) (Signature of Notary Public-State of Flo da
S HN
)
Commission No. W (Seal) Commission No. V1`4 20 6q (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COM
ev. Notary Public State of Florida Brianna V Lorenz o onde
Brianna V Lorenz c My Commission HH 042089
+AL i My Commission HH 042089 j� EXPOS 09/14/2024
$ Expires 09/14/2024
This combination qualifies for a Federal Energy Efficiency Tax Credit when
placed in service between 1/1/2015 and 12/31/2020.
1
Certificate of Product Ratings
AHRI Certified Reference Number:201295245 Date:11-16-2020 Model Status:Active
Old AHRI Reference Number:7943714
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):RA1660AJ1
Indoor Unit Model Number(Evaporator and/or Air Handler):RH1T6024STAN
Region: All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,ID,IL,IA, IN,KS,KY,LA,MA,MD,ME,Ml,MN,MO,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 AHRI 210/240 with Addendum 1,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:57000
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 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 accomaanied by WAS indicate an involuntary re-rate. The new published rating is shown along with the Drevious fi.e.WAS)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 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, V}
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. 13250ON3987934069
02020Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: