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HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/18/20 Permit Number: Q R�� Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: HVAC Mechanical A/C Change Out LIKE FOR LIKE PROPOSED IMPROVEMENT LOCATION: Address: /") 1 csvo U UnK way Tort Saint Lucie, FL 34986 Property Tax ID #: 3322-505-0043-000-1 Site Plan Name: MAIDSTONE (PB 43-11) LOT 34 (OR 2480-2277) Project Name: HVAC Mechanical A/C Change Out LIKE FOR LIKE Lot No.34 Block No. DETAILED DESCRIPTION OF WORK: HVAC Mechanical A/C Change Out INSTALL RHEEM 4 TON 16 SEER 10 KW HEATER LIKE FOR LIKE New Electrical Meter Second Electrical Meter I CONSTRUCTION INFORMATION: —I Additional work to be performed under this permit— check all that apply: Mechanical _ Gas Tank — Gas Piping _ Shutters _ Electric _ Plumbing — Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 5,400.00 _ Generator — Windows/Doors Pond Sq. Ft. of First Floor: Roof Pitch Utilities: _ Sewer _ Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name Michelle M Malko Name: Kelly Certosimo Address:7461 Bob O Link Way City: Port Saint Lucie State: Zip Code: 34986 Fax: Phone No.(772) 905-7240 Company: Air Temp Air Conditioning Address:1384 NW Commerce Centre Drive City: Port Saint Lucie State: FL Zip Code: 34986 Fax: 772 340-0740 Phone No( ) E-Mail:airtempac@yahoo.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailairtempac@yahoo.com State or County LicenseCAC1814837 ---- -• --..--.- .--•• -... - -- ..w.v, a ".� Wnvcu IwLicC VI %.vmmencement is requires. 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• Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Name:_ Address: City:_ Zip: Phone: — Not Applicable State: Not Applicable V vvIYCn/ L.LJIY 1 KAL I UK ArNUV l 1: 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, 1 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 commencing work or recording our Notice of Commencement. �g Signature of Owner/ Lesse Contractor as Agent for Owner Signature of nt ct /Llcen o der STATE OF FLORIDA ��� COUNTY OF LUC 1. Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization this 18 day of _AJQVCiVt—�P�r , (2�020 by Name of person malsfng statement. Personally Known X_ OR Produced Identification Type of Identification Produced (Signature ofWtary Publicrr-''FloriState of Commission No. `C �'j (Seal) REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COM ev. ��' 8rianna V Lorenz My Commission HH 042089 Expires09/14/2024 STATE OF FLORIDA S1. Lf l.1��'e COUNTY OF . Sworn to (or affirmed) and subscribed before me of iC Ph sical Presence or Online Notarization this day of lie der . 2020 by ccrfo Name of person makin tement. Personally Known i< OR Produced Identification Type of Identification Produced (Signature of NotarlH y�Pfiblic-Ytate of Florida ) Commission No. lC (Seal) SUPERVISOR I PLANS I VEGETATION I SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW 6 N�tary Public State of F14d Y.� anna V La.enr---- +� c ► My Commission HH 042089 6ian� Expires09/14/2024 This combination qualifies for a Federal Energy Efficiency Tax Credit when o placed in service between 1/1/2015 and 12/31/2020. certificate of Product Ratinas AHRI Certified Reference Number: 201294083 Date: 11-16-2020 Model Status: Active Old AHRI Reference Number: 7943535 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) : RA1648AJ1 Indoor Unit Model Number (Evaporator and/or Air Handier): RH1T4821STAN 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, 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 2101240 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 : 44500 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 offeg for sale. Ratings that arerinaccompanied by WAS indicate an involuntary re -rate The new published ratino is shown alono with the previous (i.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.ahridiirectory.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-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. ©2020Air-Conditioning, Heating, and Refrigeration Institute 1 CERTIFICATE NO.: 132500242182702647