Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01/06/2021 Permit Number: 9 LPo LSC'JM -� O j ° 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: 1523SE Tiffany Club Place Property Tax I D#: 3414-501-3503-000-5 1_of N o Site Plan Name: Block No Project Name: Reserve at Port St Lucie Apt 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 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: $ 2,200 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:_ Address:1711 Sunset Isle Rd Zip Code: 30305 Fax: City: Ft Pierce State:FI Phone No. Zip Code: 34949 Fax: 772-674-7525 E-Mail: Phone No 305-528-1392 Fill in fee simple Title Holder on next page(if different E-Mail marty@unicohvac.com from the Owner listed above) 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. 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: _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 pplicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure.Please consult wit�i your Home Owners Association and review your deed for any restrictions which may apply. Inconsideration 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 commencing work or reco otce of Commencement. &rCAn4- T Cgrborw Signature of Owner/Lessee/Contractor as Agent for Owner Signa ure of Contr o Li se Holder STATE OF FLORIDA STATE O COUNTY OF m-I COUNTY OF wn 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 6 day of January 2020 by this a day of January 2020 by Grant r Cardona Cscar A Caizadilla 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 (Signature of Notary u lic-St a of Fioridal M�FTAM A�uil1RF ture of Notary P I Stat of Flor da 1 CGMMIS$ION Pt�7gi p MA 1'A 1rCUInf2F Commission No. cGts�azz (Seal],xPlgrS-M;.Ichn �nl Co fission No. UGlaisz ,..,( ga�,, _6LnJa17h� t7 _ap Putl iUJrde , _— I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 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 51007510343 Unico Air Conditioning Company 1/4/2021 1711 Sunset Isle Rd Ft Pierce,Fl 34949 Shipping Address: Grant T Carbone Reserve at PSL 1523 SE Tiffany Club Dr Port St Luice, FI 772-245-4510 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 $21200.00 $2,200.00 Int.Article No. 25937855 2 ton Tempstar 14 Seer R410 Subtotal: $2,200.00 Tax: Shippingl $0.00 Signature: (-7jrCj n - Grand Total:1 $2,20 CERTIFIED"t' FFType: tificate of Product Ratings fied Reference Number;9487261 Date:06-17-2019 Model Status:Active :RCU-A-CB SEER N SERIES R410A AC it Brand Name:TEMPSTAR it Model Number (Condenser or Single Package):NXA424(A,G)KC"Model Number(Evaporator and/or Air Handler):FEM4P24••AL Region! Southeast and North(AL,AR,DC,DE,FL,GA,HI,KY,LA,MD,MS,NC,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,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/AHRI 210/240 with Addenda 1 and 2,Performance Rating of Unitary Air-Condifionirig&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 IQ)-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 Cenigcalion Program Participant is no longer producing BUT is still selling or offering for sale. Ratino.Nat are accompanied by WAS'nd'cate an involuntary re-rate The new publ'shed reline is shown to o with the ore (' 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 Intllvltlual,personal and confidential reference r database; The contents of till ed,In any may not.In whole or In pert,be ,except for heucopied;disseminated; entered Into a computer database;or otherwise utilized,in any roan or manner or by any means,except for the user's Intllvltlual, ArmW OWN personal and confidential reference. AIR-CONDITIONING,HEATING. CERTIFICATE VERIFICATION A REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on-Verify Certificate"link ,nake b4 bvaer- and enter the AHRI Certified Reference Number and the date on which the certificate was issued, �r which is listed above,and the Certificate No..which is listed at bottom right. ©2019Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 1320528T5240255052